Journal of Occupational Health
Online ISSN : 1348-9585
Print ISSN : 1341-9145
ISSN-L : 1341-9145
Original Articles
Relationship between top management engagement, occupational health professional involvement in management reviews, and workplace health promotion program outcomes: a cross-sectional study
Yuki KumakawaTomohisa Nagata Kiminori OdagamiTakahiro MoriKoji Mori
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JOURNAL OPEN ACCESS

2025 Volume 67 Issue 1 Article ID: uiaf043

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Abstract

Objectives: This study examined whether management-level discussions on Health and Productivity Management (HPM) and the involvement of occupational health professionals in discussions are associated with workplace health promotion (WHP) program outcomes, as indicated by HPM evaluation.

Methods: We conducted a cross-sectional study using data from 2495 corporations that submitted the 2020 HPM Survey Sheets. Corporations were categorized into 3 groups based on the presence or absence of HPM discussions at management-level meetings and the attendance of occupational health professionals. The overall score and the deviation score for “assessment and improvement” were used as indicators of program outcomes. Multiple regression analyses were performed, adjusting for industry sector, company size, and number of occupational physicians and occupational health nurses.

Results: Corporations without HPM discussions at management-level meetings showed significantly lower scores on both indicators (overall score coefficient: −11.70; 95% CI, −12.83 to −10.53; “assessment and improvement” coefficient: −11.30; 95% CI, −12.50 to −9.97). In contrast, corporations with HPM discussions attended by occupational health professionals demonstrated significantly higher scores than those without such attendance (overall score coefficient: 5.39; 95% CI, 4.61-6.18; “assessment and improvement” coefficient: 5.15; 95% CI, 4.28-6.02). These associations remained significant after adjusting for covariates.

Conclusions: The findings indicate that discussions about HPM at management-level meetings and the involvement of occupational health professionals are associated with WHP program outcomes. These results suggest that collaboration between top management and occupational health professionals in management reviews may contribute to the successful implementation of WHP programs.

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© The Author(s) [2025]. Published by Oxford University Press on behalf of the Japan Society for Occupational Health

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