RC/EZ/EC

Good Health/Good Economy

Highlights of Literature Review

This page highlights research and reports on the relationship between health improvement and economic development. RC/EZ/EC projects can use the following resources and reports to:

  • Highlight the benefits of health promotion programs for businesses
  • Show how health impacts employers and employees
  • Help businesses to implement health promotion programs to improve the health of their employees and improve their business bottom line
  • Develop programs that both create jobs and increase health care access in rural and urban areas

12 Themes of Work and Health:

Overall, health impacts employers, individuals and communities in numerous ways. The California Wellness Foundation identifies 12 themes from the research literature on work and health:

  1. Work is central to social status, one of the most powerful predictors of health outcomes.
  2. Unemployment is associated with a large number of health risks.
  3. Inadequate employment is also associated with poor health outcomes.
  4. The degree of control that employees exercise over their work influences health.
  5. At least one study indicates that every step up the occupational ladder has positive health consequences.
  6. Access to health insurance comes primarily through the workplace and has important health consequences.
  7. Worksite health promotion programs improve the health of those who have access to them.
  8. Despite its overall health benefits, work can be hazardous to health.
  9. Work influences the health of families and children.
  10. Health conditions affect work status.
  11. Income inequality affects health.
  12. An emerging social science framework integrates labor market conditions, employment experiences and health.

Linkage of Economic Development and Health:

The National Economic Development and Law Center (NEDLAC) in its briefing paper Establishing the Linkage Between Community Economic Development and Community Health suggests four areas in which economic development and health intersect.

  • Sectoral intervention - increasing access to long-term, decent jobs
  • Community-based workforce development - skills training and job placement assistance
  • Comprehensive community-building initiatives - partnerships consisting of community organizations, faith-based organizations, business, government and residents
  • Health institutions as anchors in community revitalization - community clinics, HMOs and hospitals offer stability through employment and partners with neighborhood business

Short and Long Term Benefits of Prevention:

There are various short and long term benefits of health promotion programs for business. Partnership for Prevention, in its report Why Invest in Disease Prevention, concludes there are three reasons that disease prevention and health promotion are good for business:

  • Lower absenteeism
  • Higher productivity
  • Stronger organizational commitment

Healthy People 2010: Worksite Health

A healthy group of employees enables businesses to grow and keep a competitive edge. Healthy People 2010 can help communities and businesses establish measurable objectives to improve the health of residents and employees. Community businesses and organizations can begin to implement parts of Healthy People 2010 in developing worksite health programs. A complete list of Healthy People 2010 objectives is available online.

For a list of the Healthy People 2010 objectives relevant to worksite health promotion, plus strategies to help employers reach objectives, consult the article, “Healthy People 2010: Health Promotion Objectives for the Worksite” in the Art of Health Promotion, Vol. 4, No. 5, November/December 2000.

The Partnerships for a Healthy Workforce provides tools that businesses can use to create a healthier workplace. This private-public Partnership focuses on a narrow set of national health objectives in three areas important to business: Lifestyle Choices; Physical Environment; and Changing the Landscape for Better Health. RC/EZ/EC projects can use these objectives as a starting point for developing community plans for improving health and economic development.

Healthy People 2010: Preparing More Minorities for Health Careers

Increasing under-represented minorities in health professions is a national Healthy People 2010 objective. A HRSA companion document to Healthy People 2010, The Key Ingredient of the National Prevention Agenda: Workforce Development summarizes studies that show how increasing certain minorities in the health professions not only contributes to economic development, but also increases access to medical care among low-income and minority populations. This resource includes many examples of community strategies and resources to help build a pipeline for youth to health careers, including educational outreach, scholarship programs, mentoring, and internships. Among the programs that RC/EZ/ECs can access to increase health professionals serving rural and urban areas are:

  • Kids into Health Careers. - This new HRSA program designed to increase the pool of applicants from disadvantaged backgrounds into health careers.
  • Area Health Education Centers (AHEC) - AHEC centers across the nation strive to increase access to quality primary care in rural in urban areas by improving the distribution of health care workers.

Sources

Establishing the Linkage Between Community Economic Development and Community Health. National Economic Development and Law Center. 2001.

Lindsay, G. M., 2000. Healthy People 2010: Health Promotion Objectives for the Worksite. The Art of Health Promotion 4, no. 5:1-12.

el-Askari, G., J. Freestone, C. Irizarry, K. L. Kraut, S. T. Mashiyama, M. A. Morgan, and S Walton. 1998. The Healthy Neighborhoods Project: A Local Health Department's Role in Catalyzing Community Development. Health Education and Behavior 25, no. 2:146-159.

Desmond, K. Analysis of Community Development Organization Efforts to Expand Health Services. 1997. Robert Woods Johnson Foundation.

Williams, D. Inequity and Health: Patterns and Dynamics. 1997. Robert Wood Johnson Foundation.

