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Module 5: Focus on the Individual

Module 5: Focus on the Individual. Health Promotion & Disease Prevention. The MAP Table. Causes of Death in the United States, 2005. Source: Centers for Disease Control and Prevention. Prevalence of Chronic Conditions Coronary Heart Disease and Age. Percent of People with High CHD.

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Module 5: Focus on the Individual

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  1. Module 5: Focus on the Individual Health Promotion & Disease Prevention Designing the Age Friendly Worksite

  2. The MAP Table Designing the Age Friendly Worksite

  3. Causes of Death in the United States, 2005 Designing the Age Friendly Worksite Source: Centers for Disease Control and Prevention

  4. Prevalence of Chronic ConditionsCoronary Heart Disease and Age Percent of People with High CHD Designing the Age Friendly Worksite Data from National Health Interview Survey, 2006

  5. Prevalence of Chronic Conditions:Cancer and Age Percent of People with Cancer Designing the Age Friendly Worksite Data from National Health Interview Survey, 2006

  6. Leading Causes of Disability Among Persons Aged 18 Years or Older, United States, 1999 Designing the Age Friendly Worksite Source: Centers for Disease Control and Prevention

  7. Chronic Disease Increases with Age:Arthritis Percent of People with Arthritis Age Group Designing the Age Friendly Worksite Data from National Health Interview Survey, 2006

  8. Low Back Pain in the Last Three Months, 2006 Designing the Age Friendly Worksite

  9. Construction: Chronic Conditions and Age Designing the Age Friendly Worksite Source: The Construction Chart Book, 4th Edition. CPWR

  10. Diabetes in Construction Designing the Age Friendly Worksite Source: The Construction Chart Book, 4th Edition. CPWR

  11. Construction vs. All Industries:Risk Factors Source: The Construction Chart Book, 4th Edition. CPWR Designing the Age Friendly Worksite

  12. Annual Cost of Chronic Diseases Billion $ CDC. The Power of Prevention. Reducing the Health and Economic Burden of Chronic Disease. Atlanta: U.S. Department of Health and Human Services; 2003. Designing the Age Friendly Worksite

  13. Per Capita Health Expenditures by Age, 2004 Dollars Age Group Centers for Medicaid and Medicare Services Office of the Actuary National Health Statistics Group Designing the Age Friendly Worksite

  14. Percentage of Employees with Health Insurance, by Industry and Source % Designing the Age Friendly Worksite Source: The Construction Chart Book, 4th Edition. CPWR

  15. Three Levels of Health Promotion Designing the Age Friendly Worksite

  16. Elements of Health Promotion • Health-related lifestyles • Use of clinical preventive services Designing the Age Friendly Worksite

  17. Elements of Health Promotion • Health-related lifestyles: • healthy eating • physical activity • avoiding smoking • maintaining a healthy body weight • Use of clinical preventive services Designing the Age Friendly Worksite

  18. Elements of Health Promotion • Health-related lifestyles • Use of clinical preventive services: • smoking cessation treatment • vaccination • screening for cancer • screening for high blood pressure • screening for high cholesterol Designing the Age Friendly Worksite

  19. Some Strategies Work Better Than Others (there are “Hierarchies of Control”) • Preventing illnesses and injuries is more effective than treating them • Making the job fit the worker is always better than trying to get the worker to fit the job • Environmental or system change is more reliable than individual change Designing the Age Friendly Worksite

  20. A Preventive Services Program • Provide Services and Adopt Policies That Are Proven to Work • Provide Incentives • Communicate “why” and “how” • Track Results Adapted From: Employment Based Prevention of Chronic Disease in Washington State, 2005 University of Washington Health Promotion Research Center December 2005 Designing the Age Friendly Worksite

  21. A Preventive Services Program • Provide Services and Adopt Policies That Are Proven to Work • Smoking Cessation Counseling • Influenza and pneumonia vaccines • Breast, cervical and colorectal cancer screening • Blood pressure and cholesterol screening • Physical activity and healthy eating promotion • Provide Incentives • Communicate “why” and “how” • Track Results Designing the Age Friendly Worksite

