Self-assessment of occupational stress and workability in the implementation of the World Health Organization’s Global Strategy "Health for All" at the workplace level in modern machinery companies

Introduction. The WHO "Health for All" strategy is implementing a transition from the paradigm of pathogenesis to salutogenesis, aimed at maintaining and promoting the health of the population provided in the field of work by modern forms and methods of the health and safety of personnel.

Material and methods. The studies were carried out at the enterprise of a high-tech machine-building complex for the production of gas turbines and included the evaluation of occupational stress, stress tolerance and health index in 4 occupational groups by using questionnaire survey methods. 144 employees including 94 men and 50 women aged from 26 to 45 years, who have worked at the enterprise for at least one year, are invited to take part in the study.

Results. A multi-level regression model for assessing occupational stress showed psycho-physiological, motivational, informational and behavioral factors to determine the level of stress by an average of 72.3 ± 2.6%, and a decrease in the workability index by 59.6 ± 4.6%. One of the results of the program implemented is a higher motivation of employees to participate consciously in the health protection and promotion activities at the workplace level (92%).

Discussion. The conceptualization of occupational stress and workability is a prerequisite for the development of health protection and promotion at the workplace level, especially in the case of intellectual work. These indices can be used as predictors for determining the risk of early dismissal, premature aging, and professional longevity, as well as in assessing the quality of life of workers.

Conclusion. Evaluation and management of occupational stress, maintaining high workability and creating sustainable motivation of employees to participate in health programs is one of the tools of the health promotion policy at the workplace level and the extension of the occupational longevity of the working population, which corresponds to the main goals of the Russian National Demography Project.