Predicting Circulatory Diseases from Psychosocial Safety Climate: A Prospective Cohort Study from Australia

Harry Becher, Maureen F. Dollard, Peter Smith and Jian Li
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Harry Becher: Asia Pacific Centre for Work Health and Safety, A WHO Collaborating Centre in Occupational Health, University of South Australia, Magill Campus, St Bernards Road, Magill, Adelaide, SA 5072, Australia
Maureen F. Dollard: Asia Pacific Centre for Work Health and Safety, A WHO Collaborating Centre in Occupational Health, University of South Australia, Magill Campus, St Bernards Road, Magill, Adelaide, SA 5072, Australia
Peter Smith: Institute for Work and Health, Toronto, ON M5T 3M7, Canada
Jian Li: Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany

IJERPH, 2018, vol. 15, issue 3, 1-10

Abstract: Circulatory diseases (CDs) (including myocardial infarction, angina, stroke or hypertension) are among the leading causes of death in the world. In this paper, we explore for the first time the impact of a specific aspect of organizational climate, Psychosocial Safety Climate (PSC), on CDs. We used two waves of interview data from Australia, with an average lag of 5 years (excluding baseline CDs, final n = 1223). Logistic regression was conducted to estimate the prospective associations between PSC at baseline on incident CDs at follow-up. It was found that participants in low PSC environments were 59% more likely to develop new CD than those in high PSC environments. Logistic regression showed that high PSC at baseline predicts lower CD risk at follow-up (OR = 0.98, 95% CI 0.96–1.00) and this risk remained unchanged even after additional adjustment for known job design risk factors (effort reward imbalance and job strain). These results suggest that PSC is an independent risk factor for CDs in Australia. Beyond job design this study implicates organizational climate and prevailing management values regarding worker psychological health as the genesis of CDs.

Keywords: circulatory diseases; Psychosocial Safety Climate; Demand-Control; effort-reward imbalance; psychosocial risks (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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