employee table of contents health 2016...the majority recognizes they feel be er when they eat right...

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Table of Contents Introduc�on……………………………………………………………………………………………… Method………………………………………………………………………………..…………………… Execu�ve Summary…………………………………………………………………………………… Detailed Findings Employee Health Programs….………………………….…………..………………….. Health of Employees.…………..………………………….…………..………………….. Engagement…………...…………..………………………….…………..…………………. Financial Programs.……..……..………………………….…………..………………….. Mentoring Programs.…………..………..…………………….…………..……….……. Technology and Health.…………..……………………….…………..…………………. Data Donor.…………..…………………………….………….…………..…………………. Subgroup Findings Genera�onal Differences………………………….……………………………………….. Income………………………………..………………………….…………..………………….. Company Size………………………….………………………….………….….………..….. Conclusion..…………………………………………………….……………………..…………….….. Appendix Firmographics ……………….….…………………………………………...…………..…. Demographics……………….….…………………………………………...…………..…. 3 5 6 6 11 16 18 20 22 24 27 30 31 32 33 36 1 CEO Roundtable Creating Healthy Companies and Communities EMPLOYEE HEALTH SURVEY 2016 An American Heart Association study conducted by Nielsen

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Page 1: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

TableofContents

Introduc�on………………………………………………………………………………………………Method………………………………………………………………………………..……………………Execu�veSummary……………………………………………………………………………………DetailedFindings

EmployeeHealthPrograms….………………………….…………..…………………..HealthofEmployees.…………..………………………….…………..…………………..Engagement…………...…………..………………………….…………..………………….FinancialPrograms.……..……..………………………….…………..…………………..MentoringPrograms.…………..………..…………………….…………..……….…….TechnologyandHealth.…………..……………………….…………..………………….DataDonor.…………..…………………………….………….…………..………………….

SubgroupFindings Genera�onalDifferences………………………….………………………………………..Income………………………………..………………………….…………..…………………..CompanySize………………………….………………………….………….….………..…..

Conclusion..…………………………………………………….……………………..…………….…..Appendix

Firmographics……………….….…………………………………………...…………..….Demographics……………….….…………………………………………...…………..….

356

6111618202224

27303132

3336

1

CEO RoundtableCreating Healthy Companies

and Communities

EMPLOYEE HEALTH SURVEY2016An American Heart Association study conducted by Nielsen

Page 2: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance
Page 3: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

TableofContents

Introduc�on………………………………………………………………………………………………Method………………………………………………………………………………..……………………Execu�veSummary……………………………………………………………………………………DetailedFindings

EmployeeHealthPrograms….………………………….…………..…………………..HealthofEmployees.…………..………………………….…………..…………………..Engagement…………...…………..………………………….…………..………………….FinancialPrograms.……..……..………………………….…………..…………………..MentoringPrograms.…………..………..…………………….…………..……….…….TechnologyandHealth.…………..……………………….…………..………………….DataDonor.…………..…………………………….………….…………..………………….

SubgroupFindings Genera�onalDifferences………………………….………………………………………Income………………………………..………………………….…………..………………….CompanySize………………………….………………………….………….….………..….

Conclusion..…………………………………………………….……………………..…………….…..Appendix

Firmographics……………….….…………………………………………...…………..…Demographics……………….….…………………………………………...…………..….

245

7121719212325

28313233

3437

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Page 4: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

Introduc�on

The2016AmericanHeartAssocia�onEmployeeHealthSurveywasconductedtoraiseawarenessofandsupportthegoalsoftheCEORoundtable,anunprecedentedinnova�onincubatortobuildacultureofhealthintheworkplace.

Whilemanyemployersofferworkplacehealthprograms,fewhavethedatatheyneedtoknowwhatworksbest,andtheknow-howtoimplementbestprac�ces.That’swhy26CEOsfromsomeofAmerica’slargestcompanies*havejoinedtheAmericanHeartAssocia�on(AHA)toformtheAHACEORoundtable,dedicatedtodissemina�ngevidence-basedpoliciesandprogramstosupportop�malworkplacehealth.Guidedbythescien�ficexper�seoftheAHA,theseCEOsarecollec�velyengagingnearlyeightmillionemployeesandfamilymembers,alongwithcountlessothercommunitymembers,totransformthecultureofhealthinAmerica’sworkplacesandbeyond.

Bytes�ng,evalua�ng,andsharinginforma�onaboutwhatworksinworkplacehealth,theCEORoundtableishelpingtoscaleupevidence-basedstandardsandbestprac�cestohelpsupporttheAHA’sgoalofimprovingthecardiovascularhealthofallAmericans20percentby2020.

TheAHARoundtableCEOshavecollec�velypledgedto:

• Serveasrolemodelsintakingposi�vestepstowardhealthyliving• DisseminateAHAresearchandotherevidence-basedoutcomesonthescienceof workplacehealthamongemployersandemployees• Incorporateinnova�vetechnologiesthathelpemployeesbuild,maintainandmonitor healthylifestylehabits• PromoteAHA’sLife’sSimple7®asanevidence-basedcommonstandardmetricfor healthprograms• Supportana�onalawardtorecognizecompaniesthatbuildacultureofhealth andmeasurableimprovementsinhealthoutcomesforitsworkforce• Amplifyaclearcalltoac�onforotherCEOstotakeac�onintheirowncompaniesa communi�es

*ForalistofAHACEORoundtablememberspleasevisitwww.heart.org/ceoroundtable

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Page 5: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

Introduc�on(con�nued)

Inanefforttobothpromoteandmeasureitsini�a�ve,theAHAconductedthisresearchtobuilduponlearningsfrom2014researchandtomeetthefollowinggoals:

• Determinekeyindicatorswhichmo�vateemployeestowardpar�cipa�onand engagementinworkplacehealthandwell-beingprograms

• Iden�fytheimportanceofsleep,stress,mental,andfinancialhealthtoabroader conceptofhealthandwell-beingamongU.S.employees

• Evaluatetheimpactofseniorleadershipinmo�va�ngemployeestopar�cipatein employer-sponsoredhealthpromo�onprograms

• Discovermul�-genera�onalcommunica�onandmanagementpreferencesthat enhanceengagementandproduc�vity

• Inves�gatetheroleoftechnologyinhealthincludingconceptsof“digitaldetox” and“unplugging”

• Determinethedegreeoftrustforsharingpersonalhealthdataandtermslike “datadonor”

TheoutcomeoftheresearchprovidesemployersinsightsintothehealthofemployeesintheU.S.,theirhealthgoals,andtheimpactemployeeprogramsarehavingontheirhealth.Theresearchfindingsalsoprovideguidanceandconsidera�onsforemployersastheydesignandimplementeffortstoimprovetheiremployees’healthandengagetheirworkforce.

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Page 6: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

Method

TheEmployeeHealthSurveywasconductedonlineintheU.S.byNielsenonbehalfoftheAmericanHeartAssocia�onbetweenAugust10andAugust19,2016.Theresearchwasconductedamong2,009U.S.adultsaged18+whoareemployedfull�meorpart�meinanorganiza�onwith25ormoreemployeesthatoffersahealthplan.Figuresforage,sex,race/ethnicity,educa�on,region,andhouseholdincomewereweightedwherenecessarytobringthemintolinewiththeiractualpropor�onsinthepopula�on.

Allsamplesurveysandpolls,whetherornottheyuseprobabilitysampling,aresubjecttomul�plesourcesoferrorwhicharemosto�ennotpossibletoquan�fyores�mate,includingsamplingerror,coverageerror,errorassociatedwithnonresponse,errorassociatedwithques�onwordingandresponseop�ons,andpost-surveyweigh�ngandadjustments.Therefore,Nielsenavoidsthewords“marginoferror”astheyaremisleading.Allthatcanbecalculatedaredifferentpossiblesamplingerrorswithdifferentprobabili�esforpure,unweighted,randomsampleswith100%responserates.Theseareonlytheore�calbecausenopublishedpollscomeclosetothisideal.

Respondentsforthissurveywereselectedamongthosewhohaveagreedtopar�cipateinonlinesurveys.Noes�matesoftheore�calsamplingerrorcanbecalculated.

NotesonReadingtheResults

Thepercentageofrespondentshasbeenincludedforeachitem.Anasterisk(*)signifiesavalueoflessthanone-halfpercent.Adashrepresentsavalueofzero.Percentagesmaynotalwaysaddupto100%becauseofcomputerroundingortheacceptanceofmul�pleanswersfromrespondentsansweringthatques�on.Resultsfromthe2014studyhavebeenincludedwhereapplicableandsta�s�caltes�ngisshownusingle�ersformainsurveyques�ons.Pleasenotethatalthoughsta�s�caltes�nghasbeenincluded,trendsmayhavebeenimpactedduetoaddi�onalresponseitemsin2016.

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Page 7: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

Execu�veSummary

In2016,U.S.employeesofferamixed–andcomplicated–reportonthestateoftheirownhealth.Themajorityrecognizestheyfeelbe�erwhentheyeatrightandexerciseandalsowhentheygetmoresleep.Whiletheymayrecognizetheimportanceofhealth,manyemployeesareworkingtowardshealthgoalsincludingwan�ngtoloseweight,bemoreac�ve,eathealthier,getmoresleep,andreducestress.Therearesomeindicatorsofsuccessasemployeescurrentlypar�cipa�nginhealthandwellnessprogramsself-reportposi�vepersonalandwork-relatedoutcomesduetotheircommitmenttotheirhealthandavailabilityofprograms.However,thereisalsos�llmuchmoreworktobedone,andthe2016EmployeeHealthSurveydemonstratesthatemployers(andCEOsthemselves)haveaclearandcri�calroleinmo�va�ngemployeestofocusontheirhealthandachievetheirgoals.

