Moral issues in workplace health promotion
Suzan J W Robroek1, Suzanne van de Vathorst, Medard T Hilhorst
1Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Summary
Most employees support workplace health promotion (WHP), but some prefer personal control over their health. Older workers are more likely to resist employer involvement in their health decisions.
Area of Science:
- Occupational Health
- Health Psychology
- Behavioral Science
Background:
- Debate exists regarding employer rights to influence employee lifestyle and health.
- Limited data available on employee perspectives on workplace health interventions.
- Moral considerations among employees participating in workplace health promotion (WHP) programs are under-explored.
Purpose of the Study:
- To investigate employee opinions on employer involvement in health.
- To explore moral considerations influencing participation in WHP programs.
- To understand employee attitudes towards workplace health initiatives.
Main Methods:
- Survey administered to participants and non-participants of a WHP program across five companies.
- Data collected on individual characteristics, lifestyle, health status, and opinions on WHP.
- Statistical analysis including chi-squared tests and odds ratios to compare groups.
Main Results:
- A significant portion of non-participants cited preference for self-management (19%) and work-life separation (13%) as reasons for non-participation.
- Higher agreement among participants (87%) versus non-participants (77%) that employers should promote employee health.
- A notable percentage of non-participants (26%) and participants (21%) viewed employer health interference as a privacy violation.
- Older employees (50+ years) were more likely to perceive employer health interference as a privacy violation compared to younger workers.
Conclusions:
- The majority of employees acknowledge the value of WHP, yet a subset expresses moral concerns impacting participation.
- Older employees demonstrate a greater inclination to resist employer influence on personal health matters.
- WHP program communication, design, and implementation should address and respect employee moral considerations, particularly for older workers.
Related Concept Videos
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Levels of Health Promotion and Illness Prevention
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
Ethical Dilemmas I
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Models of Health Promotion and Illness Prevention I
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Models of Health Promotion and Illness Prevention II
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
The agent-host-environment model states that disease results from...