Flynn, B. C., M. Rider, and D. W. Ray. 1991. Healthy Cities: the Indiana Model of Community Development in Public Health. Health Education Quarterly 18, no. 3:331-347.

Reflections: On the Connections Between Work and Health. The California Wellness Foundation.

Why Invest in Disease Prevention? It's a Good Business Decision. It's Good for American Business. Partnership for Prevention

The Key Ingredient of the National Prevention Agenda: Workforce Development. (A companion document to Healthy People 2010)

Area Health Education Centers (AHEC).

Kids into Health Careers.

The Business Interest in a Community's Health

The Washington Business Group on Health prepared The Business Interest in a Community's Health for The W. K. Kellogg Foundation. This 30 page document investigates the community health values of large and medium-size employers, and the potential roles for businesses in improving community health so that health care and public health activities can be directed more effectively.

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Fact Sheets

Building Healthy RC/EZ/EC (Click here for PDF version)

The Connection Between Work and Health (Click here for PDF version)

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Newsletter Articles

Renewal Communities, Empowerment Zones, and Enterprise Communities (Click here for PDF version)

Improving Health and Economic Development in RC/EZ/ECs (Click here for PDF version)

Healthy RC/EZ/EC: The Role of Business (Click here for PDF version)

Good Health - Good Economy Quiz (Click here for PDF version)

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Links

The California Wellness Foundation:

Work and Health Program
Diversity in the Health Professions

The California Wellness Foundation provides support and funding to organizations that work to improve the health of vulnerable working populations and the unemployed, or who provide training to help low-income youth find employment with health benefits. The mission is to address health needs of traditionally underserved, low-income, rural residents and to assist leaders who are working to improve health within their communities. While the foundation focuses on California, publications and newsletters can be of use to anyone. RC/EZ/EC projects can learn from successful initiatives funded by the foundation or access their Reflections series, with issues on Capacity Building and Connections Between Work and Health.

The National Economic Development and Law Center

The mission of the National Economic Development and Law Center is to help low-income persons and communities with community-building skills and creativity, leadership development, and local capacity building. The goal is to create greater economic, social, cultural, social and human development. The NEDLC produces a briefing paper, Establishing the Linkage Between Community Economic Development and Community Health, which can be viewed on-line.

Partnership for Prevention

The mission of Partnership for Prevention is to coordinate efforts of its members to make prevention a visible and viable means to improve the nation's health. Publications are available from the website (some free, some for minimal cost) including "Why Invest in Disease Prevention?" which can be downloaded from the Publications Page. The Partnerships suggests that businesses can contribute to the health of the nation by offering employee health promotion programs, comprehensive health benefits, safety policies and partnering with community efforts.

Partnerships for a Healthy Workforce, a part of Partnerships for Prevention, aims to engage the business community to improve the health of its employees and its productivity.

RC/EZ/EC projects can access information on business-oriented Healthy People 2010 objectives from this site. This site helps the business community by making Healthy People 2010 objectives accessible.

Livable Communities

This site offers information on livable communities and about Federal agencies' efforts to assist communities. Information on achieving a high quality of life and strong economic growth is available. This site offers links to program descriptions, resources, guides and tools to assist a community to become stronger and healthier. RC/EZ/EC projects can find out what other communities are doing by accessing the "Example Community Work" section.

Tools for a Sustainable Community

This site, by the International Council for Local Environmental Initiatives, offers tools for working toward a sustainable community. The steps of a sustainable community include community-driven strategic planning, improving community and building design, decreasing sprawl, creating a strong and diversified local economy, and increasing jobs. This site offers an RC/EZ/EC project numerous resources and links for technical assistance, funding sources and publications.

Healthy People 2010

Healthy People 2010 is a comprehensive, nationwide health promotion and disease prevention agenda. The overarching purpose of Healthy People 2010 is promoting health and preventing illness, disability, and premature death. Several areas can be used in developing community health programs, developing community capacity, and increasing health status. Healthy People objectives that can be used with economic development and health include access to health care, occupational safety and health, and public health infrastructure.

Healthy People 2010 offers information on the relationship between income and health, health disparities, and achieving equity in access to health care. RC/EZ/EC projects can access information, background data, and charts on determinants of health.

Health Resources and Services Administration

The Key Ingredient of the National Prevention Agenda: Workforce Development, A Companion Document to Healthy People 2010 The document aims to assist states and communities in addressing the national, public health workforce development objectives for the health professions and public health agencies.

Area Health Education Centers AHEC centers across the nation strive to increase access to quality primary care in rural in urban areas by improving the distribution of health care workers.

Kids Into Health Careers Kids Into Health Careers is a new HRSA program designed to increase the pool of applicants from disadvantaged backgrounds into health careers.

Scholarship and Job Connections

America's Job Bank

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These technical assistance resources for RC/EZ/ECs were funded by the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (HHS), through a cooperative agreement administered by the Health Resources and Services Administration (HRSA), and prepared by the Public Health Foundation. Duplication and adaptation, with credit, are encouraged.
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