The impact of the Citibank, NA, health management program on changes in employee health risks over time.
ABSTRACT This study estimated the impact of the Citibank Health Management Program on changes in health risks among Citibank employees. McNemar chi-squared tests compared the probability of being at high risk for poor health when the first and last health-risk appraisal surveys were taken. Logistic regression controlled for baseline differences in subsequent analyses when those who participated in more intensive program features were compared with those who participated in less intensive features. Declines in risk were noted for 8 of 10 risk categories. Most changes were small, except those related to exercise habits, seatbelt use, and stress levels. For nine health risk categories, those who participated in more intensive program services were significantly more likely than others to reduce their health risks. Thus, the Citibank Health Management Program was associated with significant reductions in health risk.
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ABSTRACT: The profile of non communicable diseases (NCD) risk factors was identified in three industries by pre tested WHO's STEPS questionnaire. A cross -sectional survey of all employment categories of three industries (4356 employees) was done after randomly selecting subjects (563) from worker (57%) and non worker categories (43%), after informed consent. Information was collected on behavioral risk factors (STEP I), followed by anthropometric and blood pressure measurements by a trained investigator (STEP II). STEP III constituted biochemical assessment of "at risk" subjects (≥ 3 risk factors). Data was analyzed using Epi-info version-6.04d computer package and percentage of subjects having NCD risk factors was calculated. The majority (92.18%) of the subjects had low daily intake of vegetables and fruits; 53.28% of the subjects had high BMI (≥25 kg/m²). Subjects having a high waist-to-hip ratio and high waist circumference were 42.58% and 32.30%, respectively. Tobacco usage (32.14%), physical inactivity (33.21%), and alcohol consumption (15%) were also prevalent among the study subjects. History of hypertension and diabetes was present in 23.44% and 9.76% of subjects, respectively. About 63.22% of the subjects were identified as being 'at risk' (i.e., had ≥3 risk factors), with prevalence of hypercholesterolemia, hypertension and diabetes of 50, 35 and 7% respectively. A high prevalence of NCD risk factors in industrial setting was seen; therefore public health approaches are required at workplace settings to curtail the rising epidemic in the productive populations.
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ABSTRACT: Objective: A 12-month wellness program was provided for employees of a major employer in the Orlando area. Methods: The program involved screening and measurement of baseline indices, educational sessions, telephonic support, quarterly laboratory monitoring, and provision of glucometers and test strips. Results: For the 73 enrolled employees with prediabetes, serum hemoglobin A1c levels-mean (standard deviation)-decreased from 6.10% (0.53%) to 5.42% (0.51%) (P<0.0001). For the 151 enrolled employees with diabetes, mean serum hemoglobin A1c levels-mean (standard deviation)decreased from 8.03% (1.91%) to 7.48% (1.52%) (P<0.0001). In the 12 months before, during, and after the program, 27, 15, and 27 diabetic employees required hospitalization, respectively. Health insurance per member per month claims costs for employees with diabetes rose only 1.2% over the prior 12 months, and self-reported presenteeism increased (P<0.0001). Conclusions: This employer-endorsed program achieved favorable outcomes for employees with prediabetes and diabetes.Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 10/2014; 56(10):1052-1061. DOI:10.1097/JOM.0000000000000231 · 1.80 Impact Factor