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The Case for Wellness Programs: From Evidence to Practice U.S. Chamber of Commerce Jason Lang, MPH, MS National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention December 3, 2009


Social Determinants of Health Eliminating Disparities/ Achieving Health Equity

Preventing Complications Early Detection Health Promotion





Older Adult

“Upstream Factors”

include Inadequate access to:  Fresh fruits & vegetables  Exercise facilities  Safe communities for walking


Increased Heart Disease Rates TM

About 438,000 U.S. Deaths per Year Attributable to Cigarette Smoking* Stroke 17,400

Other cancers 34,700

Other diagnoses 84,600 Lung cancer 123,800 Chronic lung disease 90,600 Coronary heart disease 84,600 *Average number of deaths, 1997-2001. Source: MMWR 2005;54(25):625-8.


Health Disparities in Tobacco Use %Curre nt Smoke rs (Adults) by Education Le v el, 2005

% Curre nt Smoke rs (Adults) by Rac e/Ethnic ity 35

% Current Smokers

%C urrentSm okers

30 25 20 15 10 5

30 25 20 15 10 5 0

0 White , nonHis pa nic

Black , nonHis panic

His panic

Am Indian/AK Native , nonHispa nic

HS Diploma

As ian, nonHis panic

College Degree

Graduate Degree


Race /Ethnicity

NHIS, 2008 NHIS, 2008

2008 State Smoke-Free Legislation

States with a ban States with designated areas or separate ventilation States w/o a law

Private Worksites



26 13

25 17

17 6




Source: CDC Office on Smoking and Health STATE System (as of 9/30/08)


Job Stress Among Female Blue-Collar Workers

Number of Days

8 7 6 5 4 3 2 1 0

Blue Collar Females

Physically Unhealthy Days

Mentally Unhealthy Days

Activity Limitation Days

General Female Population

Griffin-Blake CS, Tucker PJ, Liburd L. Mind over matter: exploring job stress among female blue-collar workers. J Womens 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. TM

The Case for Wellness Program  
The Case for Wellness Program  

TheCaseforWellnessPrograms: FromEvidencetoPractice U.S.ChamberofCommerce JasonLang,MPH,MS TM Obesity Infant Child Adolescent Adult OlderAdul...