Cover: Expanding The Paradigm of Occupational Safety And Health

Expanding The Paradigm of Occupational Safety And Health

A New Framework For Worker Well-Being

Published in: Journal of Occupational and Environmental Medicine [Epub March 2018]. doi: 10.1097/JOM.0000000000001330

Posted on May 22, 2018

by Ramya Chari, Chia-Chia Chang, Steven L. Sauter, Elizabeth L. Petrun Sayers, Jennifer L. Cerully, Paul Schulte, Anita L. Schill, Lori Uscher-Pines


This article describes the National Institute for Occupational Safety and Health's (NIOSH) development of a conceptual framework for worker well-being. While well-being research is growing, there is a need to translate theoretical concepts into practical models for measurement and action.


Multidisciplinary literature reviews informed development of the worker well-being framework and major domains and subdomains. An expert panel helped prioritize constructs for measurement.


The framework includes five domains and twenty subdomains and conceptualizes worker well-being as a subjective and objective phenomenon inclusive of experiences both within and beyond work contexts.


Well-being is a positive and unifying concept that captures multiple factors that contribute to workers' health and quality of life. This work lays the foundation for larger well-being measurement efforts and will provide tools for NIOSH partners to help workers flourish.

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