Today,three-quartersofemployersofferatleastsomehealthprogramstotheiremployees,andpar�cipa�onintheseprogramsappearstobeveryhigh.Thereisstrongevidencethatavailabilityof–andpar�cipa�onin–theseprogramsma�ers.Employeeswhopar�cipateexpressmuchmoreposi�vefeelingsabouttheiremployerandtheirpar�cipa�onalsobenefitstheindividualemployee(manyofwhomfeelbe�er,exercisemoreregularly,andeathealthier)aswellasthebusinessoverall.One-thirdormoreofthosewhopar�cipateinhealthprogramssaytheya�ributetheirpar�cipa�ontobe�erproduc�vity,improvedqualityofwork,fewersickdays,andhigherjobsa�sfac�on.Thesameistrueforhealthprogramsspecifically,whicharehighlyassociatedwithimprovingworkrela�onships,jobsa�sfac�onandpercep�onsofseniorleadership.

Exerciseandnutri�onmaybethemostsalienthealthgoals,butothermeasureslikesleepandstressalsorequiresupportonthepartoftheemployer.Alargemajorityofemployeesadmittheyfeelbe�erandaremoreproduc�vewhentheysleepwell,butge�ngagoodnight’ssleepisastruggletodayformostadults.Althoughtheygetclosetotherecommendedamountofsleepeachnight(6.7hours,onaverage),onlyone-quarterfeeltheyaresleepingverywellrightnow.Today,employeestresslevelscon�nuetobehighandunrelen�ng.Morethanone-quarterofemployeessaytheyo�enoralwaysexperiencestressasaresultofwork,andfourintenemployeeswishtheiremployerswouldrecognizethestresstheyareunder.Inthisdigitalagewithtechnologywovenintoeveryaspectofprofessionallives,itiscrucialtodisconnectandunplugatleastoccasionally.Formorethanthree-quartersofemployees,unpluggingisshowntohaveaposi�veimpactontheirhealth,andalmostoneintwoemployeessayunpluggingleadstoano�ceabledropinstress.

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Page 8: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

Execu�veSummary(con�nued)

Thatsaid,manyemployeesdisclosethattheirjobcurrentlygetsinthewayoftheirhealth,andonlythreeinten(orevenfewer)feelthereisexplicitencouragementtotakeadvantageofhealthprogramsfromtheirCEO,humanresourcesdepartment,colleagues,orimmediatesupervisor.Thisiswhereemployerscanandshouldtakestepstopromoteacultureofhealthandwellness.Employers–andCEOsspecifically–must:

Inspire:Communica�nganddemonstra�ngleadershippar�cipa�onisessen�al.Veryfewemployeesseerolemodelsintheirownworkplace.Theyeitherdon’tbelievethat–ordon’tknowif–theirCEOpar�cipatesinanykindofprogram.Butemployeepar�cipa�onjumpssignificantlyforthosewhofeeltheirCEOfostersthiskindofac�vityintheworkplace.And,knowingaCEOpar�cipateshimselforherselfdrama�callyimprovesfeelingsthatanemployercaresabouttheiremployees’health.Guide:Mentoringprogramscanplayakeyrole.Whilemostjobs(69%)offersomesortofmentoringtoday,thereiscurrentlyaverylowlevelofpar�cipa�on.But,thepsychologicalandtangiblebenefitstomentoringareevidentonbothsides,forthementeeandthementor.Giventhelow-costoftheseendeavors,employersmustmakeaconcertedefforttoraiseawarenessandincreasepar�cipa�on.Authorize:Employersmustletemployeesknowthatitnotonlyacceptable,butimportant,tounplugatcertainpointsthroughouttheday.Today,one-thirdofemployeessayitishardtounplugathome,butfarmore(44%)sayitishardatwork.And,rightnowveryfew(onlyaboutoneinthree)saytheyaregivenanyencouragementfromtheiremployer.En�ce:Accordingtothevastmajorityofemployees,fosteringfinancialhealthcanhaveadirectposi�veimpactonoverallwell-being.Mostemployeesareoffered–andtakeadvantageof–programsattheirjob(like401Ksandre�rementplanning),andofthose,nearlynineintensaytheseprogramshaveatleastsomewhatimprovedtheirfinancialhealth.Furtherincreasingenrollmentintheseprogramsmayleadtoasecondaryboostinemployees’health,aswellastheirfinances.Educate:Knowledgema�ersandcanhelptoalleviateemployeeconcernsabouttheuseofemployeedata.Thevastmajorityofemployeesdonotrecognizetheterm“datadonor,”andmostarenotpresentlycomfortablesharingtheirpersonalinforma�on.But,whenprovidedanexplana�on,aslightmajorityrecognizethebenefitsandexpresssomewillingnesstoprovideinforma�ontohelpadvancepersonalizedhealthapproachesandsolu�ons.

Employersmusttakeac�ontomo�vatehealthyliving.But,notall(healthorfinancial)programsareu�lizedevenlybyemployeesorofferthesameimpact.Itisimportantforemployerstotake�metoevaluatewhichprogramsalignmostcloselywiththeiremployees’goalsandwhichwillbemosteffec�ve,giventheneedsanddemographicsoftheirownworkforce.Understandingthegoalsandpreferencesoftheiremployeeswillallowemployerstocreateandimplementprogramsthatproducethemostmeaningfuldifferencefortheiremployees–andtheirorganiza�onasawhole.

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Page 9: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

EmployeeHealthPrograms

Employeehealthprogramsareavitalwayofengagingemployeesinboththecompanyandtheirpersonalhealth.Theprogramshavethepoten�altoincreasebothemployeea�tudesandpercep�onstowardsemployers,aswellasincreaseposi�veworkandemployeehealth-relatedoutcomes.

Par�cipa�on

Threequartersofemployees(75%)saytheiremployerofferssometypeofemployeehealthprogram,onparwith2014(78%).Themostcommonlyofferedprograms,resources,ortoolsincludeflushots(39%),CPRorotheremergencyresponsetraining(23%),emailoronlineresourceswithgeneralinforma�onabouthealthylifestyles(22%),accesstoanon-sitegym,court,orrecrea�onalfacility(20%),smokingcessa�onprograms(19%),orfreeorreducedmembershiptoanoff-sitegym(19%).Amongthe75%ofemployeeswhohaveanemployeehealthprogramavailabletothem,morethanfourinfive(84%)saytheypar�cipateinatleastoneoftheprograms.Themostcommonlyusedprograms/toolsofthosewhosecompanyofferstheprogramsincludeflushots(68%),rou�nescreeningsforbloodpressure(67%),rou�nescreeningforcholesterol(66%),rou�nescreeningsforbloodsugar(65%),CPRorotheremergencyresponsetraining(55%),on-sitehealthfair(55%),andwalkingcourse(55%).Thethreeprogramsmostcommonlyselectedashavingthebiggestimpactonhealthorhealthhabitsbythosewhousetheprogramsarefreeorreducedmembershiptoanoff-sitegym(66%),flushots(63%),andaccesstoanon-sitegym,court,orrecrea�onfacili�es(63%).

7

39%

23% 22% 20% 19% 19% 19% 17% 17% 16%

Flushots

CPRorotheremergencyresponsetraining

Emailoronlineresourcewith

generalinforma�on

abouthealthylifestyles

Accesstoanon-sitegym,

courtorrecrea�onfacili�es

Newsle�erorbrochurewith

generalinforma�on

abouthealthylifestyles

Smokingcessa�onprograms

Freeorreducedmembershiptoanoff-site

gym

Nutri�oussnacksinvending

machines

Rou�nescreeningsforbloodpressure

Rou�nescreeningforcholesterol

TopTenPrograms/ResourcesOffered

BASE:ALLQUALIFIEDRESPONDENTS(n=2009)Q1045(Q605)Whichofthefollowingprogramsorresourcesareavailablethroughyouremployer?Pleaseselectallthatapply.Q1050Employersmayofferavarietyoftoolsandresourcestosupportemployeehealth.Whichofthefollowing,ifany,doesyouremployerofferormakeavailable?Pleaseselectallthatapply.

Page 10: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

EmployeeHealthPrograms(con�nued)

8

2014 2016Flushots

Rou�nescreeningsforbloodpressure

Rou�nescreeningforcholesterol

Rou�nescreeningforbloodsugar*

CPRorotheremergencyresponsetraining

On-sitehealthfair

Walkingcourse

Nutri�ousfoodchoicesatmee�ngorcafeteria

Groupstretchesorwalking

Lowerhealthinsurancepremiumsformaintaininghealthynumbers

*NEWIN2016.Trendsmayhavebeenimpactedduetoaddi�onalresponseitemsin2016.BASESVARYBASEDONTHOSEOFFEREDPROGRAMSQ1055Whichoftheseprogramshaveyouused?Pleaseselectallthatapply.

68%

67%

66%

65%

55%

55%

55%

52%

51%

49%

66%

59%

61%

52%

50%

56%

50%

40%

44%

n/a

Programs/ResourcesUsed(ofthoseofferedprogram)

84%ofemployeesreportusingatleastonehealthprogramoffered

2014 2016Freeorreducedmembershiptoanoff-sitegym

Flushots

Accesstoanon-sitegym,court,orrecrea�onfacili�es

Walkingcourse

Nutri�ousfoodchoicesatmee�ngorcafeteria

Nutri�oussnacksinvendingmachines

Rou�nescreeningforcholesterol

Rou�nescreeningsforbloodpressure

Healthcompe��onswithincompanyorwithothercompanies

BASESVARYBASEDONTHOSEWHOHAVEUSEDPROGRAMSQ1060Oftheprogramsyoupar�cipatedinwhichtwoorthreedoyouthinkhavethebiggestimpactonyourhealthorhealthhabits?Pleaseselectuptothree,ifapplicable.

66%

63%

63%

62%

49%

48%

47%

41%

40%

76%

55%

66%

51%

49%

36%

39%

35%

44%

Programs/ResourceswithBiggestImpact(ofthosewhohaveusedprogram)

Page 11: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

EmployeeHealthPrograms(con�nued)

OutcomesofPar�cipa�on

Aroundthreeintenemployees(29%)saythattheircompanycaresagreatdealoralotaboutthehealthofitsemployeesandtwothirds(67%)agreetheiremployeriscommi�edtothehealthofemployees.Thosepercentagesriseto38%and76%,respec�vely,whenlookingatthosewhopar�cipateinemployeehealthprograms(vs.14%and52%ofthosewhodonotpar�cipate,respec�vely).Morethanhalfofemployeesthinktheiremployeroffersemployeehealthprogramsbecauseofthebeliefthathealthieremployeeswillresultinbe�erbusinessoutcomes(59%)orabeliefthattheworkplacehealthprogramsleadtogreateremployeeproduc�vity(57%).Theresultsofthesurveyshowed,asitdidin2014,thatpar�cipa�oninemployeehealthprogramswasrelatedtoavarietyofperceivedhealthoutcomes.Specifically,onethirdormoresaytheirpar�cipa�onintheseprogramshaveresultedinfeelingbe�er(38%),exercisingregularly(37%),andea�nghealthier(33%).

