Disparities in Health Behaviors and Chronic Conditions in Health Care Providers in the Veterans Health Administration

被引：17
|
作者：
Schult, Tamara M. [1 ,3 ]
Awosika, Ebi R. [1 ,2 ]
Hodgson, Michael J. [1 ]
Dyrenforth, Sue [4 ]
机构：
[1] Vet Hlth Adm, Off Publ Hlth, Washington, DC USA
[2] Univ Minnesota, Sch Med, Minneapolis, MN 55455 USA
[3] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN 55455 USA
[4] Natl Ctr Org Dev, Cincinnati, OH USA
来源：
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2011年 / 53卷 / 10期
关键词：
LOGISTIC-REGRESSION; MULTILEVEL ANALYSIS; SMOKING; ATTITUDES; SYSTEM; MODEL;
D O I：
10.1097/JOM.0b013e31822b8379
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objective: To determine baseline prevalence of health behaviors and chronic health conditions in Veterans Health Administration (VHA) employees and highlight disparities by occupation group. Methods: There were 29,834 responses to the survey. Age-standardized prevalence estimates for VHA employees were compared to national estimates from BRFSS surveys. The VHA estimates were analyzed for physicians and dentists; physician assistants and nurse practitioners; registered nurses; licensed practical nurses and nursing assistants; other clinical; nonclinical; and wage grade staff. Multilevel regression explored the effect of worksite. Results: The VHA employees have higher rates of unhealthy behaviors and chronic health conditions than US adults, except for smoking. Results illustrated significant disparities between occupation groups by demographics and variability by worksite. Conclusions: Veterans Health Administration's population appears less healthy than the US general population. Disparities between occupation groups support the establishment of targeted health promotion programs, with attention paid to differences in local culture.
引用
收藏
页码：1134 / 1145
页数：12
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