  22. A Preventive Services Program • Provide Services and Adopt Policies That Are Proven to Work • Provide Incentives • Reduce or eliminate cost sharing • Provide easy access and use: location, hours, child care • Communicate “why” and “how” • Track Results Designing the Age Friendly Worksite

  23. A Preventive Services Program • Provide Services and Adopt Policies That Are Proven to Work • Provide Incentives • Communicate “why” and “how” • Track Results • Baseline data • Measure progress Designing the Age Friendly Worksite

  24. A Preventive Services Program • Provide Services and Adopt Policies That Are Proven to Work • Smoking Cessation Counseling • Influenza and pneumonia vaccines • Breast, cervical and colorectal cancer screening • Blood pressure and cholesterol screening • Physical activity and healthy eating promotion • Provide Incentives • Reduce or eliminate cost sharing • Provide easy access and use: location, hours, child care • Communicate “why” and “how” • Track Results • Baseline data • Measure progress Designing the Age Friendly Worksite

  25. BUILT Program • Building Trades Unions Ignite Less Tobacco • Background • California State Building & Construction Trades Council • Resources for employers, unions, apprenticeship programs, workers and workers’ families • Resources in Spanish and English • Ignore the compliance-related information • Funding for the project’s development ended in 2007 • Great resources are still available at a very low cost! Designing the Age Friendly Worksite

  26. BUILT Program • Objectives: • Provide resources on prevention and cessation of tobacco use to construction workers • Educate construction workers about the dangers of tobacco and the toxic exposures they face at work • Promote smoke-free environments on and off the job site • Counter pro-tobacco influences by showing how the tobacco industry has targeted blue-collar workers Designing the Age Friendly Worksite

  27. BUILT Program • BUILT Tools • Tobacco-Free Construction Worksites • A comprehensive guide to several different forms of tobacco control on construction sites • Quitting Tobacco - The Next Step • A program designed for employers to help them build a smoking cessation program • Tailgate Training • Resources developed to educate workers • Signage for Use on the Construction Site Designing the Age Friendly Worksite

  28. BUILT Program • How and where it can be used • Through local unions • Through Health and Welfare Funds • Through Joint Apprenticeship Training Committees • Through Labor-Management Committees • More information • About BUILT: http://www.sbctc.org/built/ • Placing orders: http://www.tobaccofreecatalog.org • Search the website for “construction” Designing the Age Friendly Worksite

  29. Note: 40 percent of Washingtonians are already overweight or obese by ages 18-24. Rises to 65 percent for those ages 45-54. WA Workers Have High Risks % From Jeff Harris, MD, U. of Washington, May 21, 2007 Source: Hughes, Hannon et al. WA BRFSS; Workers w/ Ins., age 18-64, 2004-5. Designing the Age Friendly Worksite

  30. Percent of Employers’ Insurance Policies That Miss Opportunities % From Jeff Harris, MD, U. of Washington, May 21, 2007 2180 employers. Bondi et al. Am J Health Promot. 2006;20:214-22. Designing the Age Friendly Worksite

  31. Chronic diseases can be both prevented and managed, but… • Employers under-purchase key clinical preventive services that offer the greatest value • Washington State workers do not engage in health-related lifestyles that could prevent, delay, or manage chronic diseases • Washington State workers under-use those same key, high-value clinical preventive services when they are offered From: Employment Based Prevention of Chronic Disease in Washington StateUniversity of Washington Health Promotion Research Center December 2005 Designing the Age Friendly Worksite

  32. Rose and Carlos Designing the Age Friendly Worksite

  33. Questions • Should Yeats encourage Rose and Carlos to exercise? Why or why not? If so, how do they go about it? • Do you know anyone like Carlos at your organization? Designing the Age Friendly Worksite

  34. Your Turn: The MAP Table Action Area Health Promotion and Disease Prevention Ideas The Individual Designing the Age Friendly Worksite

  35. Your Turn: Funneling From: To: To: To: From: To: To: To: Early win: Designing the Age Friendly Worksite

  36. Fitting Action Items into Action Plans Action Item: ___________________________________ Who’s the leader? ___________________________________ When will it be done? __________________________________ How will it get accomplished? ____________________________ What are some initial challenges for this Action Item?: ___________________________________________________________________________________ Designing the Age Friendly Worksite

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