9

36% 34% 33%27%

22%18% 20%

14% 15%

5%

38% 37%33%

29% 27%23% 23% 23%

16% 15%

7%

Feelbe�er

Exerciseregularly

Eathealthier

Lostweight

Moreenergy

Sleepbe�er

Lessstress

Beingmoremindful*

Loweredcholesterol

Loweredblood

pressure

Stoppedsmoking

PerceivedHealthOutcomesA�ributedtoProgramPar�cipa�on

2014[A] 2016[B]

*NEWIN2016.Trendsmayhavebeenimpactedduetoaddi�onalresponseitemsin2016.BASE:HASUSEDWORKPLACEWELLNESSPROGRAMSAVAILABLETHROUGHEMPLOYER(2014:n=1220;2016:n=1221)Q1080(Q650)Whatspecifichealthoutcomesdoyoua�ributetoyourpar�cipa�onintheseprograms?Pleaseselectallthatapply.

n/a

A

Page 12: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

EmployeeHealthPrograms(con�nued)

Intermsofwork-relatedoutcomesthatcanbea�ributedtoprogrampar�cipa�on,onethirdormorereportbe�erproduc�vity(45%),improvedqualityofwork(36%),fewersickdays(36%),andhigherjobsa�sfac�on(33%);mostofwhich(withtheexcep�onoffewersickdays)haveincreasedsince2014.

Addi�onally,nearlytwoinfiveemployeeswhopar�cipateinhealthprograms(39%)sayithasimprovedtheirhealthagreatdealorafairamount.Infact,employeeswhosecompanyoffershealthprogramssaytheiravailabilityhashadastrongorverystrongimpactontheircommitmenttotheirhealth(47%)andemployer(36%),overalljobsa�sfac�on(38%),rela�onshipwiththeircolleagues(31%)andimmediatesupervisor(27%),andpercep�onoftheirCEO(30%)andseniorleadership(28%).

10

35%28%

38%

23%

45%36% 36% 33%

Be�erproduc�vity

Improvedqualityofwork

Fewersickdays

Higherjobsa�sfac�on

Work-RelatedOutcomesA�ributedtoProgramPar�cipa�on

2014[A] 2016[B]

*NEWIN2016.Trendsmayhavebeenimpactedduetoaddi�onalresponseitemsin2016.BASE:HASUSEDWORKPLACEWELLNESSPROGRAMSAVAILABLETHROUGHEMPLOYER(2014:n=1220;2016:n=1221)Q1085(Q655)Whatspecificwork-relatedoutcomesdoyoua�ributetoyourpar�cipa�onintheseprograms?Pleaseselectallthatapply.

A

A

A

Employeeswhosecompanyoffershealthprogramssaytheavailabilityhasastrong/verystrongimpactontheircommitmenttotheirhealth

(47%)andoveralljobsa�sfac�on(38%)

Page 13: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

EmployeeHealthPrograms(con�nued)

Communica�onPreferences

Ofthoseemployeeswhosecompanyoffersemployeehealthprograms,81%saytheywouldwanttheiremployertocommunicateabouthealthandcompanyhealthprogramsafew�mesayearormoreo�en,withnearlyonethird(31%)sayingtheywouldwantmonthlycommunica�ons.Thisisespeciallytrueofthosewhopar�cipateintheprogramswith33%preferringtoreceivemonthlycommunica�ons.Themajorityofemployeeswhosecompanyoffersprogramswouldalsoliketheiremployertocommunicateviacompany-wideemails(55%),followedbypostsonthecompany’sinternalwebsite(33%),onlinematerials(30%),orpersonalizedemails(27%).Thosewhopar�cipateinhealthprogramsaremorelikelytowantcommunica�onintheformofonlinematerialsoronlinewebinars.

Inconclusion,employeehealthprogramshaveavarietyofbenefitsforboththeemployeeandtheemployer.Themostcommonlyofferedprogramsthougharenotnecessarilythemostimpac�ultoemployees.Employersshouldconsiderthemostfrequentlyusedprogramsandtoolsandassessemployeepreferenceaswellaswhichprogramsarehavingthebiggestimpactonemployeehealthinordertomaximizeemployeepar�cipa�onandposi�vehealthoutcomes.

11

55%

33% 30% 27% 27% 25%18%

12%

Company-wideemails

Postsoncompany'sinternalwebsite

Onlinematerials

Personalizedemails

Hardcopybrochures,

commonareapostersordeskflyers

In-personmee�ngsorseminars

Onlinewebinars

Postsoncompany'ssocialmediapla�orms

DesiredWaysforEmployertoCommunicateProgramInforma�on

BASE:COMPANYOFFERSWELLNESSPROGRAMS(n=1504)Q2085Howwouldyoulikeyouremployertocommunicateinforma�onabouthealthandcompanywellnessprograms?Pleaseselectallthatapply.

Page 14: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

HealthofEmployees

Understandingemployeesbothintermsoftheircurrenthealthandpersonalhealthgoalsisimportanttoimplemen�ngemployeehealthprograms.Knowingthehealthgoalsoftheiremployeescanguideemployerstocreateprogramsandfosterpar�cipa�onintheseprogramswhichcanresultinemployersbeingahelpinghand,notaroadblock,asemployeesworktowardstheirpersonalhealthgoals.

OverallHealth

Whenitcomestora�ngtheirownhealth,morethanhalfofemployees(55%)saytheyareinexcellentorverygoodhealthandthispercentageisevenhigherformales(60%)vs.females(48%).However,58%ofemployeesreporttheyhavebeendiagnosedwithsomechronichealthcondi�on,includinghighcholesterol(25%),highbloodpressure(24%),andarthri�s(12%).Addi�onally,4%saytheyhavehadahearta�ackorstroke(5%amongthosewhoratetheirhealthasexcellent/verygood)andanother2in5(41%)areat-riskforthesecondi�ons.*Hispanicemployees(32%)arelesslikelythanWhiteemployees(43%)andBlack/AfricanAmericanemployees(46%)andmaleemployees(43%)aremorelikelythanfemaleemployees(37%)tobeat-riskforhearta�ackorstroke.

12

*“Pa�ent”definedashavingahadahearta�ack/heartdiseaseorstroke.“At-risk”definedashavinghighbloodpressure,highcholesterol,obesity,ordiabetesandhasnothearta�ack/heartdiseaseorstroke.

ANY(NET)

PATIENT*(NET)

AT-RISK*(NET)

Highcholesterol

Highbloodpressure

Anxiety

Depression

Arthri�s

Obesity

Diabetes

Highbloodsugar

Cancer

Hearta�ack

Stroke

Noneofthese 42%2%3%4%6%

10%11%12%15%15%

24%25%

41%4%

58%

BASE:ALLQUALIFIEDRESPONDENTS(n=2009)Q1005Hasadoctor,nurse,orotherhealthprofessionalevertoldyouthatyouhadanyofthefollowing?Pleaseselectallthatapply.

ChronicHealthIssues

Page 15: EMPLOYEE Table of Contents HEALTH 2016...The majority recognizes they feel be er when they eat right and exercise and also when they get more sleep. While they may recognize the importance

HealthofEmployees(con�nued)

Ea�ngRightandExercising

Theoverwhelmingmajorityofemployees(95%)agreethattheyfeelbe�erwhentheyeatrightandexercisewhichmaybewhyaroundfourintensaythatlosingweight(40%),beingmorephysicallyac�ve(40%),andea�ngmorehealthyfoods(37%)areintheirtophealthandlifestylegoals.Thismayalsohelptoexplainwhyemployeesareloggingmoremoderateintensityandvigorousintensityac�vitythaninthepast.Onaverage,employeesengageinmoderateintensityac�vity134minutesperweek(upfrom106minutesin2014)andvigorousintensityac�vity59minutesperweek(upfrom48minutesin2014).

13

40% 40% 37%

28% 28% 25%

13% 12% 10% 10%

Loseweight

Bemorephysicallyac�ve

Eatmorehealthyfoods

Improvemyfinancialhealth

Getmoresleep

Reducemystresslevels

Bemoremindful

Improvemymentalhealth

Getcholesterollevelstoa

healthylevel

Getbloodpressuretoahealthylevel

TopHealth&LifestyleGoals

BASE:ALLQUALIFIEDRESPONDENTS(n=2009)Q1020Whatwouldyousayareyourtop3healthandlifestylegoals?

Anoverwhelmingmajorityofemployees(95%)agreethattheyfeelbe�erwhentheyeatrightandexercise

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HealthofEmployees(con�nued)

Sleep

Inaddi�ontoea�ngrightandexercise,sleepisalsoimportantandessen�altoemployees’well-beingaswellastheirproduc�vity.Onaverage,employeessaytheyarege�ngclosetotherecommendedamountofsleep*pernightat6.7hours,butonlyoneinfour(25%)saythequalityofsleeptheygetisexcellentorverygood.Morethanaquarter(28%)saythatge�ngmoresleepisoneoftheirtopthreehealthandlifestylegoals.Further,themajorityofemployeessaytheyfeelbe�erwhentheygetmoresleep(95%)andtheyarelessproduc�veatworkwhentheygetlesssleep(75%).

Stress

Inaddi�ontoexerciseandsleep,stressandmentalhealthplayalargepartinemployeehealthandwell-being.Aminorityofemployeessaytheyhavebeendiagnosedwithanxiety(15%)ordepression(15%)andmorethanaquarter(28%)experiencestressasaresultofworkalways,almostalways,orveryo�en.Theseaspectsarealsocitedamongthetophealthandlifestylegoals,withoneinfouremployees(25%)sta�ngreducingtheirstresslevels,andmorethanoneintenemployeessta�ngbeingmoremindful(13%)orimprovingtheirmentalhealth(12%)isoneoftheirtopthreehealthandlifestylegoals.

