{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:46:15Z","timestamp":1792759575212,"version":"4.5.0"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Washington University Program in Occupational Therapy"},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["F32MD020253"],"award-info":[{"award-number":["F32MD020253"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["P30DK092950"],"award-info":[{"award-number":["P30DK092950"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK103760"],"award-info":[{"award-number":["R01DK103760"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Washington University McDonnell International Scholars Academy"},{"DOI":"10.13039\/100000125","name":"National Institute for Occupational Safety and Health","doi-asserted-by":"publisher","award":["U19OH008868"],"award-info":[{"award-number":["U19OH008868"]}],"id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine workplace health supports (WHS) use and sociodemographic and organizational correlates among healthcare workers predominantly of low- to mid-socioeconomic status (SES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Large U.S. healthcare system, 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>1283 healthcare service workers; 1196 included in final analyses (93.2%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>Instrumental and informational WHS use; SES; race; age; shift; sex; obesity; organizational health climate; coworker support; supervisor support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>\n                      Pearson point biserial correlations (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic toggle=\"yes\">pb<\/jats:italic>\n                      <\/jats:sub>\n                      ), phi (\u03a6) statistics, and multivariable negative binomial regression models were used. Interaction terms between organizational health climate and sociodemographic characteristics were tested.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median employee used two WHS (one instrumental, one informational). Older age was associated with greater informational WHS use (\u03a6 = .13 to .21), while Black race was associated with greater instrumental WHS use (\u03a6 = .09 to .15). Organizational health climate was modestly associated with healthy eating and physical activity WHS (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic toggle=\"yes\">pb<\/jats:italic>\n                      <\/jats:sub>\n                      = .09 to .11). In adjusted models, age, race, and organizational health climate remained independently associated with WHS use. Modest interaction effects were observed between organizational health climate and race (total and informational models) and sex (total model).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Differentiating WHS by support type reveals meaningful differences in engagement across worker groups. Findings highlight the importance of organizational context. Results should be interpreted cautiously given the cross-sectional design and self-reported measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171261490288","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:06:08Z","timestamp":1792562768000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patterns of Instrumental and Informational Workplace Health Support Use Among Hospital Service Workers of Low- to Mid-Socioeconomic Status"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5872-9548","authenticated-orcid":false,"given":"Ryan J.","family":"Walsh","sequence":"first","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Colvin","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann Marie","family":"Dale","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2967-3906","authenticated-orcid":false,"given":"Rachel G.","family":"Tabak","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley A.","family":"Evanoff","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890117119844478"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-071723-120104"},{"key":"e_1_3_9_4_2","volume-title":"Work Stress and Social Support","author":"House JS","year":"1981","unstructured":"House JS. Work Stress and Social Support. Reading, MA:Addison-Wesley;1981."},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-orgpsych-012119-044917"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2019.01.011"},{"key":"e_1_3_9_7_2","unstructured":"Federal Reserve Bank of St. Louis. Table data - estimate of median household income for St. Louis County MO. 2024. https:\/\/fred.stlouisfed.org\/data\/MHIMO29189A052NCEN"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0b013e3182849f21"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0039895"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.1037\/1076-8998.3.4.322"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjem.2018.08.001"}],"container-title":["American Journal of Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08901171261490288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08901171261490288","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08901171261490288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:17:28Z","timestamp":1792757848000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08901171261490288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,20]]},"references-count":10,"alternative-id":["10.1177\/08901171261490288"],"URL":"https:\/\/doi.org\/10.1177\/08901171261490288","relation":{},"ISSN":["0890-1171","2168-6602"],"issn-type":[{"value":"0890-1171","type":"print"},{"value":"2168-6602","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,20]]},"article-number":"08901171261490288"}}