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Int. J. Environ. Res. Public Health 2018, 15(3), 415; https://doi.org/10.3390/ijerph15030415

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

1
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
2
Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG8 1BB, UK
3
Institute for Work and Health, Toronto, ON M5T 3M7, Canada
4
Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada
5
Department of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia
6
Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany
*
Author to whom correspondence should be addressed.
Received: 12 January 2018 / Revised: 13 February 2018 / Accepted: 23 February 2018 / Published: 27 February 2018
(This article belongs to the Special Issue Work Stress and the Development of Chronic Diseases)
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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. View Full-Text
Keywords: circulatory diseases; Psychosocial Safety Climate; Demand-Control; effort-reward imbalance; psychosocial risks circulatory diseases; Psychosocial Safety Climate; Demand-Control; effort-reward imbalance; psychosocial risks
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Becher, H.; Dollard, M.F.; Smith, P.; Li, J. Predicting Circulatory Diseases from Psychosocial Safety Climate: A Prospective Cohort Study from Australia. Int. J. Environ. Res. Public Health 2018, 15, 415.

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