Whenaskedwhattheywouldliketheiremployerstodoinordertohelpreduceormanagetheirworkplacestress,40%saytheywanttheiremployertorecognizethelevelofstressemployeesareunder,followedbyallowingforflexibilitywhentheywork(30%)orwheretheywork(26%).Muchlikesleep,par�cipa�oninemployeehealthprogramsisalsoassociatedwithimprovedperceivedemployeehealth.Nearlyonequarterofemployeeswhopar�cipateinhealthprograms(23%)saythattheyfeellessstressasaresultoftheirpar�cipa�on.Addi�onally,nearlyhalf(48%)saythattheirstresslevelsareposi�velyaffectedbyoccasionallyunpluggingordisconnec�ngfromtechnology.

14

Morethanaquarterofemployees(28%)experiencestressasaresultofworkalways,almostalways,orveryo�en

*TheNa�onalSleepFounda�onrecommendsthefollowing:7-9hoursforYoungeradults(18-25),7-9hoursforAdults(26-64),and7-8hoursforOlderadults(65+).

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HealthofEmployees(con�nued)

ProgramandToolPreferences

Whenaskedtoiden�fywaysemployerscanencouragepar�cipa�oninhealthprograms,eightintenormoreofemployeessaytheyfavorincen�vessuchasadayofforarewardprogramforachievingaspecifichealthgoal(81%),periodiccashbonusesforachievingaspecifichealthgoal(81%),incen�vessuchasadayofforarewardsprogrambasedonlevelofpar�cipa�onintheseprograms(81%),orperiodiccashbonusesbasedonlevelofpar�cipa�onintheseprograms(80%).Resultsweresimilartothe2014findings.

Themostcommonlymen�onedofferingsthatwouldmakepar�cipantsandnon-par�cipantsalikemorelikelytopar�cipateinclude:monetaryincen�ves(48%),benefitincen�ves,healthcarecostsreimbursed/loweredorextravaca�on�me(41%),freefacili�es(41%),�meduringthedaytopar�cipate(36%),andconvenientloca�ons(30%).

15

48%41% 41%

36%30%

Monetaryincen�ves

Benefitincen�veshealthcarecostsreimbursed/loweredor

extravaca�on�me

Freefacili�es

Timeduringthedaytopar�cipate

Convenientloca�ons

BASE:COMPANYOFFERSWELLNESSPROGRAMS(Total:n-=1504;Par�cipates:n=1221;Doesnotpar�cipate:n=283)Q2000(Q685)(NOTCURRENTLYPARTICIPATING):Whatwouldmakeyoumorelikelytopar�cipateintheprogramsavailabletoyouintheworkplace?Pleaseselectallthatapply.(CURRENTLYPARTICIPATING):Whatwouldmakeyoumorelikelytoincreaseyourpar�cipa�onintheprogramsavailabletoyouintheworkplace?Pleaseselectallthatapply.

ThingsThatWouldMakeEmployeesMoreLikelytoPar�cipate/IncreasePar�cipa�on

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HealthofEmployees(con�nued)

Amongemployeesnotofferedallprograms,whenaskedwhatprogramstheywouldliketheiremployertoofferthatwouldhelpthemmeettheirhealthandwellnessgoals,employeessaid:freeorreducedmembershiptoanoff-sitegym(28%),lowerhealthinsurancepremiumsformaintaininghealthynumbers(27%),weightlossprograms(22%),flexibleschedulesorextra�meinordertoexercise(18%),oraccesstoanon-sitegym,courtorrecrea�onalfacility(17%).

Eventhougharoundthreeintenemployeessaythattheircompanycaresaboutthehealthofitsemployeesagreatdealoralotandtwothirdssaythattheiremployeriscommi�edtothehealthofemployees,twoinfiveemployees(40%)saythattheirjobgetsinthewayoftheirhealth.Inordertohelpemployeesreachtheirhealthgoals,inaddi�ontoofferingprograms,employersshouldconsidertheiremployees’healthgoalsandexaminethewaystheworkplacemaybeinhibi�ngtheiremployees’pathtohealth.

28% 27%22%

18% 17% 17% 16% 15% 15% 14%

Freeorreducedmembershiptoanoff-site

gym

Lowerhealthinsurance

premiumsformaintaining

healthynumbers

Weightlossprograms

Flexibleschedulesorextra�mein

ordertoexercise

Accesstoanon-sitegym,

courtorrecrea�onfacili�es

Nutri�oussnacksinvending

machines

Designatedareasforstress

reduc�on,relaxa�on,or

napping

Rou�nescreeningsforbloodpressure

Rou�nescreeningforcholesterol

Nutri�ousfoodchoicesat

mee�ngorincafeteria

TopEmployeeHealthProgramsWanted

16

BASE:ALLPROGRAMSNOTOFFEREDBYEMPLOYERS(n=2009)Q1065Whatprogramswouldyoulikeforyouremployertoofferthatwouldhelpyoumeetyourhealthandwellnessgoals?

2in5employeessaythattheirjobgetsinthewayoftheirhealth

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Engagement

Anengagedworkforcehasmanyposi�veself-reportedoutcomesforemployers.Whenitcomestoengagementinemployeehealthprograms,visibilityofleadersisrela�velylowbutencouragementandvisibilityisposi�velyrelatedtoemployeeengagementaswellaspercep�onsofemployers.

Aroundoneinthreesayhumanresources(30%),colleagues(29%),andimmediatesupervisor(28%)encouragepar�cipa�oninhealthprogramsextremelywellorverywell.Aroundone-quarterfeelseniormanagement(24%)andCEO(23%)encouragepar�cipa�oninhealthprogramsextremelywellorverywell.

Whenaskedaboutactualpar�cipa�oninworkplacehealthprograms,aroundaquarterorlessofemployeessaymostorallprofessionalstaff(non-management)(26%),administra�vestaff(non-management)(25%),middlemanagement(23%),andseniormanagement(22%)par�cipate.However,aroundaquarterofemployeessaytheydonotknowhowmanyemployeesfromthoselevelshavepar�cipatedintheseprograms(Range:25%-29%).WhenitcomestoCEOpar�cipa�on,25%ofemployeessaytheirCEOpar�cipatesbutmorethanhalf(56%)saytheydonotknow.Par�cipa�oninhealthprogramsishigheramongthosewhoagreetheirCEOencouragespar�cipa�on(88%)thanitisamongthosewhoseCEOdoesnotencouragepar�cipa�on(78%).

17

BASE:COMPANYOFFERSWELLNESSPROGRAMS(n=1504)Q2045(Q706)Howwelldoeachofthefollowingpeopleorgroupsencouragepar�cipa�oninwellnessprograms?

58% 61%

19% 17%

24% 23%

SeniorManagement CEO

HowWellPeople/GroupsEncourageProgramPar�cipa�on

Extremely/VeryWell

Well

SomewhatWell/NotWellAtAll

OnequarterofemployeessaytheirCEOpar�cipatesinhealthprograms

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Engagement(con�nued)

Furthermore,whenaskedhowmuchtheythinktheiremployercaresabouttheirhealth,nearlythreeinten(29%)saytheiremployercaresagreatdealoralot.However,nearlytwoinfive(39%)saytheyfeeltheiremployeronlycaresali�leordoesnotcareatall.But,thosewhopar�cipateinprograms(38%)aremorelikelythanthosewhodonot(14%)tosaytheiremployercaresabouttheirhealthagreatdealoralot.Evenmore,thosewhosaytheirCEOpar�cipatesinprograms(70%)aremuchmorelikelythanthosewhosaytheirCEOdoesnotpar�cipate(12%)tosaythesameabouttheiremployer.

Encouragementfromleadership–specificallyCEOs–hasposi�veimpactsonemployeepar�cipa�oninemployeehealthprogramsbutactuallyknowingCEOpar�cipa�onseemstohaveevenmoreofaposi�veimpact.Communica�ngpar�cipa�onofleadersinprogramswilllikelyresultinmul�plebenefitstoemployersandemployeesthroughimprovingemployeepar�cipa�oninprograms,healthoutcomes,workoutcomes,andalsopercep�onsofemployers.

18

70%ofemployeeswhosaytheirCEOpar�cipatesinhealthprogramssaytheiremployercaresagreatdealoralotaboutthehealthofemployeescomparedtoonly12%foremployees

whosaytheirCEOdoesnotpar�cipate

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FinancialPrograms

Foremployees,financialhealthis�edtotheiroverallhealth.Whetheremployersaremakingtheconnec�onbetweenfinancialhealthandoverallhealthornot,mostemployeessaytheyhaveatleastonefinancialprogramavailabletothemthroughtheiremployerandthemajorityofthepar�cipantsreportaposi�veimpactontheirfinancesduetopar�cipa�on.

Thevastmajorityofemployees(91%)feeltheirfinancialhealthisimportanttotheiroverallwell-being.Themajority(71%)alsoreportthattheorganiza�ontheyworkforoffersatleastonefinancialprogram.Nearlythree-quarters(72%)ofemployeeswhoareofferedatleastonefinancialprogramsaytheyhaveusedatleastoneoftheprogramsavailabletothem.Themostcommonlyreportedprogramsavailableare401Ksupport(52%)andre�rementplanningeduca�on(30%).Financialadvisors(21%),investmentadvice(18%),andhardcopymaterialsaboutfinancialplanning(16%)arelesscommonlyoffered.Asmen�oned,401Ksupportisbyfarthemostcommonlyofferedprogramanditisalsothemostlikelytobeused,withnearlytwointhree(65%)ofthosewhoareofferedtheprogramsayingtheyhaveusedthisbenefit.

19

52%

30%21% 18% 16% 13% 12% 10% 9%

65%

46%53%

38%

58%

42%48%

32%41%

401Ksupport Re�rementplanningeduca�on

Financialadvisors

Investmentadvice

Hardcopybrochures,

pamphlets,etc.aboutfinancial

planning

Individualcounseling

Webinars Taxprepara�oneduca�on

Financialliteracyprograms

FinancialProgramsOfferedandUsedThroughEmployer

Offered Used

BASE:ALLQUALIFIEDRESPONDENTS(n=2009)Q2100 Whichofthefollowingfinancialprogramsorresourcesareavailablethroughyouremployer?Pleaseselectallthatapply.BASESVARYBASEDONTHOSEOFFEREDPROGRAMSQ2105 Whichoftheseprogramshaveyouused?Pleaseselectallthatapply.

