1. Ramsey County Employee Worksite Wellness Survey Focus on Physical Activity, Healthy Eating and Tobacco

2. Survey Background Purpose Determine employees current access to, participation in, and interest in wellness opportunities Focus on Physical Activity, Healthy Eating and Tobacco Findings to be used to inform Human Resources, the Wellness Committee, SHIP and others regarding strategies and initiatives Distribution November-December 2010 to all RC employees Available online or paper Completion Rate 1129 of approximately 4000 employees (28%)

3. Wellness Survey Respondents Gender: 66% Female Age: Work Schedule: 89% Monday to Friday, 8% rotating or variable, 3% other Level of Physical Activity in Job: 66% primarily sedentary 31% up and down/out and about/mixed 3% physical exertion part of job Age GroupPercent (Compared to HP Assessment) 20-29 7% 6.5% 30-3917% 17.9% 40-4924% 24.2% 50-5933% 34.6% 60 and older13% 16.9% Missing7% --

4. The Physical Activity Challenge 46% of employees reported no physical activity during the workday in the past 12 months – 38% females – 61% males – Older age groups less physical activity 63% felt they did not have sufficient opportunities for physical activity during the work day 32% not getting enough physical activity (HP Assessment) National Healthy People 2020 Objective: – Increase the proportion of employed adults who have access to and participate in employer-based exercise facilities and exercise programs

5. Employee Participation in Physical Activity Walking/jogging with coworkers (26%) Exercise classes sponsored by RC (13%) Contests, challenges (9%) Organized stretch or exercise breaks (7%) Walking meetings (4%) Some other form of physical activity (21%) – individual exercise – going to a gym – fitness groups and classes not sponsored by RC – other sports or recreation

6. Facilities Used by Employees (Not all facilities were available to each employee surveyed)

7. Higher Participation by Females

8. Barriers to Physical Activity

9. Employees Would Like Access to Equipment and Facilities If available, employees say they would likely use: – Exercise equipment (56%) – Walking workstation (44%) – Organized exercise or stretch breaks (42%) – Exercise sessions or classes (41%) – Walking group (28%) – Loaner bikes (16%) Employees suggest system and environmental changes to make physical activity easier – On-site exercise equipment (39%) – Changing rooms and/or showers (16%) – Flexible hours or longer breaks (15%)

10. Walking Workstation Survey Results When employees in a location with a walking workstation were asked if they used them, 41% reported they did Many (67%) reported doing so for at least 1 hour a week, an amount that significantly contributes to their overall moderate physical activity levels

11. Plato Walkstation Documented Use

12. Employee Physical Activity is Correlated with Perceived Manager Support

13. Perceived Level of Support by Coworkers and Managers

14. Contrast of Perceived Support and Importance of Physical Activity

16. The Healthy Eating Challenge 35% reported being concerned about being able to make health food choices at work – 38% females – 27% males – Younger age groups more concerned (41%) 57% reported being concerned about maintaining of achieving a healthy weight – 60% females – 48% males – Concern about weight crosses all age groups

17. Obesity and Overweight Rates For Ramsey County Employees Obesity and overweight measures determined by reported BMI

18. Sources of Employee Meals When a cafeteria is available about 25% of employees use it Vending is widely available but its use as source of food for meals is low Questions were not asked about snacks

19. Only 29% of people felt there were no obstacles to eating healthy at work

20. Employees Desire Healthy Eating Information About 1/4 of men & over 1/3 women are interested in: – Attending presentations by experts on nutrition issues (37%) – Getting regular tips and guidelines for healthy eating (35%) – Receiving individual nutrition counseling (35%) – Signing up for program or classes on lifestyle changes (33%) Less interest in: – Participating in a weight loss challenge (22%) – Joining a support group for healthy eating/weight management (17%)

21. Employees Interested in Guidelines Regarding Food and Beverages Guidelines for food/beverages served at work sponsored events and conferences (51%) Guidelines for food/beverages served at meetings (40%) Workers do not want everything controlled by guidelines – Guidelines for celebrations (eg, retirement) (23%) – Guidelines for treats brought in by employees (18%)

22. Employees Suggest Environmental and Policy Changes Require that vending companies offer healthy food and beverage choices (53%) Require that healthy choices always be available in cafeterias (45%) Display nutrition information for all foods served in cafeterias and vending machines (29%)

23. Gender Differences in Ways to Promote Healthy Eating

24. The Tobacco Challenge 14% of survey respondents currently smoke or use tobacco products – 9% everyday – 5% some days – 30-59 year olds smoke or use at twice the rate of younger and older employees 42% of these are not interested in smoking cessation opportunities 58% of employees are interested in some smoking cessation opportunities

25. Smoking Cessation Opportunities Current tobacco users that reported interest in the resource: Previous tobacco users reported the method to be useful when quitting: Financial incentive to quit31%1% Nicotine replacement product (gum, patch, etc.) 29%13% Prescription medication (Zyban, Wellbutrin, or Chantix) 27%12% A quit smoking clinic or class 23%4% Quitting along with a buddy, friend or family member 21%7% Quit without formal assistance [none of above] NA62% Suggestions to Limit Tobacco Use

26. Other Suggestions To Decrease Tobacco Use (From all employees, including employees that do not use tobacco products)

27. Participation in Worksite Wellness Opportunities Offered by HR ProgramParticipated in past 12 months MalesFemales HealthPartners Journey Well Healthy Benefits Program 61%66% HealthPartners Frequent Fitness Program 18%19% Pilates and/or Yoga lunch time classes2%18% Stress Management8% Weight Watchers at Work7%9% Walking Program at Excel2%8% Have Fun Biking4% Fitness for Work (back care)2%1% Other8%

28. Physical Activity Opportunities Vary Across Departments

29. Strategies to Promote Physical Activity of Employees in Departments and Work Units CDC Spectrum of Prevention – Information and Education – Peer Support – Equipment, Facilities and Infrastructure – Collaboration and Interest – Practices and Work Rules – Guidelines or Policies

30. Strategic Options Physical Activity Issue: Time and work demands Education – Use the stairs – Promote available opportunities System Change – Organized exercise breaks Guidelines/Policy – Flex scheduling Physical Environment – Equipment available – Space for exercise – Place to change/clean up Normative Environment – Support – Legitimization of behaviors – Visible champions Healthy Eating Issue: Food brought from home Education – Presentation, tips, counseling – Classes Guidelines – Events & Meetings Physical Environment / Policy – Vending: Healthy options & labeling – Cafeterias: Healthy options & labeling Normative Environment – Support – Legitimization of behaviors – Visible champions

31. What next?