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Cardiovascular health status and health risk assessment method of preference among worksite employees
Lisa M Marschke1, George J Allen, Denis A Coble
1University of Connecticut, Storrs, CT, USA. lmarschke@hcsm.org
Insights
Employees often overestimate their cardiovascular health (CVD). Choosing between self-report or measured Health Risk Assessments (HRAs) did not impact this perception or actual CVD risk.
Area of Science:
- Occupational Health
- Cardiovascular Health
- Health Risk Assessment
Background:
- Cardiovascular disease (CVD) is a significant health concern in the workforce.
- Health Risk Assessments (HRAs) are tools used to identify and manage health risks.
- Employee preference for HRA methods may influence engagement and outcomes.
Purpose of the Study:
- To compare cardiovascular health risk between employees selecting self-report HRAs versus those choosing HRAs with measured indicators.
- To investigate if HRA method preference correlates with actual cardiovascular health status or lifestyle habits.
- To examine the accuracy of self-reported cardiovascular health among employees.
Main Methods:
- A comparative study involving two groups of employees (n=62 self-report HRA, n=114 measured HRA).
- Collection of data on measured cardiovascular health indicators and self-reported lifestyle habits.
- Analysis of differences in CVD risk and health perception between the two HRA groups.
Main Results:
- No significant differences in measured CVD health status or self-reported lifestyle between the groups.
- Employees in both groups consistently overestimated their cardiovascular health.
- Cardiovascular health status did not influence the choice of HRA method.
Conclusions:
- Employees tend to overestimate their cardiovascular health regardless of HRA method.
- The choice between self-report and measured HRAs did not differentiate CVD risk levels in this sample.
- Findings suggest a need for improved health literacy and accurate self-assessment regarding cardiovascular health in the workplace.
Abstract:
We investigated whether employees (n = 62) selecting a self-report Health Risk Assessment (HRA) would be at increased CVD risk compared to employees (n = 114) choosing an HRA with measurement of cardiovascular (CVD) health indicators. Participants were mostly middle-aged (44.1 +/- 0.8 yr) men (71.6%) displaying borderline features of the cardiometabolic syndrome. Although there were no significant differences between the groups regarding their measured CVD health status or self-reported lifestyle habits, employees in both groups consistently over-stated their level of cardiovascular health. Contrary to reports in the literature, cardiovascular health status did not appear to influence employee HRA method of preference.Editors' Strategic Implications: These findings await replication in other samples, both more diverse and less self-selected. Nonetheless, the authors' methods and their conclusions about workers' over-estimation of their health and the lack of differences across assessment methods will be useful to employers, health professionals, and all practitioners with an interest in health risk assessments.
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