Financial impact of health promotion programs, a comprehensive review of the literature

Aldana, Steven G.

doi:10.4278/0890-1171-15.5.296

Cited by 558Workplace Health and Well-beingHealth Promotion and Cardiovascular PreventionPhysical Activity and Health

Financial impact of health promotion programs, a comprehensive review of the literature

Aldana, Steven G.·2001·American Journal of Health Promotion

DOI 10.4278/0890-1171-15.5.296

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Abstract

PURPOSE: The purpose of this review is to summarize the literature on the ability of health promotion programs to reduce employee-related health care expenditures and absenteeism. SEARCH PROCESS: Using key words in a literature-searching program, a comprehensive search was conducted on the following databases: MEDLINE, Embase, HealthSTAR. SPORTDiscus, PsycINFO, SciSearch, ERIC, and ABI Inform. STUDY INCLUSION AND EXCLUSION CRITERIA: All data-based studies that appeared in peer reviewed journals in the English language. Theses, dissertations, or presentation abstracts that were not published in peer reviewed journals were excluded. The initial search identified 196 studies, but only 72 met the inclusion criteria and were included in the review. DATA EXTRACTION METHODS: Summary tables were created that include design classification, subject size, results, and other key information for each study. DATA SYNTHESIS: Both the nature of the findings and the overall quality of the literature were evaluated in an attempt to answer two questions: Do individuals or populations with high health risks have worse financial outcomes than individuals or populations with low health risks? Do health promotion programs improve financial outcomes? MAJOR CONCLUSIONS: There are good correlational data to suggest that high levels of stress, excessive body weight, and multiple risk factors are associated with increased health care costs and illness-related absenteeism. The associations between seat belt use, cholesterol, diet, hypertension, and alcohol abuse and absenteeism and health care expenditures are either mixed or unknown. Health promotion programs are associated with lower levels of absenteeism and health care costs, and fitness programs are associated with reduced health care costs.

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Businesses that encourage healthy lifestyle practices among their employees are likely to gain reduced health insurance costs and possibly a more loyal workforce.
“businesses that encourage healthy lifestyle practices among their employees are likely to gain reduced health insurance costs and possibly a more loyal workforce (Aldana, 2001; Pelletier, 2001; Whitmer et al., 2003).”
From Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators (2008) · cites this paper as Aldana, 2001
Businesses that encourage healthy lifestyle practices among their employees are likely to gain reduced health insurance costs.
“For example, businesses that encourage healthy lifestyle practices among their employees are likely to gain reduced health Insurance costs and possibly a more loyal workforce.131-133”
From Protective and damaging effects of stress mediators: central role of the brain (2006) · cites this paper as [133]
Businesses that encourage healthy lifestyle practices among their employees are likely to gain a more loyal workforce.
“For example, businesses that encourage healthy lifestyle practices among their employees are likely to gain reduced health Insurance costs and possibly a more loyal workforce.131-133”
From Protective and damaging effects of stress mediators: central role of the brain (2006) · cites this paper as [133]

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Authors: Aldana, S. G.
Affiliations: Brigham Young University (US)
Corresponding author: Aldana, Steven G.
Venue: American Journal of Health Promotion
Publisher: SAGE Publications
Published: 2001-05
Volume: 15
Issue: 5
Pages: 296-320
ISSN: 0890-1171 (ISSN-L)
2168-6602
DOI: 10.4278/0890-1171-15.5.296
OpenAlex: W2177023033
Cited by: 558
References: 90
Citations by year: 2026: 3 · 2025: 6 · 2024: 7 · 2023: 7 · 2022: 14 · 2021: 17 · 2020: 12 · 2019: 22 · 2018: 20 · 2017: 16 · 2016: 23 · 2015: 26 · 2014: 32 · 2013: 37 · 2012: 41
FWCI: 6.09
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: American Journal of Health Promotion (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords: health promotion programs, employee health, health care expenditure, absenteeism, workplace wellness, health risk factors, stress, body weight, fitness programs, cost reduction
MeSH terms: Absenteeism, Cost-Benefit Analysis, Cost Control, Health Expenditures, Health Promotion, Health Services Research, Humans, Occupational Health Services, United States, Program Evaluation, Employer Health Costs, Workplace

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