Skip to main content

Primary and Secondary Prevention of Illness in the Workplace

  • Chapter
  • First Online:
Handbook of Occupational Health and Wellness

Part of the book series: Handbooks in Health, Work, and Disability ((SHHDW))

  • 5427 Accesses

Abstract

Illnesses and injuries in the workplace have a considerable impact that go beyond the ill-health and suffering of the affected individual. The broader socioeconomic impact of workplace illnesses and injuries include reduced workplace productivity, creating a dangerous work environment, increasing healthcare costs, and potentially increased liability assessments through workers’ compensation premiums. This chapter discusses primary and secondary prevention strategies suitable for implementation at the workplace. An overview of the principles of preventive medicine is presented, with a description and broad goals for primary, secondary, tertiary, and quaternary prevention strategies. Following this, a review of the theoretical framework that was developed to address prevention strategies and health promotion behaviors is discussed, with a focus on the Health Belief Model, the Theory of Reasoned Action and Planned Behavior, the Precaution Adoption Process Model, and the Transtheoretical Model. Finally, overviews of primary and secondary prevention strategies are discussed for common diseases and illness prevalent in the workplace, including prevention of occupational injuries and disability, smoking, cardiovascular disease, cancer, and mental health disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 509.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 649.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 649.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Agency Medical Directors Group. (2010). Interagency guideline on opioid dosing for chronic non-cancer pain: An educational aid to improve care and safety with opioid therapy. 2010 update [cited 12 Jan 2012]. Available from http://www.agencymeddirectors.wa.gov/Files/OpioidGdline.pdf

  • Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhland & J. Beckman (Eds.), Action-control: From cognitions to behavior (pp. 11–39). Heidelberg, Germany: Springer.

    Google Scholar 

  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.

    Article  Google Scholar 

  • Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • American Psychological Association. Stress in America 2009. 2009 [cited 10 Feb 2012]. Available from http://www.apa.org/news/press/releases/stress-exec-summary.pdf.

  • Andersen, B. L., Farrar, W. B., Golden-Kreutz, D. M., Glaser, R., Emery, C. F., Crespin, T. R., et al. (2004). Psychological, behavioral, and immune changes after a psychological intervention: A clinical trial. Journal of Clinical Oncology, 22(17), 3570–3580.

    Article  PubMed  Google Scholar 

  • Armitage, C. J., Sheeran, P., Conner, M., & Arden, M. A. (2004). Stages of change or changes of stage? Predicting transitions in transtheoretical model stages in relation to healthy food choice. Journal of Consulting and Clinical Psychology, 72(3), 491–499.

    Article  PubMed  Google Scholar 

  • Arora, S., Thornton, K., Murata, G., Deming, P., Kalishman, S., Dion, D., et al. (2011a). Outcomes of treatment for hepatitis C virus infection by primary care providers. The New England Journal of Medicine, 364(23), 2199–2207.

    Article  PubMed  Google Scholar 

  • Arora, S., Kalishman, S., Dion, D., Thornton, K., Bankhurst, A., Boyle, J., et al. (2011b). Partnering urban academic medical centers and rural primary care clinicans to provide complex chronic disease care. Health Affairs, 30(6), 1176–1184.

    Article  PubMed  Google Scholar 

  • Becker, M. H., & Rosenstock, I. M. (1984). Compliance with medical advice. In A. Steptoe & A. Mathews (Eds.), Health care and human behavior. London: Academic.

    Google Scholar 

  • Brannon, L., & Feist, J. (2007). Health psychology: An introduction to behavior and health. Belmont, CA: Thomson Wadsworth.

    Google Scholar 

  • Bureau of Labor Statistics. (2011). News release: Workplace injuries and illnesses—2010. U.S. Department of Labor, Editor.

    Google Scholar 

  • Center for Disease Control. (2011). Current cigarette smoking prevalence among working adults—United States, 2004–2010. Morbidity and Mortality Weekly Report, 60(38), 1305–1309.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2010). Healthier worksite initiative: Toolkits [cited 12 Feb 2012]. Available from http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/index.htm.

  • Chapman, L. S. (2005). Meta-evaluation of worksite health promotion economic return studies: 2005 update. American Journal of Health Promotion, 19(6), 1–11.

    Google Scholar 

  • DeJoy, D. M., Schaffer, B. S., Wilson, M. G., Vandenberg, R. J., & Butts, M. M. (2004). Creating safer workplaces: Assessing the determinants and role of safety climate. Journal of Safety Research, 35(1), 81–90.

    Article  PubMed  Google Scholar 

  • Fiore, M. C., Bailey, W. C., Cohen, S. J., Dorfman, S. F., Goldstein, M. G., Gritz, E. R., et. al. (1996). Smoking cessation: Clinical practice guideline No. 18. Rockville, MD: Department of Health and Human Services.

    Google Scholar 

  • Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Flanders, W. D., & Rothman, K. J. (1982). Interaction of alcohol and tobacco in laryngeal cancer. American Journal of Epidemiology, 115(3), 371–379.

