Improving the health of male, blue collar construction workers: a social ecological perspective

Construction workers are a high risk group for poor health and occupational disability. A participatory action research (PAR) project was undertaken at construction sites in Queensland, Australia. Using the PAR framework, a needs-based health promotion planning model was implemented. Health promotion measures were designed to address the 'SNAPO' health risk factors (i.e. smoking, nutrition, alcohol consumption, insufficient physical exercise and overweight/obesity). At the largest site participating in the research, preliminary health assessments revealed levels of physical health that were comparable with those of the general Australian population. The construction workers' mental health was poorer than that of the general Australian population. A consultation workshop with a representative group of workers at the site identified healthy eating, smoking cessation and physical exercise as priority areas for intervention. Several health promotion measures addressing these issues were implemented, including a quit smoking programme, a 'healthy options' menu in the site canteen, healthy eating and cooking workshops and onsite yoga and stretching sessions. A subset of workers at the site reported their health behaviour in weekly 'logs'. The log data revealed fluctuations in health behaviour over a 14-week period. Evaluation interviews and a focus group revealed environmental impediments to the adoption of healthy lifestyle behaviours. Workers identified the need to provide a work environment that is supportive of healthy behaviour as critical to the effectiveness of specific health promotion measures.