RESUMO
BACKGROUND: Occupational sun protection is recommended by government health authorities. Sun safety policies and predictors of managers' reports of sun safety actions were assessed. METHODS: Written policies from 21 state departments of transportation (DOTs) enrolled in a randomized trial to test methods for scaling-up an occupational sun safety intervention were coded for sun safety content at baseline. Managers (n = 1113) supervising outdoor workers reported on sun safety actions in a baseline survey. RESULTS: Twenty state DOTs (95.2%) have a policy with at least one sun protection component. Sun safety training was increased at workplaces with a written sun safety policy (p < 0.001) and unwritten standard procedures on sun protection (p < 0.001). Reported sun safety actions were highest where there was a written sun safety policy (p < 0.001) and unwritten standard procedures on sun protection (p < 0.001). CONCLUSIONS: Policies are essential for the implementation of employee sun safety. There is room for improvement in existing policies of state DOTs.
Assuntos
Exposição Ocupacional/prevenção & controle , Saúde Ocupacional , Política Organizacional , Luz Solar/efeitos adversos , Meios de Transporte , Humanos , Governo Estadual , Estados Unidos , Local de Trabalho/organização & administraçãoRESUMO
OBJECTIVE: Economic evaluation of an intervention promoting adoption of occupational sun protection actions by Colorado public sector employers. METHODS: Randomized controlled trial with 2-year follow-up conducted during 2010 to 2013. Thirty-three intervention and 30 attention-control worksites in final economic sample. Twenty-four-month intervention of personal contacts, training, and materials. Intervention delivery micro-costed. Costs of implemented actions from employer self-report. RESULTS: Twenty-four-month intervention costs: $121,789, 51.8% incurred by project staff (per-worksite mean=$1,732). Worksite costs: $58,631 (meanâ=â$1,777). Per-employee costs: $118 project staff, $56 worksites. Materials cost: $5990 (meanâ=â$181). Intervention worksites implemented 72 nontraining sun protection actions post-Sun Safe Workplaces (SSW) (meanâ=â2.18). Control worksites implemented 39 actions (meanâ=â1.30). Total costs to intervention worksites of implementing the 72 post-SSW actions: $90,645 (meanâ=â$2,747). Control worksite costs: $66,467 (meanâ=â$2,216). Per-employee implementation costs are comparable to other worksite health interventions. CONCLUSION: SSW expanded adoption of sun protection actions at a reasonable per-employee cost.