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FinancialPrograms(con�nued)

Amongemployeeswhohaveusedafinancialprogramthatisavailabletothem,86%saythattheprogramhasimprovedtheirfinancialhealthatleastsomewhatwithmorethantwoinfive(43%)repor�ngithasimprovedtheirfinancialhealthagreatdealorafairamount.

Foremployees,financialhealthisaboutmorethanmoney.Mostemployeesareofferedfinancialprogramsandthefinancialhealthofthosewhoareenrolledisbeneficialtothem.However,thereareanumberoffinancialprogramsthatareofferedthatarenotwidelybeingusedbyemployees.Increasedenrollmentintheseprogramscouldleadtogreaterfinancial-andoverallhealth-foremployees.

20

Morethan2in5employeeswhohaveusedfinancialprogramssayithasimprovedtheirfinancialhealthagreatdealorafairamount

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MentoringPrograms

Theavailabilityofmentoringprogramsiswidespreadbutonlyaminorityofemployeessaytheyhavepar�cipatedinthem.Ofthosewhohavepar�cipatedasamentorand/oramentee,thebenefitsarefeltbynearlyall.

Mostemployees(69%)saythereisamentoringprogramavailableattheirorganiza�on.Aroundoneinfiveemployees(19%)saytheyhavepar�cipatedinamentoringprogramattheirorganiza�onaseitheramentor(12%)and/ormentee(11%).

Nearlyallmentors(94%)andmentees(94%)saytheyexperienceatleastonebenefitasaresultoftheirpar�cipa�on.Formentors,themostcommonlyexperiencedbenefitsare:feelingmoreengagedwiththeirteam(48%),learningsomethingnew(42%),improvingmanagementand/orleadershipskills(40%),improvedproduc�vity(39%),andfeelingmoreengagedwiththeorganiza�on(36%).

21

48%

42%

40%

39%

36%

32%

31%

30%

29%

28%

28%

27%

*

6%

Ifeltmoreengagedwithmyteam

Ilearnedsomethingnew

Improvedmymanagementand/orleadershipskills

Myproduc�vityimproved

Ifeltmoreengagedwithmyorganiza�on

Itexpandedmynetworkwithintheorganiza�on

Ibecamebe�eratmyjob

Igainednewperspec�ves,ideasandapproaches

Itimprovedmyself-confidence

Igainedinsightabouthowotherpartsofthebusinesswork

IfeltlikeIwascrea�ngalegacy

Itre-energizedme

Other

Ididnotexperienceanybenefits

BenefitsFromBeingAMentor

BASE:PARTICIPATEDINMENTORINGPROGRAMASAMENTOR(n=214)Q2205Youmen�onedyoupar�cipatedinamentoringprogramatyourorganiza�onasamentor,whichofthefollowingbenefitsdidyouexperienceasaresultofyourpar�cipa�on?Pleaseselectallthatapply.

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MentoringPrograms(con�nued)

Formentees,themostcommonlyreportedbenefitsexperiencedare:learningsomethingnew(45%),helpingthemtakeonmorecontrol/responsibility(41%),feelingsupported(40%),gainingnewperspec�ves,ideasandapproaches(38%),beingbe�erattheirjob(36%),andfeelingmoreengagedwiththeirteam(35%).

Regardlessifemployeespar�cipatedinmentoringprogramsasmentorsormentees,thebenefits-toemployeesaswellasandemployers-areundeniable.Manymentorsandmenteesreportedlearningsomethingnewandfeelingsupportedandengagedwiththeirteamaswellastheoverallorganiza�on.Whenlookingtoimproveengagementofemployees,offeringormakingeffortstoincreasepar�cipa�oninmentoringprogramsmaybeacost-effec�vepathforemployerstoconsider.

22

45%41%40%

38%36%35%

30%29%29%28%28%

24%22%

0%6%

Ilearnedsomethingnew

Ithelpedmetakemorecontrol/responsibility

Ifeltsupported

Igainednewperspec�ves,ideasandapproaches

Ibecamebe�eratmyjob

Ifeltmoreengagedwithmyteam

Myproduc�vityimproved

Itre-energizedme

Itimprovedmyself-confidence

Ifeltmoreengagedwithmyorganiza�on

Igainedinsightabouthowotherpartsofthebusinesswork

Itexpandedmynetworkwithintheorganiza�on

Ithelpedmeacclimatetotheorganiza�on'sculture

Other

Ididnotexperienceanybenefits

BenefitsFromBeingAMentee

BASE:PARTICIPATEDINMENTORINGPROGRAMASMENTEE(n=148)Q2210Youmen�onedyoupar�cipatedinamentoringprogramatyourorganiza�onasamentee,whichofthefollowingbenefitsdidyouexperienceasaresultofyourpar�cipa�on?Pleaseselectallthatapply.

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TechnologyandHealth

Inthedigitalage,thereismuchdiscussionaboutthebenefitsof“unplugging”anddisconnec�ngfromourever-increasinglyconnectedworld.However,whetheratworkorathome,foremployees,disconnec�ngfromtechnologycanbedifficult.

Themajorityofemployeesfeelunpluggingordisconnec�ngfromtechnologyisimportanttotheirhealth(77%)andnearlyallemployees(90%)felttherewasatleastonebenefitassociatedwithunplugging.Whenaskedwhataspectstheybelieveareposi�velyaffectedbyoccasionallyunpluggingordisconnec�ngfromtechnology,themostcommonresponsesare:rela�onshipswithfamilyorfriends(49%),qualityofsleep(48%),stresslevels(48%),abilitytofocus(47%),amountofsleep(46%),andoverallmentalhealth(44%).

49% 48% 48% 47% 46% 44%

32% 30%

20% 20%

2%

Rela�onshipswithfamilyor

friends

Qualityofsleep Stresslevels AbilitytofocusAmountofsleep Overallmentalhealth

Produc�vityatwork

Qualityofwork Jobsa�sfac�on Rela�onshipswithcoworkers

Other

AspectsPosi�velyAffectedbyUnpluggingfromTechnology

BASE:ALLQUALIFIEDRESPONDENTS(n=2009)Q3050aWhichofthefollowing,ifany,doyoubelieveareposi�velyaffectedbyoccasionallyunpluggingordisconnec�ngfromtechnology?Pleaseselectallthatapply.

23

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TechnologyandHealth(con�nued)

Alongwithunderstandingthebenefitsofunplugging,mostemployees(73%)saytheymakeanefforttooccasionallyunplugordisconnectfromtechnology.However,onlyaminorityofemployees(33%)saytheiremployerencouragesemployeestooccasionallyunplugfromtechnology(i.e.,notcheckemails,notbeconstantlyavailable,etc.).Whenaskedhoweasyordifficulttheyfeelitistooccasionallyunplugordisconnectonethird(33%)ofemployeessayitisdifficultorverydifficulttounplugathomeandmorethantwoinfive(44%)saidthatitisdifficultorverydifficulttounplugatwork.

Employeeswhosaytheiremployerencouragesemployeestooccasionallyunplugfromtechnologyaremorelikelythanthosewhodonottosaytheyareinverygoodorexcellenthealth(61%vs.52%).Theyarealsomorelikelytosayunpluggingordisconnec�ngfromtechnologyisimportanttotheirhealth(89%vs.71%)andtosaythatoneoftheirtopthreehealthandlifestylegoalsistobemoremindful(17%vs.12%).Further,theyaremorelikelythantheircounterpartstosaytheyfinditeasyorveryeasytodisconnectfromtechnologywhileatwork(75%vs.46%).Ofnote,femaleemployeesaremorelikelythanmaleemployeestoseethepersonalhealthbenefitsinunplugging(80%vs.74%),buttheyarelesslikelythanmentosaytheiremployersencouragesemployeestooccasionallyunplug(27%vs.38%).Femaleemployeesarealsomorelikelythanmaleemployeestosayitisverydifficulttounplugatwork(28%vs.21%)andtosayitisdifficultorverydifficult(40%vs.28%)tounplugathome.

Thoughthebenefitsofunpluggingareunderstoodbymost,notallemployeesfinditeasytodo.Thosewhoareencouragedtodoso,however,aremorelikelytooccasionallyunplugordisconnectfromtechnologymoreeasilythanthosewhoarenot-evidencethatemployersmaybeakeypartofclosingthegap.

24

Onethirdofemployeessaytheiremployerencouragesemployeestooccasionallyunplugfromtechnology

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DataDonor

Intheageofelectronicmedicalrecords,non-iden�fiablepersonalhealthinforma�onofemployeescanbeusefulforemployers.Thoughemployersmaybeinterestedinpassinginforma�onontothirdpartyvendorsinordertolowerhealthcarecostsandimprovethehealthoftheiremployees,manyemployeesmaynotbefamiliarwiththeconcept–andpoten�albenefits–ofauthorizingtheiremployertosharetheirnon-iden�fiablehealthinforma�on.

Whenemployeeswereaskedhowfamiliartheyarewiththeterm“datadonor,”most(78%)saytheyarenotawareoftheterm.Only13%saytheyareextremely,very,orsomewhatfamiliarwiththetermand9%saytheyhaveheardofthetermbutarenotfamiliarwithit.

A�erbeingshownadefini�on*of“datadonor,”aroundhalfofemployees(53%)saytheyhaveaclearunderstandingofwhytheiremployerwouldwantthemtosharetheirpersonalhealthinforma�onwiththemandnearlythesamepercentage(51%)saytheyhaveaclearunderstandingofthebenefitsofsharingpersonalhealthinforma�onwiththeiremployer,yettwointhree(65%)saidtheywouldnotbecomfortablesharingtheirpersonalhealthinforma�onwiththeiremployer.

25

4%5%5%

9%

78%

FamiliaritywithTerm“DataDonor”

Extremelyfamiliar

Veryfamiliar

Somewhatfamiliar

Heardof,butnotfamiliar

Neverheardofit

Familiar(NET):13%

BASE:ALLQUALIFIEDRESPONDENTS(n=2009)Q4000aHowfamiliarareyouwiththeterm“datadonor”?

