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High Stress and Negative Health Behaviors: A Five-Year Wellness Center Member Cohort Study
Matthew M Clark1, Sarah M Jenkins, Philip T Hagen
1Department of Psychiatry and Psychology (Drs Clark, Vickers Douglas); Division of Biomedical Statistics and Informatics, Department of Health Sciences Research (Ms Jenkins); Division of Preventive, Occupational, and Aerospace Medicine, Department of Internal Medicine (Ms Hagen); Dan Abraham Healthy Living Center, Mayo Clinic, Rochester (Ms Riley, Ms Eriksen, Ms Heath, Ms Werneburg, Dr Olsen); StayWell, St. Paul (Ms Eriksen); Division of Cardiovascular Diseases (Dr Lopez-Jimenez); Division of General Internal Medicine (Dr Sood); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine (Dr Benzo); and Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota (Dr Olsen).
Objective:
The aim of this study was to examine the association between having a high stress level and health behaviors in employees of an academic medical center.
Methods:
Beginning January 1, 2009, through December 31, 2013, an annual survey was completed by 676 worksite wellness members.
Results:
Each year, about one-sixth of members had a high stress level, high stress individuals visited the wellness center less often, and most years there was a significant relationship (P < 0.05) between stress level and poor physical health behaviors (physical activity level and confidence, strength, climbing stairs), low mental health (quality of life, support, spiritual well-being and fatigue), poor nutritional habits (habits and confidence), and lower perceived overall health.
Conclusions:
High stress is associated with negative health behavior, and future studies, therefore, should explore strategies to effectively engage high stress employees into comprehensive wellness programs.
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