title: "Doing what I do best": The association between skill utilization and employee health with healthy behavior as a mediator.
abstract: Skill utilization, defined as having the opportunity to do one's best at work, has been examined as a contributor to productivity, organizational efficiency, job satisfaction, and mental health. Drawing from self-determination theory, we postulate that high levels of skill utilization are positively associated with physical health and that some of the effect is mediated by health behavior.
  
  
  
  Using the 2014 Gallup Daily Tracking Survey data (n = 87,316), a nationally representative sample of working adults in the United States, we examine the associations between perceived skill utilization and five health outcomes (self-rated health, hypertension, high cholesterol, cancer, asthma) with healthy behavior (regular exercising, fruits and vegetable consumption) as a mediator of the associations.
  
  
  
  The regression results showed that a one-point increase in skill utilization (on a three-point scale) was associated with 20% lower odds of reporting poor or fair health, 3% and 8% lower odds of reporting hypertension and high cholesterol, but had no significant association with cancer or asthma. Health behavior mediated 10% of the association between skill utilization and self-rated health, 46% for hypertension, and 18% for high cholesterol.
  
  
  
  The findings suggest that providing employees the opportunities to use their skills well at work improves health in general, and the effect is partly through enhancing the likelihood of engaging in healthy behaviors. Implications for organizational practice as well as future research directions are discussed.
authors.affiliation: Division of Surveillance, Hazard Evaluations, and Field Studies, The National Institute for Occupational Safety and Health (NIOSH), Cincinnati, OH, USA. Electronic address: kfujishiro@cdc.gov.
authors.forename: Kaori
authors.initials: K
authors.lastname: Fujishiro
authors.affiliation: Stanford Prevention Research Center, Stanford University, Stanford, CA, USA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Heaney
mesh_terms: D000328:Adult; D004651:Employment / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D016272:Occupational Health; D011361:Professional Competence; D011795:Surveys and Questionnaires; D014481:United States
keywords: Mediation analysis; Self-determination theory; Self-efficacy; Self-rated health; Work organization