*Defini�onshown:A“datadonor”canrefertoanindividualwhoagreestosharetheirnon-iden�fiablepersonalhealthinforma�on(i.e.,biometrics,etc.)withtheiremployerorahealthandresearchins�tu�onthroughathirdparty.Thedataisnot�edtotheindividualbutsharedinaggregate.

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DataDonor(con�nued)

Further,thougharoundhalfsaytheyunderstandthebenefitsofsharingtheirdata,whenaskedtochoosebetweentwostatementsdescribingopposingviewsonsharingpersonalhealthinforma�onwiththeiremployer,employeesweremostlikelytoagreethattheirconcernsaboutsharingtheirhealthinforma�onwiththeiremployeroutweighthepoten�albenefits(61%).Theremainingtwoinfive(39%)saythepoten�albenefitsofsharingtheirhealthinforma�onwiththeiremployeroutweightheirconcerns.Whenemployeeswereaskedwhatconcerns,ifany,theywouldhaveaboutsharingtheirpersonalhealthinforma�onwiththeiremployerforthepurposeofadvancingresearchandinsights,themostcommonconcernwaswan�ngpersonalhealthinforma�ontoremainprivate(60%)followedbyconcernsaboutnottrus�nghowpersonalhealthinforma�onwillbeused(50%),otherswillknowtheirpersonalhealthinforma�on(35%),andpersonalhealthinforma�onbeingmadepublic(31%).Interes�ngly,eventhoughthereisreluctancetosharetheirdatawiththeiremployer,threeinfiveemployees(60%)saytheywouldbewillingtosharetheirpersonalhealthinforma�onwithanon-profitorotherorganiza�onforthepurposesofhelpingadvancepersonalizedhealthapproachesandsolu�ons.

26

BASE:COMPANYOFFERSWELLNESSPROGRAMS(n=1504)Q4005A“datadonor”canrefertoanindividualwhoagreestosharetheirnon-iden�fiablepersonalhealthinforma�on(i.e.,biometrics,etc.)withtheiremployerorahealthandresearchins�tu�onthroughathirdparty.Thedataisnot�edtotheindividualbutsharedinaggregate.Howmuchdoyouagreeordisagreewiththefollowingstatements?

35%47% 49%

65%53% 51%

Iwouldnotbecomfortablewithsharingmypersonalhealthinforma�onwithmyemployer

Ihaveaclearunderstandingofwhymyemployerwouldwantmetosharemypersonalhealth

informa�onwiththem

Ihaveaclearunderstandingofthebenefitsofsharingpersonalhealthinforma�onwithmy

employer

A�tudesaroundSharingPersonalHealthInforma�on

Disagreestrongly/somewhat Agreestrongly/somewhat

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DataDonor(con�nued)

Employeeswhosaytheyhaveaclearunderstandingofwhytheiremployerwouldwantthemtosharetheirpersonalhealthinforma�onaremorewillingthantheircounterpartstopar�cipateindatadona�on.Specifically,theyaremorelikelythanthosewhodonottosaythepoten�albenefitsofsharingtheirhealthinforma�onwiththeiremployeroutweightheirconcerns(53%vs.22%).Employeeswhosaytheyhaveaclearunderstandingaremorelikelytosaynothingconcernsthemaboutsharingtheirpersonalhealthinforma�onwiththeiremployer(16%vs.8%)andtheyaremorelikelytosaytheywouldbewillingtosharetheirpersonalhealthinforma�onwithanon-profitorotherorganiza�on(72%vs.47%).

Despitefamiliaritywiththeterm“datadonor”beinglowandmanyemployeeshavingconcernsaboutsharingtheirpersonalhealthinforma�onwiththeiremployer,manyalsosaytheyunderstandthebenefits.Coupledwiththefactthatthosewhosaytheyunderstandwhytheiremployerwouldwantthemtosharetheirpersonalhealthinforma�onaremorelikelythanthosewhodonottosaythepoten�albenefitsoutweightheirconcernscouldmeanthatmoreeduca�onaroundtheconceptofbeinga“datadonor”anditsbenefits-toemployersandemployees-couldincreaseemployees’willingnesstosharetheirpersonalhealthinforma�on.

Pleasenote,theAmericanHeartAssocia�onisfundamentallyopposedtothesellingofpersonalhealthinforma�onthatiscollectedaspartofabiometricscreeningorhealthriskassessmentwithinaworkplacewellnessprogram.Thisdoesnotnecessarilyapplytode-iden�fiedoraggregatedatathatmaybeusedforresearchorprogramevalua�onpurposes.Protec�ngprivacyandpreven�ngde-iden�fiedoraggregatedatafrombeingerrantlyorinadvertentlyre-iden�fiedrequiresqualitycontrolofdatamanagementandprocedural/internalcorporategovernance.Manylargeaccoun�ngfirms,lawfirms,healthcareconsultants,andITconsultantscanprovidethis,astheyspecializeinhealthcareinforma�on-relatedaudits.*

27

*AmericanCollegeofOccupa�onalandEnvironmentalMedicine;AmericanCouncilonExercise;AmericanHeartAssocia�on;BravoWellness;HealthEnhancementResearchOrganiza�on;HealthFitness;HealthPartners;Healthways;Interac�veHealth;Johnson&JohnsonServicesInc;Optum;PerformancepH;Popula�onHealthAlliance;StayWell;TruvenHealthAnaly�cs.AresponsetoproposedEqualEmploymentOpportunityCommissionregula�onsonemployer-sponsoredhealth,safety,andwell-beingini�a�ves.JOccupEnvironMed.2016;58(3):e103-10.

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SubgroupFindings

Genera�onalDifferences

Itisimportanttounderstandthegenera�onaldifferencesthatexistamongemployeesasitrelatestotheroleofemployersinemployeehealthandwell-being.Thiscouldprovidevaluableinforma�ontoemployerswhenlookingatwaystoengageandencouragetheiremployees.

Forthepurposesofthisreport,‘YoungerMillennials’referstoemployeesaged18-26,‘OlderMillennials’referstoemployeesaged27-35,‘GenXers’referstoemployeesaged36-50,‘BabyBoomers’referstoemployeesaged51-69,and‘Matures’referstoemployeesaged70+.Pleasenote:YoungerMillennialsandMatureshavebasesizesoflessthan100.Resultsforthesegroupsaredirec�onalinnature.

EmployeeHealthPrograms

Millennials(par�cularlyOlderMillennials)aremorelikelythanallothergenera�onstopar�cipateinemployeehealthprograms(YoungerMillennials:73%,OlderMillennials:89%,GenXers:85%,BabyBoomers:82%,Matures:77%).Ofthosewhohavepar�cipatedinhealthprograms,YoungerMillennials(15%)aremorelikelythanOlderMillennials(2%),GenXers(5%),andBabyBoomers(3%)tosaythatflexibleschedulesorextra�meinordertoexercisehasbeenmostimpac�ul.OlderMillennialsaremorelikelythanallothergenera�onstostronglyorsomewhatfavoremployersencouragingpar�cipa�oninemployeehealthprogramswithperiodiccashbonusesforachievingspecifichealthgoals;manda�nghealthscreeningsforriskfactorssuchashighbloodpressureandcholesterol;andbasingemployeehealthinsurancecostsandbenefitsonemployeeslevelofpar�cipa�oninhealthprograms,employeesachievingspecificgoals,ortheirhealthstatus.

Therearealsodifferenceswhenitcomestooutcomesfrompar�cipa�onintheseprograms.Millennials,par�cularlyOlderMillennials,aremorelikelythanGenXersandBabyBoomerstosaythehealthprogramstheypar�cipateinhaveimprovedtheirhealthagreatdealorafairamount.MillennialsarealsomorelikelythanGenXersandBabyBoomerstoreportimprovedqualityofworkandhigherjobsa�sfac�onasaresultoftheirpar�cipa�oninhealthprograms.Millennials,par�cularlyOlderMillennials,aremorelikelythanGenXersandBabyBoomerstosaythattheavailabilityofhealthprogramshashadastrongorverystrongimpactontheircommitmenttotheirhealthandemployer,theiroveralljobsa�sfac�on,theirrela�onshipwithcolleaguesandimmediatesupervisor,andtheirpercep�onoftheirCEOandseniorleadership.OlderMillennials(43%)aremorelikelythanGenXers(29%),BabyBoomers(23%)andMatures(24%)tothinktheyofferprogramsbecauseofgenuinecareandconcernforthehealthoftheiremployees.

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SubgroupFindings(con�nued)

TechnologyalsoplaysalargeroleforMillennialsandemployeehealthprograms.Millennials(67%),andOlderMillennials(71%)specifically,aremorelikelythanGenXers(45%),BabyBoomers(34%)andMatures(40%)tosaythattechnology,likeappsandtrackers,isimportanttoimprovingormaintainingtheirhealth.Further,OlderMillennialsaremorelikelythanYoungerMillennials,GenXers,andBabyBoomerstosaytheywouldbemorelikelytopar�cipate/increasepar�cipa�oniftheircompanyofferedamobileappfortheirsmartphoneortablettotracktheirprogress.Amongthosewhosecompanyoffersprograms,MillennialsaremorelikelythanGenXersandBabyBoomerstowanttheiremployerstocommunicateabouthealthprogramsviaonlinewebinarsandpostsoncompany’ssocialmediapla�orm.

HealthofEmployees

Whenlookingattheircurrenthealthstate,YoungerMillennials(22%)aremorelikelythanOlderMillennials(6%),GenXers(10%),andBabyBoomers(10%)tosaytheirhealthisfairorpoor.And,notsurprisingly,BabyBoomers(55%)andMatures(68%)aremorelikelythanbothYounger(19%)andOlder(28%)MillennialsaswellasGenXers(39%)tobeat-riskforheartdisease.

