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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

T. Muto*,, S. D. Hsieh{dagger} and Y. Sakurai{ddagger}

* Juntendo University School of Medicine Japan
{dagger} Medical Centre of Health Science, Toranomon Hospital Japan
{ddagger} 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


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