The association of corporate measures and health management initiatives with employee engagement in Japanese companies

Using data from 2,502 companies in Japan’s Health and Productivity Management Survey, this study examined determinants of employee engagement and corporate success. Regression analysis showed that hourly paid leave (adjusted odds ratio [aOR]: 1.29, 95% CI: 1.07–1.56) and communication tools (aOR: 1.32, 1.04–1.69) were positive determinants. Favorable health—appropriate BMI (aOR: 1.02, 1.00–1.04), exercise (aOR: 1.02, 1.01–1.03), and sleep (aOR: 1.03, 1.02–1.04)—was positively associated, while smoking (aOR: 0.98, 0.97–0.99) and total paid leave usage (aOR: 0.92, 0.89–0.96) were negative predictors. Notably, high engagement linked strongly to higher revenue (aOR: 1.65, 1.31–2.07) and operating profit (aOR: 1.40, 1.13–1.74). Addressing these organizational and health determinants is essential for fostering engagement and ensuring sustainable corporate financial growth.