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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

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Social Determinants of Health Eliminating Disparities/ Achieving Health Equity

Preventing Complications Early Detection Health Promotion

Infant

Child

Adolescent

Adult

Older Adult

“Upstream Factors”

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

Obesity

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.

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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

Education

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

Restaurants

Bars

26 13

25 17

17 6

12

9

28

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

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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