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Open AccessArticle

Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business

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Center for Health, Work & Environment and Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13001 E. 17th Pl., 3rd Floor, Mail Stop B119 HSC, Aurora, CO 80045, USA
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Department of Epidemiology, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13001 E. 17th Pl., 3rd Floor, Mail Stop B119 HSC, Aurora, CO 80045, USA
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Department of Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, 13001 E. 17th Pl., 3rd Floor, Mail Stop B119 HSC, Aurora, CO 80045, USA
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(6), 2142; https://doi.org/10.3390/ijerph17062142
Received: 18 February 2020 / Revised: 19 March 2020 / Accepted: 20 March 2020 / Published: 24 March 2020
The purpose of this study was to investigate the relationship between Total Worker Health® (TWH) business strategies and employee perceptions of leadership commitment and safety and health climates. Using data from 53 small enterprises and 1271 of their workers collected as part of the Small + Safe + Well (SSWell) Study, we confirm the primacy of the relationship between leadership commitment to safety and workplace safety climate. After accounting for leadership commitment to safety, business-reported policies and practices that promote the health, safety, and well-being of workers (i.e., TWH strategies) were no longer related to safety climate. In contrast, the relationship between TWH strategies and health climate were significantly associated with the level of small business leadership commitment to worksite wellness. Relatedly, our results demonstrate that leadership is a common correlate to both safety climate and health climate. Future research should investigate integrated TWH leadership development strategies as a means of simultaneously improving safety and health climates. View Full-Text
Keywords: Total Worker Health; safety climate; health climate; small business leadership; safety leadership; health leadership; occupational safety and health; worksite wellness Total Worker Health; safety climate; health climate; small business leadership; safety leadership; health leadership; occupational safety and health; worksite wellness
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Schwatka, N.V.; Dally, M.; Tenney, L.; Shore, E.; Brown, C.E.; Newman, L.S. Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business. Int. J. Environ. Res. Public Health 2020, 17, 2142.

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