Employee Wellness & Physical Activity in Texas: Results from the 2003 BRFSS

Employee Wellness in Texas: Outline Overview of Behavioral Risk Factor Surveillance System (BRFSS) Employee wellness and CVD risk factors: Results from the 2003 BRFSS Results of special workplace physical activity survey module

What is BRFSS Monitors health risks at the state, region, and county level Administered through state/federal partnership Data gathered from telephone interviews with thousands of adults using standardized questions and methods Largest telephone survey in the world

Texas BRFSS: Procedures Continuous (monthly) data collection Random digit dialing (RDD) and computer- assisted telephone interviewing (CATI) Adults aged 18 years and older (non- institutionalized) Data weighted to represent known Texas demographics

BRFSS and Employee Wellness Employment Status: –Work for wages –Self employed –Out of work –Homemaker/Student/Retired –Unable to work BRFSS core demographic, health risk, and health status questions Special BRFSS questions on workplace policies

Employee Wellness: Methods Analyzed Texas 2003 BRFSS data (n=6,035) using SUDAAN and SPSS Reported point estimates with 95% CIs Employment status classified by three groups (wages, self-employed, not working) Working age population (18 – 64 years old who report that they are able to work) Results adjusted by age & gender using year 2000 standard population weights

Employee Demographics

Employment Status, Adults Ages 18 – 64 Texas BRFSS 2003

Age Distribution by Employment Status Adults (Ages 18-64), BRFSS 2003

Gender Distribution by Employment Status Adults (Ages 18-64), BRFSS 2003

Race/Ethnicity Distribution by Employment Status Adults (Ages 18-64), BRFSS 2003

Education by Employment Status Adults (Ages 18-64), BRFSS 2003

Household Income by Employment Status Adults (Ages 18-64), BRFSS 2003

Employee Health Status & Risk Factors

Self Reported Health (Age & Gender Adjusted) by Employment Status Adults (Ages 18-64), BRFSS Days Poor Physical Health 5+ Days Poor Mental Health

Major Morbidity (Age & Gender Adjusted) by Employment Status Adults (Ages 18-64), BRFSS 2003 Heart Attack, Stroke, or Angina Diabetes

CVD Risk Factors (Age & Gender Adjusted) by Employment Status Adults (Ages 18-64), BRFSS 2003 High Blood Pressure High Cholesterol Obesity

Insurance Status (Age & Gender Adjusted) by Employment Status Adults (Ages 18-64), BRFSS 2003 No Health Insurance Couldnt See Doctor due to Cost

Health Behaviors (Age & Gender Adjusted) by Employment Status Adults (Ages 18-64), BRFSS 2003 No Cholesterol Check in 5 Years Five a DayCurrent Smoking

Physical Activity (Age & Gender Adjusted) by Employment Status Adults (Ages 18-64), BRFSS 2003 No Leisure Time Physical Activity Meets Activity Recommendations Mostly Sits or Stands at Work

Employee Physical Activity Survey Optional module added to 2003 BRFSS Questions on barriers to exercise, future plans, and workplace policies Repeat of survey questions run in 1998

Not Enough Time to be More Active by Employment Status Adults (Ages 18-64)

Too Tired to be More Active by Employment Status Adults (Ages 18-64)

Already Get Enough Physical Activity by Employment Status Adults (Ages 18-64)

Expect to Increase Activity Level by Employment Status Adults (Ages 18-64)

No Physical Activity During Lunch/Breaks Workers (Employed for Wages)

Workplace Policies Workers (Employed for Wages) 1998 & 2003 Flex TimeWorktime for P.A.Subsidize Health Clubs

Workplace Policies Workers (Employed for Wages) 1998 & 2003 Incentives for P.A.Sports TeamsRegular Programs

Workplace Policies Workers (Employed for Wages) 1998 & 2003 Onsite FacilitiesSafe Place to WalkSafe Stairways for P.A.

Meets Physical Activity Recommendations by Workplace Policy Workers (Employed for Wages) Flex TimeWorktime for P.A.Subsidize Health Clubs

Meets Physical Activity Recommendations by Workplace Policy Workers (Employed for Wages) Incentives for P.A.Sports TeamsRegular Programs

Meets Physical Activity Recommendations by Workplace Policy Workers (Employed for Wages) Onsite FacilitiesSafe Place to WalkSafe Stairways for P.A.

Discussion Points Employees fare better than non employees on some CVD indicators Employees report that lack of time is the primary reason they are not more physically active Employees reported more physical activity during breaks/lunch in 2003 than 1998 Employer sponsored sports teams declined between 1998 and 2003 Some workplace policies may be associated with increased employee physical activity levels

BRFSS Contact Information: Jimmy Blanton, MPAff Coordinator, Texas BRFSS Center for Health Statistics...The Portal for Comprehensive Health Data in Texas x6593