[Assessment of the impact over one year of a workplace health promotion programme in the province of Bergamo]. / Stima dell's effecto ad un anno di un programma di promozione della salute nei luoghi di lavoro in provincia di Bergamo.

OBJECTIVES: To estimate short-term effects of integrated health promotion in the workplace within the framework of the Bergamo WHP (Workplace Health Promotion) network, which involves 94 companies and about 21,000 workers. METHODS: A controlled non-randomized, before-after evaluation was carried out. Data were collected through anonymous questionnaires before (t0) and after participation in a 12-month health promotion programme (t1). The "control" group consisted of workers of companies participating in the programme who had not yet undertaken any interventions in the theme areas covered by the assessment. RESULTS: In the workers participating in the programme, positive early effects (after 12 months) were related to intake of food providing protection (fruit and vegetables) and increased rates of smoking cessation. The effects were more evident in males and in white collars. The physical activity and alcohol consumption trends went in the desired direction and with more effects than in the non-participating group, but without statistical significance. In the short term, no evident changes in events of road injury risk or in the quality of personal relationships were seen, probably due to the small size of the sample involved in these study areas. CONCLUSIONS: The results, although within the methodological limitations of the study, showed that after 12 months there was a reduction in some important risk factors for chronic diseases in workers participating in the programme, particularly for fruit and vegetable intake and smoking cessation. It will be important to monitor the effects of the programme on other risk factors in the medium and long term, and also the impact of employment status and gender so as to adjust the programme interventions accordingly. Cooperation with occupational/authorized physicians with use of their data collected from health surveillance, together with a limited set of general risk factor indicators, would be a desirable development for further studies.

[Workplace health promotion: description and preliminary results of ASL of Bergamo integrated]. / Promuovere la salute in azienda: descrizione e primi risultati di un intervento interdiscliplinare dell'ASL di Bergamo.

Interventions for health promotion in the workplace (WHP programs) can improve the health of workers, acting on modifiable risk factors for chronic diseases. The effectiveness of integrated programs of health promotion in companies is well described in literature. Our project was conducted in two mid-sized companies in the province of Bergamo, respectively with 170 and 230 employees. The project issues were in the following areas: tobacco smoke (awareness and support to smoking cessation); nutrition (awareness and practical action on the workplace canteen); physical activity (awareness, information and practical ways of incentives); prevention of road accidents (training and initiatives to promote safety). The analysis of the behaviours and individual risk factors was performed by a questionnaire at the beginning of the project and a year later. 95 initial questionnaires were returned and processed for the company A and 168 for the company B; their results were discussed with company management, the company doctors and workers representatives and allowed the formulation of a "company assessment risk profile" according to the methodology of the Assessment of Health Risks with Feedback (AHRF). There have been training/awareness messages in working hours for all employees on areas of lifestyle and have started work on the canteen, actions to promote road safety, physical activity and interventions to counter the smoking. The effectiveness of group treatments for smoking cessation has been of 55.6% at 3 months and 50% at 6 months (at the present only a company has achieved 6 months of follow up).