ArticleBMC public health2021
Profiles of total worker health® in United States small businesses.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Small + Safe + Well: lessons learned from a Total Worker Health® randomized intervention to promote organizational change in small business.BMC public health · 2022Trial
- OSH inspector ratio to strengthen decent workplace safety and health: a cross-regional trend analysis research.Frontiers in public health · 2026Article
- Supporting the management of long-term health risk from night work.Industrial health · 2025Review
- Knowing Well, Being Well: well-being born of understanding: Supporting Workforce Mental Health During the Pandemic.American journal of health promotion : AJHP · 2022Article
- What are the economic dimensions of occupational health and how should they be measured? A qualitative study.BMC public health · 2022Article
- Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out aInternational journal of environmental research and public health · 2022Article
- Latin American Agricultural Workers' Job Demands and Resources and the Association With Health Behaviors at Work and Overall Health.Frontiers in public health · 2022Article
- Attitudes of Company Executives toward a Comprehensive Workplace Health Management-Results of an Exploratory Cross-Sectional Study in Germany.International journal of environmental research and public health · 2021Article
- Total Worker HealthInternational journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe Total Worker Health® (TWH) approach is a best practice method to protect and promote worker safety, health, and well-being. Central to this approach is leadership support and health and safety climates that support day-to-day use of health and safety policies and programs. There is some research that supports these relationships, but there is limited research amongst small businesses. Furthermore, it remains to be shown what role TWH business strategies, as reflected by organizational policies and programs, play in this process. The purpose of this study is to characterize small businesses by their organizations' TWH approach and assess the relationship of these approaches to employee health and safety behaviors.
methodsWe utilized cross-sectional data from 97 businesses participating in the Small+Safe+Well study. We collected data using a business assessment tool, Healthy Workplace Assessment™, and an employee assessment tool, Employee Health and Safety Culture Survey. We used latent profile analysis at the business level to identify subgroups of businesses based on a set of characteristics from these assessments. Linear regression analysis at the employee level was used to determine profile association with employee safety and health behaviors.
resultsThere were two profiles characterized by the lowest (33% of all businesses) and highest (9%) levels of the indicators. There were also two profiles with higher scores on two of the different foci on either TWH business strategies (27%) or leadership and climate (31%). Employees working for a business with a profile that focused on leadership and climate, in addition to having a business strategy, reported the best safety and health behaviors.
conclusionsOur study demonstrates that employee engagement in TWH will be highest when businesses have a strategy for how they implement a TWH approach and when they demonstrate leadership commitment to these strategies and foster positive safety and health climates. Our results offer suggestions on how to use TWH assessments to develop interventions for small businesses. More research is needed to understand whether small businesses can improve upon their profile overtime, whether these changes depend on contextual factors, and whether TWH interventions can help them improve their profile.
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