    PubMed  Google Scholar 

  • Frank, J., & Cullen, K. (2006). Preventing injury, illness and disability at work. Scandinavian Journal of Work, Environment & Health, 32(2), 160–167.

    Article  Google Scholar 

  • Fraser, G. E., & Shavlik, D. J. (2001). Ten years of life: Is it a matter of choice? Archives of Internal Medicine, 161(13), 1645–1652.

    Article  PubMed  Google Scholar 

  • Gabriel P., & International Labour Office. (2000). Mental health in the workplace: Situation analyses, United States. GLADNET collection (Paper 228) [cited 10 Feb 2012]. Available from http://digitalcommons.ilr.cornell.edu/gladnetcollect/228

  • Garavello, W., Negri, E., Talamini, R., Levi, F., Zambon, P., Dal Maso, L., et al. (2005). Family history of cancer, its combination with smoking and drinking, and risk of squamous cell carcinoma of the esophagus. Cancer Epidemiology, Biomarkers & Prevention, 14(6), 1390–1393.

    Article  Google Scholar 

  • Gatchel, R. J., & Okifuji, A. (2006). Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain. The Journal of Pain, 7(11), 779–793.

    Article  PubMed  Google Scholar 

  • Grover, M., Naumann, U., Mohammad-Dar, L., Glennon, D., Ringwood, S. Eisler, I., et al. (2011). A randomized controlled trial of an internet-based cognitive-behavioural skills package for carers of people with anorexia nervosa. Psychological Medicine, 41, 2581–2591.

    Article  Google Scholar 

  • Helman, C. G. (1981). Disease versus illness in general practice. The Journal of the Royal College of General Practitioners, 31(230), 548–552.

    PubMed  Google Scholar 

  • Hochbaum, G. (1958). Public participation in medical screening programs, in DHEW Public Health Service. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Hoyert, D. L., Kung, H. C., & Smith, B. L. (2005). Deaths: Preliminary data from 2003. National Vital Statistics Reports, 53(15), 1–48.

    Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Akiskal, H. S., Ames, M., Birnbaum, H., Greenberg, P., Hirschfeld, R. M., et al. (2006). Prevalence and effects of mood disorders on work performance in a nationally representative sample of U.S. workers. The American Journal of Psychiatry, 163(9), 1561–1568.

    Article  PubMed  Google Scholar 

  • Krueger, A. B., & Stone, A. A. (2008). Assessment of pain: A community-based diary survey in the USA. Lancet, 371(9623), 1519–1525.

    Article  PubMed  Google Scholar 

  • Leigh, J. P. (2011). Economic burden of occupational injury and illness in the United States. The Milbank Quarterly, 89(4), 728–772.

    Article  PubMed  Google Scholar 

  • Leutwyler, K. (1995). The price of prevention. Scientific American, 272(4), 124–129.

    Article  PubMed  Google Scholar 

  • Madey, S. F., & Gomez, R. (2003). Reduced optimism for perceived age-related medical conditions. Basic and Applied Social Psychology, 25, 213–219.

    Article  Google Scholar 

  • Marcus, B. H., Emmons, K. M., Simkin-Silverman, L. R., Linnan, L. A., Taylor, E. R., Bock, B. C., et al. (1998). Evaluation of motivationally tailored vs. standard self-help physical activity interventions at the workplace. American Journal of Health Promotion, 12(4), 246–253.

    Article  PubMed  Google Scholar 

  • Mayer, T. G., & Press, J. M. (2005). Musculoskeletal rehabilitation. In A. Vaccaro (Ed.), Orthopedic knowledge update (pp. 655–661). Chicago, IL: AAOS Press.

    Google Scholar 

  • Mayer, T. G., Gatchel, R. J., Porter, S., & Theodore, B. R. (2006). Postinjury rehabilitation/management. In W. S. Marras & W. Karwowski (Eds.), The occupational ergonomics handbook: Interventions, controls, and applications in occupational ergonomics. Boca Raton, FL: CRC Press.

    Google Scholar 

  • Michael R. (2001). Liberty Mutual releases workplace injury and cost data. Ergonomics Today [cited 2 Oct 2012]. Available from http://www.ergoweb.com/news/detail.cfm?id=395

  • Moyal, D. D., & Fourtanier, A. M. (2008). Broad-spectrum sunscreens provide better protection from solar ultraviolet-simulated radiation and natural sunlight-induced immunosuppression in human beings. Journal of the American Academy of Dermatology, 58(5 Suppl 2), S149–S154.

    Article  PubMed  Google Scholar 

  • Mullen, J. (2004). Investigating factors that influence individual safety behavior at work. Journal of Safety Research, 35(3), 275–285.

    Article  PubMed  Google Scholar 

  • Norman, A. H., & Tesser, C. D. (2009). Quaternary prevention in primary care: A necessity for the Brazilian Unified National Health System. Cadernos De Saude Publica, 25(9), 2012–2020.

    Article  PubMed  Google Scholar 

  • O’Brien Cousins, S. (2003). Grounding theory in self-referent thinking: Conceptualizing motivation for older adult physical activity. Psychology of Sport and Exercise, 4, 81–100.

