**5. Conclusions**

Results of this multi-year worksite survey show progress in workplace health initiatives among businesses in Nebraska. Our findings support the need for targeted approaches to building organizational capacity for comprehensive, integrated workplace health and safety programs in industries most impacted by chronic diseases and workplace injuries. The opportunity to advance worker health, safety, and well-being using TWH strategies is greater in blue-collar industries where adoption of governance and planning strategies were low. Public health practitioners should focus on how businesses can address the most common barriers to implementation relative to business size. Targeting promotion of workplace health programs in small business may be fruitful as they may face fewer obstacles.

**Supplementary Materials:** The following are available online at http://www.mdpi.com/1660-4601/16/14/2475/s1, Table S1: Survey questions on workplace health governance, planning, and safety policies., Table S2. Worksite sizes related to response rates., Table S3. Testing responses of worksites associated over time with nonresponse., Table S4. Industry sector by worksite size among respondents.

**Author Contributions:** Conceptualization, A.S., D.S. and R.W.; Methodology, R.W, A.S and D.S.; Software, D.S. and A.S.; Validation, D.S. and B.C.; Formal Analysis, D.S. and A.S.; Investigation, B.C.; Resources, B.C.; Data Curation, A.S, D.S. and B.C.; Writing—Original Draft Preparation, D.S., A.S. and R.W.; Writing—Review & Editing, D.S., A.S. and R.W.; Supervision, R.W.; Project Administration, D.S.; Funding Acquisition, D.S., A.S. and B.C.

**Funding:** This project was supported by Cooperative Agreement Numbers 2B01OT00936, NU58DP004819, and 5U60OH010897, funded by the Centers for Disease Control and Prevention, as well as by the Nebraska Department of Health and Human Services, Tobacco Free Nebraska Program as a result of the Tobacco Master Settlement Agreement. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention, the Department of Health and Human Services, or the Nebraska Department of Health and Human Services.

**Acknowledgments:** We would like to thank the Nebraska Department Labor for their assistance in identifying sample frame information. We also thank the Bureau of Sociological Research (BOSR), University of Nebraska—Lincoln for their contributions to survey design, collection, weighting, and data management.

**Conflicts of Interest:** The authors declare no conflict of interest.

## **References**


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International Journal of *Environmental Research and Public Health*
