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Table 3 Comparisons (Adjusted least square mean±SE or unadjusted %*) between WA and Standard departments on general and behavioral health conditions and substance use**

From: An examination of the benefits of health promotion programs for the national fire service

General and health conditions

WA§ (n = 522; 52.1)

Standard (n = 480; 47.9)

p-value

Self-rating of risk for serious disease in the future

2.8(0.4)

3.2(0.1)

<0.001

Number of days in poor health (during last 30; days)

3.3(0.92)

3.5(0.4)

0.717

Self-reported health conditions

 -Type 2 diabetes (% yes)

1.0

2.0

0.912

 -High blood pressure (% yes)

11.8

14.4

0.324

 -High cholesterol (% yes)

27.9

26.0

0.167

 -Heart disease (% yes)

1.2

1.1

0.837

 -Stroke (% yes)

0.2

0.0

0.650

 -COPD (% yes)

0.2

0.2

0.979

 -Sleep apnea (% yes)

5.6

5.1

0.831

 -Arthritis (% yes)

4.8

6.0

0.804

Hypertension (measured at station; % SBP ≥ 140 and/or DBP ≥ 90)

16.2

23.7

0.001

Any injuries reported to workers compensation in last 6 months (% yes)

11.4

7.0

0.032

Behavioral health conditions

Physician diagnosis of anxiety disorder (% yes)

3.2

10.7

<0.001

Physician diagnosis of depressive disorder (% yes)

6.2

6.8

0.231

Depressive symptom score (CESD10)

1.7(0.1)

1.8(0.1)

0.407

Stress at work while carrying out duties during last 6 months

1.8(0.1)

1.8(0. 3)

0.898

Stress at work interfered with performing duties during last 6 months

0.5(0.1)

0.7(0.2)

0.449

Smoking status (% Current)

4.6

13.9

<0.001

Smokeless tobacco user (% Current)

13.4

12.5

0.906

Alcohol consumption past 30 days (number drinks x days drank)

35.4(3.2)

38.2(3.1)

0.476

Alcohol use category (%)¥

  

0.063

 -Abstinent

16.9

21.1

 

 -Moderate; 1–2 drinks per day

43.7

32.8

 

 -Heavy; 3 or more drinks per day

39.5

46.1

 

Binge drinker (% > 5 drinks in one occasion)

43.9

50.8

0.058

  1. *Adjusted mixed models for categorical or ordinal outcomes with adjusted ORs [AOR) presented in text.
  2. **All models were adjusted for firefighters’ age, race/ethnicity, total income, whether or not they had a job outside the department, occupational rank, and differences due to department variability.
  3. §WA=Wellness approach.
  4. ¥Variable dichotomized in the generalized linear mixed model to “heavy drinker” vs. moderate and abstinent combined.