the case for wellness program
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Jason Lang, MPH, MS
National Center for Chronic Disease Prevention and HealthPromotion
Centers for Disease Control and Prevention
December 3, 2009
The Case for Wellness Programs:From Evidence to Practice
U.S. Chamber of Commerce
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Social Determinants of Health
“Upstream Factors”includeInadequate access to: Fresh fruits & vegetables Exercise facilities Safe communities forwalking
ObesityIncreased
Heart DiseaseRates
Infant Child Adolescent Adult Older Adult
Health Promotion
Early Detection
PreventingComplications
Eliminating Disparities/Achieving Health Equity
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About 438,000 U.S. Deaths per YearAttributable to Cigarette Smoking*
*Average number of deaths,1997-2001.Source:MMWR 2005;54(25):625-8.
Other cancers34,700
Chronic lungdisease90,600
Lung cancer123,800
Stroke17,400
Other diagnoses84,600
Coronary heart disease84,600
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Health Disparities in Tobacco Use
PrivateWorksites
Restaurants Bars
States with a ban 26 25 17States withdesignated areasor separateventilation
13 17 6
States w/o a law 12 9 28Source:CDC Office on Smoking and Health STATESystem (as of 9/30/08)
%Current Smokers (Adults) by Education
Level, 2005
0
5
10
15
20
25
30
HS Diploma College Degree Graduate Degree
Education
%C
urr
en
tS
mo
kers
NHIS, 2008
NHIS, 2008
2008 State Smoke-Free Legislation
% Current Smokers (Adults) by Race/Ethnicity
0
5
10
15
20
25
30
35
White, non-
Hispanic
Black, non-
Hispanic
Hispanic Am Indian/AK
Native, non-
Hispanic
Asian, non-
Hispanic
Race/Ethnicity
%CurrentSmokers
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Job Stress Among Female Blue-Collar Workers
012345678
Physically
Unhealthy
Days
Mentally
Unhealthy
Days
Activity
Limitation
Days
Blue CollarFemales
GeneralFemalePopulation
Numberof Days
Griffin-Blake CS,Tucker PJ, Liburd L.Mind over matter: exploring job stress among female blue-collar workers. JWomens Health (Larchmt). 2006 Dec;15(10):1105-10.Centers for Disease Control and Prevention.Health-related qualityof life surveillance—United States,1993–2002.MMWR 2005;54(SS04):1.
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