Genera�onaldifferencesarealsoapparentwhenlookingatthetophealthandlifestylegoals.YoungerMillennials(41%)aremorelikelythanOlderMillennials(23%),GenXers(26%),andBabyBoomers(28%)tosaythatge�ngmoresleepisintheirtopthreehealthandlifestylegoals.Meanwhile,OlderMillennials(32%)aremorelikelythanGenXers(23%),BabyBoomers(24%),andMatures(9%)tosaytheywanttoreducetheirstresslevels.ThismaybebecauseMillennialsaremorelikelythanallothergenera�onstoexperiencestressasaresultofworkalways,almostalways,orveryo�en.Meanwhile,GenXersandBabyBoomers(45%each)aremorelikelythanYounger(28%)andOlder(30%)Millennialstolistlosingweightasagoal.

Engagement

AlthoughMillennials(53%),andOlderMillennials(57%)specifically,aremorelikelythanGenXers(37%),BabyBoomers(32%)andMatures(5%)tosaytheirjobgetsinthewayoftheirhealth,Millennials(36%),andagainpar�cularlyOlderMillennials(39%),aremorelikelythanGenXers(27%)andBabyBoomers(24%)tosaythattheircompanycaresaboutthehealthoftheiremployeesagreatdealoralot.ThismaybebecauseMillennialswhosecompanyoffersprogramsaremorelikelythanGenXersandBabyBoomerstoperceivethattheirHRdepartment(42%vs.29%and17%,respec�vely),colleagues(43%vs.24%and18%,respec�vely),andCEO(37%vs.15%and14%,respec�vely)encouragepar�cipa�oninemployeehealthprogramsextremelywellorverywell.

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SubgroupFindings(con�nued)

MillennialswhosecompanyoffersprogramsarealsomorelikelythanGenXersandBabyBoomerstosaythattheyareawarethatallormostofseniormanagementhaveactuallypar�cipatedinhealthprograms(35%vs.17%and11%,respec�vely).MillennialsarealsomorelikelythanGenXersandBabyBoomerstosaythattheyknowtheirCEOactuallypar�cipatesinhealthprograms(41%vs.20%and12%,respec�vely).

RoleofTechnology/DataDonor

Althoughtechnologyplaysanimportantroleintheirhealth,Millennialsalsobelievethatdisconnec�ngfromitisalsoessen�al.OlderMillennials(84%)aremorelikelythanYoungerMillennials(71%),GenXers(75%),BabyBoomers(76%),andMatures(59%)tosaythatunpluggingordisconnec�ngfromtechnologyisimportanttotheirhealth.Millennials,andOlderMillennialsinpar�cular,aremorelikelythanallothergenera�onstosaythattheiremployerencouragesemployeestooccasionallyunplugfromtechnologyandMillennialsaremorelikelythanallothergenera�onstobelievethattheirqualityofworkisposi�velyaffectedbyunplugging.

Millennials,par�cularlyOlderMillennials,aremorelikelythanallothergenera�onstobeawareoftheterm“datadonor.”Millennialsarealsomorelikelythanallothergenera�onstohaveaclearunderstandingofwhytheiremployerwouldwantthemtosharetheirpersonalhealthinforma�onwiththemandthebenefitsassociatedwithit.Addi�onally,theyaremorelikelythanallothergenera�onstosaythatthepoten�albenefitsofsharingtheirhealthinforma�onwiththeiremployeroutweightheirconcernsandarethemostwillingtosharetheirpersonalhealthinforma�onwithanon-profitorganiza�onforthepurposesofhelpingadvancepersonalizedhealthapproachesandsolu�ons.

Overall,Millennialsseemtobethemostengagedinemployeehealthprograms.Theyarealsomorelikelytoseetheincreasedbenefitsfromtheseprograms–bothwork-relatedandtheirpercep�onsoftheiremployersandCEO.Nottoosurprisingly,healthgoalsdifferbygenera�onwithMillennialsfocusedonstressandsleep,whileoldergenera�onshavegoalsrevolvingaroundweightloss.Perhapssurprisingly,Millennialsfindmoreimportanceinunpluggingordisconnec�ngfromtechnology,whilealsoci�ngitasimportanttotheirhealth.

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SubgroupFindings(con�nued)

Income

Thesurveyhighlightstheimportantrolethathouseholdincomehasonhealthandbehavior.Nearlyallagreethattheyfeelbe�erwhentheyeatrightandexercise,butthosewithlowerincomesarelesslikelytoreportbeingingoodhealth.Employeeswithlowerhouseholdincomesarealsoleastlikelytoreporthavingemployeehealthprogramsavailabletothemeventhoughtheymayhavethemosttogain.

Regardlessofincome,thevastmajorityofemployeessaytheyfeelbe�erwhentheyeatrightandexercise(householdincome(HHI)oflessthan$50,000ayear(92%),$50Ktolessthan$100K(94%),$100Kormore(98%)).But,thosewithaHHIoflessthan$50,000ayear,arelesslikelythanthosewithaHHIof$50Ktolessthan$100KandthosewithaHHIof$100Kormoretoratetheirhealthasexcellentorverygood(43%vs.54%and63%,respec�vely).ThosewithaHHIof$100KormorearemorelikelythanthosewithHHIsoflessthan$100Ktosaytheyfeeltheirjobgetsinthewayoftheirhealth(47%vs.34%lessthan$50Kand37%$50to<100K).

EmployeeswithaHHIoflessthan$50,000ayear,arelesslikelythanthosewithaHHIof$50Ktolessthan$100KandthosewithaHHIof$100Kormoretosaytheyfeeltheiremployeriscommi�edtothehealthofemployees(59%vs.68%and72%,respec�vely).ItispossiblethisisrelatedtothefactthatthosewithaHHIoflessthan$50,000ayear,arelesslikelythanthosewithaHHIof$50Ktolessthan$100KandthosewithaHHIof$100Kormoretoreportthattheiremployerofferssometypeofemployeehealthprogram(68%vs.73%and82%,respec�vely).Ofthosewhopar�cipate,regardlessofHHI,employeesareequallylikelytoreapthesamebenefitswithsimilarpropor�onsrepor�ngtheyfeelbe�erbecauseoftheirpar�cipa�onintheprograms(HHIoflessthan$50,000ayear(40%),$50Ktolessthan$100K(34%),$100Kormore(40%)).Infact,thosewithalowerHHImaybenefitmorefromtheseprograms.Employeeswhopar�cipatedthathaveaHHIoflessthan$50,000ayear,arelesslikelythanthosewithaHHIof$50Ktolessthan$100KandthosewithaHHIof$100Kormoretoreporttheyhadfewersickdaysasaresultoftheirpar�cipa�on(47%vs.33%and35%,respec�vely).

Inequi�esinemployercommitmenttohealthareapparentwithintheworkforce.Thoughlowerincomeworkerspoten�allyhavethemosttogainfromemployeehealthprograms,theyaretheleastlikelytoreportthattheseprogramsareavailabletothemthroughtheiremployer.Organiza�onswithlowerincomeworkforcesshouldconsiderofferinghealthprogramstohelpensurethatthebenefitsarebeingfeltbyboththeemployeesandemployers.

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SubgroupFindings(con�nued)

CompanySize

Notsurprisingly,employeesatsmallcompanies(<1,000employees)arenotaslikelyasemployeesatmedium(1,000-9,999employees)andlarge(10,000+employees)companiestoofferemployeehealthprogramsandresources.However,CEOengagementandpar�cipa�onintheseemployeesatsmallcompaniesseemtobehigherthanemployeesatmediumandlargecompanies.

Employeesatsmallcompaniesarelesslikelythanthoseatmediumandlargecompaniestohaveemployeehealthprogramsavailable(68%vs.82%and78%,respec�vely).Theyarealsoleastlikelytohavefinancialprogramsorresourcesavailabletothem.However,employeesatsmallcompaniesaremorelikelythanemployeesatmediumandlargecompaniestosaythattheavailabilityofworkplacehealthprogramshavehadastrong/verystrongimpactontheircommitmenttotheirhealth(52%vs.43%and43%,respec�vely),theirpercep�onoftheirCEO(38%vs.29%and18%,respec�vely),andtheirrela�onshipswiththeircolleagues(39%vs.27%and22%,respec�vely)andimmediatesupervisor(34%vs.25%and20%,respec�vely).

Despitebeingmorelikelytohaveemployeehealthprogramsavailablethroughtheiremployer,employeesatlargecompaniesarelesslikelythanthoseatsmallandmediumcompaniestosaythattheprogramstheypar�cipateinhaveimprovedtheirhealthagreatdealorafairamount(25%vs.44%and44%,respec�vely).Theyarealsomorelikelythanemployeesatsmallandmediumcompaniestosaythattheyhavenotexperiencedanywork-relatedoutcomesthatcanbea�ributedtotheseprograms(33%vs.21%and23%,respec�vely).

Therearealsodifferenceswhenitcomestoseniorengagementandencouragement.Smallcompanyemployeesaremorelikelythanmediumandlargecompanyemployeestosaythatallormostofseniormanagementhaveactuallypar�cipatedintheirhealthprograms(30%vs.21%and10%,respec�vely).Employeesatlargecompaniesarelesslikelythanthoseatsmallandmediumcompaniestosaythatseniormanagement(15%vs.28%and25%,respec�vely)ortheirCEO(13%vs.27%and25%,respec�vely)encouragespar�cipa�oninemployeehealthprogramswellorextremelywell.TheyarealsoleastlikelytosaythattheirCEOactuallypar�cipatesintheiremployeehealthprograms(10%vs.31%and28%,respec�vely).

Althoughemployeesatsmallcompaniesmaynotbeabletoofferthetypesoramountofemployeehealthprogramsasthoseatmediumandlargecompanies,itseemsemployeesinthesesmallcompaniesaremostlikelytofeeltheposi�veeffectsiftheyareoffered.LargecompanyemployeesthathavetheseprogramsavailabletoemployeesmayconsidermakingseniorleadershipandCEOengagementintheseprogramsmorevisibleinordertoboostemployeeengagement.

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Conclusion

Employersarekeytocrea�ngacultureofgoodhealthandwell-being.Byofferingprograms–whethertheyarerelatedtohealth,finances,ormentorship–employerssignaltotheiremployeesthattheycareabouttheirhealth.Understandingtheirworkforceandtheirpersonalgoalsandpreferencescanhelpemployersassess,planfor,andimplementprogramsthatwillhavemeaningfulimpactonindividualemployeesaswellastheorganiza�onasawhole.

