Effect of organization-level variables on differential employee participation in 10 federal worksite health promotion programs

Carolyn E. Crump, Jo Anne L Earp, Chris M. Kozma, Irva Hertz-Picciotto

Research output: Contribution to journalArticle

62 Scopus citations


Guided by a conceptual model, the authors used both qualitative data (e.g., individual interviews, focus groups) and quantitative data from an employee survey (N = 3,388) m 10 federal agencies to investigate whether organization context and implementation process affected participation in worksite health promotion and disease prevention (HPDP) activities among demographic subgroups. Overall, employees on average participated in fewer than two agency-supported health-related activities per year (17% in fitness, 40% inhealth risk assessment activities). Employees participated more where coworkers endorsed such programs. Minority employees and employees in lower level positions were more likely to participate in fitness activities when organizations had a more comprehensive program structure, engaged in more marketing strategies, gave time off to employees to participate, or had on-site facilities. Management support for the program was related to participation by employees who were male, white, and had upper level positions. The data supported the proposed model; also confirmed was two predicted relationships between model constructs, which provided a better understanding of differential participation by employee groups.

Original languageEnglish (US)
Pages (from-to)204-223
Number of pages20
JournalHealth Education and Behavior
Issue number2
StatePublished - 1996
Externally publishedYes


ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this