1. Using a State Employee Behavioral Risk Factor Surveillance System to Inform Worksite Wellness Policies and Programs in Oregon Sabrina Freewynn, MPH Comprehensive Cancer Coordinator Health Promotion and Chronic Disease Prevention Section Oregon Health Authority May 2011

2. 2 Background Government agencies are among the largest employers in the United States In 2009, 49,200 Oregonians were employed by agencies that are covered by the Pubic Employees Benefit Board (PEBB). An additional 51,200 Oregonians are employed by agencies that are covered by the Oregon Educators Benefits Board (OEBB). Almost all these employees are eligible for health insurance through PEBB or OEBB. Public employees are more likely to have health insurance than private sector employees

3. Oregon BRFSS Survey of State Employees (BSSE) Designed and funded by PEBB, OEBB and Heath Promotion and Chronic Disease Prevention (HPCDP) Section Conducted with PEBB enrollees via telephone in 2005, 2007, and 2009-2010. OEBB began surveying enrollees in 2009 State Agency Population –Department of Human Services, Transportation, Corrections –Approximately 80 different agencies represented OEBB Population –Administration and teachers –Community Colleges –District and Education Service District Employees 3

4. Oregon BRFSS Survey of State Employees (BSSE) Survey Content –BRFSS core questions –Worksite policy and environment BRFSS Comparison Group –Employed and insured adults Outcome measures –Demographics –Chronic Disease Prevalence –Risk Factors and Behaviors –Protective Factors and Behaviors \ 4

5. Demographics 5 State Agency Employees Oregon BRFSS Median Age49 yrs40 yrs Women55%46% Income >$50k58%55% College Graduate57%40% State Agency Employees Oregon School Employees Oregon BRFSS Mean Age48.1 yrs47.1 yrs49.4 yrs Women56.8%74.4%58.6% Income >$50K69.5%66.1%65.3% College Graduate 51.9%67.9%47.8%

6. Results: Chronic Disease Prevalence 6 State Agency Employees Oregon BRFSS Asthma9% Arthritis23%20% Diabetes7%5% Depression12%9% Heart Disease2% State Agency Employees Oregon School Employees Oregon BRFSS Asthma10.98.8 Arthritis21.719.222.2 Cancer (ever)8.16.09.3 Diabetes8.55.16.0 Heart Disease4.03.13.8 Depression15.613.1N/A

7. Results: Protective Factors and Behaviors 7 State Agency Employees Oregon BRFSS 5+ Fruit & Vegetables per day23%26% Meets PA Guidelines44%56% Cholesterol Screening82%70% Mammogram Screening84%76% Pap Screening91%87% Colorectal Cancer Screening55%46% State Agency Employees Oregon School Employees Oregon BRFSS 5+ Fruit & Veggies per day 23.826.326.7 Meets PA Guidelines62.561.257.7 Mammogram Screening 87.086.489.4 Pap Screening93.493.5 Colorectal Cancer Screening 68.960.355.9

8. Results: Risk Factors and Behaviors 8 State Agency Employees Oregon BRFSS High Blood Pressure24%22% High Cholesterol31% Overweight35%37% Obese35%27% Current Smoker11%17% State Agency Employees Oregon School Employees Oregon BRFSS High Blood Pressure 26.520.323.1 High Cholesterol32.125.329.1 Overweight36.433.738.1 Obese32.128.124.5 Current Smoker10.45.013.8

9. Discussion State agency employees are a disparate population in several key areas of health Having access to health benefits does not guarantee good health Oregon may already be paying higher health care costs for its employees We’re succeeding in tobacco prevention. Obesity prevention identified as priority areas for worksite interventions 9

10. Benefits and Policies: Smoking Smoking Cessation benefits –Medications –Counseling –Promotion of benefits 100% tobacco free school campuses –K-12 done –Community Colleges happening –Oregon Universities happening –State Agencies happening 10

11. Benefits and Policies: Weight Weight Watchers Breastfeeding Policy Physical Activity Flex Time Healthy Meetings and food procurement 11

12. Benefits and Policies: Early Detection and Self Management Living Well – CDSMP Cancer screenings –Covered –Promoted 12

13. Future Surveillance & Evaluation Ongoing BSSE Measure effects of worksite environment and policy on employee health outcomes and wellness 13

14. Contact Information Sabrina Freewynn, MPH Sabrina.l.freewynn@state.or.us (971) 673-1121 www.healthoregon.gov/Cancer Special thanks to the HPCDP Data team including: –Stacey Schubert –Vicky Buelow 14