Occupational Medicine 1999;49:65-70
© 1999 Society of Occupational Medicine
research-article |
Status of health promotion programme implementation in small-scale enterprises in Japan


* Juntendo University School of Medicine Japan
Medical Centre of Health Science, Toranomon Hospital Japan
Department of Public Health, National Defence Medical College Japan
This study was conducted to determine the status of the implementation of health promotion programmes (HPPs) in Japanese small-scale enterprises (SSEs). A survey was conducted in 1996 using a questionnaire mailed to all the member construction companies (n = 772) of a health insurance society, and a response rate of 84% was obtained. Health examination was most frequently conducted (90%), followed by exercise/fitness programmes (17%), smoking measures (12%), health guidance (11%) and nutrition education (6%). Mental health programmes and the government-advocated Total Health Promotion Plan (THP) were implemented at less than 2% of SSEs. The implementation rates for these programmes, except for smoking measures and the THP, were higher at large enterprises than at SSEs. The employment rate for occupational physicians (OPs) was 9% and 49% at SSEs and large enterprises, respectively. The activity most frequently conducted by OPs was health examination, followed by curative services and health education. Advising employees to undergo re-examination or more valid examination after the annual health examination was most frequently conducted by non-health professionals.
Keywords Construction industry; health education; health examination; health promotion; Japan; occupational health services; questionnaire survey; small-scale enterprises
Received 9 April 1998
Accepted 2 July 1998
Correspondence and reprint requests to: T. Muto, Department of Public Health, School of Medicine, Juntendo University, 2-1-1, Hongo, Bunkyoku, Tokyo 113-8421, Japan. Tel: (+81) 3-5802-1049; Fax: (+81) 3-3814-0305; email: mutot{at}med.juntendo.ac.jp