    Article  Google Scholar 

  • O’Brien Cousins, S. (2000). “My heart couldn’t take it”: Older women’s beliefs about exercise benefits and risks. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(5), P283–P294.

    Article  PubMed  Google Scholar 

  • Occupational Health and Safety Administration. (2012). Injury and illness prevention programs: White paper [cited 3 Feb 2012]. Available from http://www.osha.gov/dsg/InjuryIllnessPreventionProgramsWhitePaper.html

  • Paulozzi, L., Baldwin, G., Franklin, G., Kerlikowske, R. G., Jones, C. M., Ghiya, N., & Popovic, T. (2012). CDC grand rounds: Prescription Drug overdoses—A U.S. epidemic. Morbidity and Mortality Weekly Report, 61(1), 10–13.

    Google Scholar 

  • Plotnikoff, R. C., McCargar, L. J., Wilson, P. M., & Loucaides, C. A. (2005). Efficacy of an E-mail intervention for the promotion of physical activity and nutrition behavior in the workplace context. American Journal of Health Promotion, 19(6), 422–429.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. The American Psychologist, 47, 1102–1114.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (1994). Changing for good. New York: Avon Books.

    Google Scholar 

  • Rosen, C. S. (2000). Is the sequencing of change processes by stage consistent across health problems? A meta-­analysis. Health Psychology, 19, 593–604.

    Article  PubMed  Google Scholar 

  • Ruward, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., & Lange, A. (2009). Standardized web-based cognitive behavioural therapy of mild to moderate depression: A randomized controlled trial with long-term follow-up. Cognitive Behaviour Therapy, 38(4), 206–221.

    Article  Google Scholar 

  • Schultz, D. (2004). Employee attitudes—A must have. Occupational Health & Safety, 73(6), 66–72.

    Google Scholar 

  • Siegel, M., & Biener, L. (2000). The impact of an antismoking media campaign on progression to established smoking: Results of a longitudinal youth study. American Journal of Public Health, 90(3), 380–386.

    Article  PubMed  Google Scholar 

  • Singletary, K. W., & Gapstur, S. M. (2001). Alcohol and breast cancer: Review of epidemiologic and experimental evidence and potential mechanisms. JAMA: Journal of the American Medical Association, 286(17), 2143–2151.

    Article  PubMed  Google Scholar 

  • Spiegel, D., & Giese-Davis, J. (2003). Depression and cancer: Mechanisms and disease progression. Biological Psychiatry, 54(3), 269–282.

    Article  PubMed  Google Scholar 

  • Stamler, J., Stamler, R., Neaton, J. D., Wentworth, D., Daviglus, M. L., Garside, D., et al. (1999). Low risk-factor profile and long-term cardiovascular and noncardiovascular mortality and life expectancy: Findings for 5 large cohorts of young adult and middle-aged men and women. JAMA: Journal of the American Medical Association, 282(21), 2012–2018.

    Article  PubMed  Google Scholar 

  • The World Health Organization. (2004). The world health report 2004: Changing history, annex table 3: Burden of disease in DALYs by cause, sex, and mortality stratum in WHO regions, estimates for 2002. Geneva: WHO.

    Google Scholar 

  • Towers Perrin. (2008). Closing the engagement gap: A road map for driving superior business performance, In: Towers Perrin global workforce study 2007-2008. [cited 6 Feb 2012]. Available from http://www.towersperrin.com/tp/getwebcachedoc?webc=HRS/USA/2008/200803/GWS_Global_Report20072008_31208.pdf.

  • Towers Watson. (2010). 2009/2010 Staying@work report: The Health and productivity advantage [cited 6 Feb 2012]. Available from http://www.towerswatson.com/assets/pdf/648/TW_NA_2010_16703_SatW.pdf.

  • Vartiainen, E., Paavola, M., McAlister, A., & Puska, P. (1998). Fifteen-year follow-up of smoking prevention effects in the North Karelia youth project. American Journal of Public Health, 88(1), 81–85.

    Article  PubMed  Google Scholar 

  • Weinstein, N. D. (1988). The precaution adoption process. Health Psychology, 7, 355–386.

    Article  PubMed  Google Scholar 

  • Yassi, A., Khokhar, J., Tate, R., Cooper, J., Snow, C., & Vallentyne, S. (1995a). The epidemiology of back injuries in nurses at a large Canadian tertiary care hospital: Implications for prevention. Occupational Medicine, 45(4), 215–220.

    Article  PubMed  Google Scholar 

  • Yassi, A., Tate, R., Cooper, J. E., Snow, C., Vallentyne, S., & Khokhar, J. B. (1995b). Early intervention for back-injured nurses at a large Canadian tertiary care hospital: An ­evaluation of the effectiveness and cost benefits of a two-year pilot project. Occupational Medicine, 45(4), 209–214.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brian R. Theodore Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media New York

About this chapter

Cite this chapter

Theodore, B.R. (2012). Primary and Secondary Prevention of Illness in the Workplace. In: Gatchel, R., Schultz, I. (eds) Handbook of Occupational Health and Wellness. Handbooks in Health, Work, and Disability. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-4839-6_19

Download citation

Publish with us

Policies and ethics