中小規模事業所の健康教育実施の実態 ~健康教育実施割合はわずか15.3%、しかし効果ありうる~

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2026-08-03 琉球大学

琉球大学大学院医学研究科の研究チームは、全国健康保険協会(協会けんぽ)沖縄支部が所管する5,910の中小規模事業所と35~59歳の従業員データを解析し、中小規模事業所における健康教育の実施状況とその効果を初めて明らかにした。健康教育を実施している事業所は全体の15.3%にとどまり、内訳は情報提供のみ12.3%、研修会のみ1.0%、両方実施2.0%であった。一方、情報提供と研修会を併せて実施する事業所では、男女とも喫煙率が有意に低く、男性では毎日飲酒する割合も有意に低かった。また、情報提供のみでも女性の喫煙率や飲酒率の低下が認められた。一方、肥満率には有意な改善はみられなかった。人的資源が限られる中小規模事業所でも、情報提供と研修会を組み合わせた健康教育は生活習慣改善に一定の効果をもつことが示され、生活習慣病予防を推進するためには、産業医や外部機関の支援を活用した健康教育の普及と実施体制の整備が重要であることが示唆された。

中小規模事業所の健康教育実施の実態 ~健康教育実施割合はわずか15.3%、しかし効果ありうる~

<関連情報>

沖縄県の中小規模事業所における従業員の職場医療制度と生活習慣関連リスク要因 Worksite Healthcare Systems and Lifestyle-related Risk Factors among Employees at Small-to-medium Worksites in Okinawa, Japan

Shota Kudaka, Kenshu Taira, Atsushi Sakima, Koshi Nakamura
Journal of Atherosclerosis and Thrombosis  Published:August 03, 2026
DOI:https://doi.org/10.5551/jat.66257

Abstract

Aim: To investigate whether the presence of common health education (HE) and a healthcare administrator (HA) at a worksite would be associated with a lower prevalence of current smoking, current daily alcohol consumption, and obesity among employees at real-world, small-to-medium worksites.

Methods: The present cross-sectional study included 72,704 employees aged 35–59 years at 5,910 small-to-medium companies in Okinawa, Japan. Odds ratios were calculated by sex for each factor for HE (information provision alone, lecture classes alone, or both services) presence and HA presence, using a multilevel logistic regression model, with HE absence (neither) and HA absence, respectively, serving as the reference.

Results: The odds ratios (95% confidence intervals) for current smoking among men and women in the combined HE services group were 0.80 (0.68–0.93) and 0.68 (0.52–0.88), respectively, after adjusting for age, HA status, medication status, and basic worksite characteristics. The adjusted odds ratios for current daily alcohol consumption among men and women in the combined HE services group were 0.81 (0.69–0.95) and 0.84 (0.69–1.02), respectively. However, the four HE groups had similar odds of obesity in both men and women. The HA-present and HA-absent groups had similar odds of all outcomes in both men and women, except that men in the HA-present group had lower odds of current daily alcohol consumption: 0.92 (0.86–0.98).

Conclusions: The combined HE services presence was associated with lower odds of current smoking and daily alcohol consumption among employees, whereas HA presence was associated with lower odds of daily alcohol consumption among men.

医療・健康
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