title: Worksite policies and environments supporting physical activity in midwestern communities.
abstract: OBJECTIVE
  To examine the association of worksite policies and environments to physical activity.
  
  
  METHODS
  Between 2001 and 2003, 977 adults from Missouri, Tennessee, and Arkansas participated in two random-digit-dialed telephone surveys regarding physical activity behaviors and worksite policies supporting physical activity. Logistic regression was used to investigate relationships between meeting national physical activity recommendations and supportive policies or environmental conditions (e.g., facilities, equipment, financial rewards) at worksites.
  
  
  RESULTS
  Having multiple policies at worksites was associated with meeting physical activity recommendations, specifically the provision of accessible stairways and personal services (e.g., fitness testing, counseling). Meeting recommendations through walking was associated with having exercise facilities (e.g., gym, shower) and equipment (e.g., treadmill, weights).
  
  
  CONCLUSIONS
  This study highlights the importance of supplementing health promotion information in workplaces with policies and environmental interventions. Particular consideration should be given to accessible stairways for onsite exercise and provision of exercise facilities and equipment. Future interventions should combine policy change with program delivery.
authors.affiliation: Saint Louis University School of Public Health/ Community Health, Prevention Research Center, Department of Community Health, 3545 Lafayette Ave, St. Louis, MO 63104, USA. dodsonea@slu.edu
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Dodson
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Lovegreen
authors.forename: Michael B
authors.initials: MB
authors.lastname: Elliott
authors.forename: Debra
authors.initials: D
authors.lastname: Haire-Joshu
authors.forename: Ross C
authors.initials: RC
authors.lastname: Brownson
mesh_terms: D000328:Adult; D004777:Environment; D015444:Exercise; D005160:Facility Design and Construction; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D016272:Occupational Health; D016134:Organizational Policy; D014481:United States; D017132:Workplace
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