Belowareac�onsorganiza�onscantakeastheystrivetoserveasrolemodelsintakingposi�vestepstowardhealthylivingwithintheirorganiza�onandencourageleadersatotherorganiza�onstotakeac�onintheirowncompaniesandcommuni�es.

KeyTakeaways:

• Offeremployeehealthprogramsthatalignwithemployees’personalhealthgoals –crea�ngalignmenthasthepoten�alforposi�veoutcomesontheindividualand organiza�onallevel• Considergenera�onaldifferencesinprogramofferingsandcommunica�ons– employeehealthgoalsandpreferencesmayvarybasedontheirage• Encourageemployeeprogrampar�cipa�onbycommunica�nganddemonstra�ng leadershippar�cipa�on–doingsomayhelpcreateacultureofhealththroughout theorganiza�on• Increasefinancialprogramenrollment–theyhavethepoten�altohelpmorethan justemployees’financialhealth• Offerormakeeffortstoincreasepar�cipa�oninmentoringprograms–theyarea rela�velylow-costwaytoeducateandengageworkforces• Letemployeesknowitisokaytooccasionally“unplug”–employeesunderstandthe benefitsofdisconnec�ngbutmaynotfeeltheyhavepermissiontodoso• Educateemployeesabouttheconceptandpoten�albenefitsofbeingadatadonorwhile alsorecognizingemployeerightsandtheimportanceofensuringthatorganiza�onshave rigorousproceduresandgovernancerulesthatsafeguardemployeepersonalhealth informa�on.*

Theoutcomeoftheresearchandac�onpointsaboveprovideemployerswithrecommenda�onsthathavethepoten�altoincreaseemployeepar�cipa�oninhealthprograms,whichcouldimprovetheirhealth.Thoughnoorganiza�onisthesame,theresearchfindingsalsoprovideaframeworkandconsidera�onsforemployersastheydesignandimplementeffortstoimprovetheiremployees’healthandengagetheirworkforce.

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*TheAmericanHeartAssocia�onisfundamentallyopposedtothesellingofpersonalhealthinforma�onthatiscollectedaspartofabiometricscreeningorhealthriskassessmentwithinaworkplacewellnessprogram.Thisdoesnotnecessarilyapplytode-iden�fiedoraggregatedatathatmaybeusedforresearchorprogramevalua�onpurposes.Protec�ngprivacyandpreven�ngde-iden�fiedoraggregatedatafrombeingerrantlyorinadvertentlyre-iden�fiedrequiresqualitycontrolofdatamanagementandprocedural/internalcorporategovernance.Manylargeaccoun�ngfirms,lawfirms,healthcareconsultants,andITconsultantscanprovidethis,astheyspecializeinhealthcareinforma�on-relatedaudits.

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Appendix:Firmographics

34

Total2014 (A)

Total2016 (B)

n= 2,004 2,009

Lessthan4 1% 1% 4-7 17% 20% 8 46% 46% 9 17% 15% 10+ 18% 18% Mean 8.5hours 8.3hours Median 8hours 8hours

BASE:ALLQUALIFIEDRESPONDENTS Q3081Onaverage,howmanyhoursadaydoyouwork?

SITTING Total2014 (A)

Total2016 (B)

n= 2,004 2,009

Lessthan4 30% 34% 4-7 54% 51% 8 9% 9% 9 3% 3% 10+ 4% 3% Mean 4.9hoursB 4.6hours Median 5hours 5hours

BASE:ALLQUALIFIEDRESPONDENTS Q3085Thinkingofatypicalworkday,howmanyhoursperdaydoyouspend…?

STANDINGORMOVINGAROUND Total2014 (A)

Total2016 (B)

n= 2,004 2,009

Lessthan4 55% 52% 4-7 32% 33% 8 7% 8% 9 2% 3% 10+ 4% 4% Mean 3.8hours 3.9hours Median 3hours 3hours

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Appendix:Firmographics(con�nued)

35

Total2016 n= 2,009

Tradi�onalofficese�ng 35% Schoolorothereduca�onalins�tu�on 10% Healthcarefacility(e.g.,hospital,clinic,etc.) 9% Retailstore 9% Factory/manufacturingplant 9% Aco-workingspace(anofficeorotherworkingenvironmentusedbypeoplewhoareself-employedorworkingfordifferentemployers) 7%

Atypeoftransporta�on(e.g.,drivingacar,bus,etc.) 5% Homeoffice 5% Other 10%

BASE:ALLQUALIFIEDRESPONDENTS Q3095aNWhichofthefollowingbestdescribesyourcurrentworkloca�onwhereyouspendthemajorityofyour�me?

Total2016 n= 1,900

Func�onalworkteam 60% Directmanager 50% CEOofmycompany 17% Other/Noneofthese 29%

BASE:DONOTWORKFROMHOME Q3097Thinkingaboutthecurrentworkloca�onyouspendthemajorityofyour�me,whichofthefollowingpeople,ifany,arealsomosto�enatthatloca�on?Pleaseselectallthatapply.

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Appendix:Firmographics(con�nued)

36

BASE:ALLQUALIFIEDRESPONDENTS Q1425Abouthowmanypeopleworkforyourorganiza�onatalllevelsandinallloca�onsacrosstheUnitedStates?Yourbestguesswilldo.

Total2014 Total2016 n= 2,004 2,009

1to24 - - 25to49 8% 8% 50to99 9% 9% 100to249 9% 11% 250to499 7% 7% 500to999 10% 10% 1,000to2,499 12% 11% 2,500to4,999 8% 10% 5,000to9,999 9% 8% 10,000ormore 28% 25% BASE:ALLQUALIFIEDRESPONDENTS Q1430Howmanypeopleworkforyourorganiza�onatyourloca�on?

Total2014 Total2016 n= 2,004 2,009

1to24 16% 17% 25to49 13% 13% 50to99 16% 14% 100to249 16% 18% 250to499 10% 10% 500to999 9% 9% 1,000to2,499 8% 7% 2,500to4,999 3% 3% 5,000to9,999 3% 4% 10,000ormore 6% 4%

BASE:ALLQUALIFIEDRESPONDENTS Q1455Forwhattypeoforganiza�ondoyouwork?

Total2014 Total2016 n= 2,004 2,009

For-profitorganiza�on 63% 65% Not-for-profitorganiza�on 17% 19% Local,stateorfederalgovernment 20% 16%

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Appendix:Demographics

37

BASE:ALLQUALIFIEDRESPONDENTS Q1420Whatisyouremploymentstatus?Pleaseselectallthatapply.

Total2014 Total2016 n= 2,004 2,009

Employedfull�me 88% 85% Employedpart�me 14% 17% Student 5% 2% Self-employed 1% 1%

BASE:ALLQUALIFIEDRESPONDENTS Q1435Areyoucurrentlyenrolledinahealthplanofferedbyyouremployer?

Total2014 Total2016 n= 2,004 2,009

Yes,Iamcurrentlyenrolled 81% 77% No,Iamnotcurrentlyenrolledbutmycompanyoffersahealthplan 19% 23%

BASE:ALLQUALIFIEDRESPONDENTS Q1440Doyoumanageorsupervisestaff?

Total2014 Total2016 n= 2,004 2,009

Yes 35% 38% No 65% 62%

BASE:ALLQUALIFIEDRESPONDENTS Q268Gender

Total2014 Total2016 n= 2,004 2,009

Male 55% 57% Female 45% 43%

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Appendix:Demographics(con�nued)

38

BASE:ALLQUALIFIEDRESPONDENTS Q280Age

Total2014 Total2016 n= 2,004 2,009

18-25 10% 8% 26-35 21% 25% 36-50 35% 34% 51-69 32% 32% 70+ 1% 2% Mean 43.6yearsold 43.8yearsold Median 44yearsold 44yearsold

BASE:ALLQUALIFIEDRESPONDENTS Q485RacialBackground

Total2014 Total2016 n= 2,004 2,009

White 69% 67% Hispanic 15% 15% Black/AfricanAmerican 12% 10% AsianorPacificIslander 2% 6% Na�veAmericanorAlaskanNa�ve * * MixedRace * * Someotherrace * * Declinetoanswer 1% 1%

BASE:ALLQUALIFIEDRESPONDENTS Q320U.S.Region

Total2014 Total2016 n= 2,004 2,009

East 19% 22% Midwest 22% 23% South 35% 31% West 23% 23% Other - *

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Appendix:Demographics(con�nued)

39

BASE:ALLQUALIFIEDRESPONDENTS Q434Educa�on

Total2014 Total2016 n= 2,004 2,009

HIGHSCHOOLORLESS(NET) 25% 22% Lessthanhighschool * * Completedsomehighschool 2% 2% Completedhighschool 24% 19%

ATTENDEDCOLLEGEORCOLLEGEDEGREE(NET) 53% 57% Somecollege,butnodegree 18% 18% Associatedegree 11% 12% College(suchasB.A.,B.S.) 24% 26%

ATTENDEDGRADUATESCHOOLORGRADUATEDEGREE(NET) 14% 16%

Somegraduateschool,butnodegree 2% 3% Graduatedegree(suchasMBA,MS,M.D.,Ph.D.) 12% 13%

Job-specifictrainingprogram(s)a�erhighschool 7% 6%

BASE:ALLQUALIFIEDRESPONDENTS Q462Income

Total2014 Total2016 n= 2,004 2,009

Lessthan$15,000 2% 2% $15,000tolessthan$25,000 5% 4% $25,000tolessthan$35,000 6% 7% $35,000tolessthan$50,000 11% 10% $50,000tolessthan$75,000 19% 18% $75,000tolessthan$100,000 17% 16% $100,000tolessthan$125,000 15% 14% $125,000tolessthan150,000 11% 10% $150,000tolessthan$200,000 5% 9% $200,000tolessthan$250,000 3% 2% $250,000ormore 2% 2% Declinetoanswer 6% 5%

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Appendix:Demographics(con�nued)

40

BASE:ALLQUALIFIEDRESPONDENTS Q434Educa�on

Total2014 Total2016 n= 2,004 2,009

Nevermarried 25% 20% Marriedorcivilunion 55% 60% Divorced 8% 9% Separated 1% 1% Widow/Widower 2% 2% Livingwithpartner 8% 8%

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