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

Author

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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
    Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG8 1BB, UK)

  • Peter Smith

    (Institute for Work and Health, Toronto, ON M5T 3M7, Canada
    Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada
    Department of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia)

  • 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)

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.

Suggested Citation

  • Harry Becher & Maureen F. Dollard & Peter Smith & Jian Li, 2018. "Predicting Circulatory Diseases from Psychosocial Safety Climate: A Prospective Cohort Study from Australia," IJERPH, MDPI, vol. 15(3), pages 1-10, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:415-:d:133781
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    References listed on IDEAS

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    1. Dragano, Nico & Siegrist, Johannes & Nyberg, Solja T. & Lunau, Thorsten & Fransson, Eleonor I. & Alfredsson, Lars & Bjorner, Jakob B. & Borritz, Marianne & Burr, Hermann & Erbel, Raimund & Fahlen, Gör, 2017. "Effort-Reward Imbalance at Work and Incident Coronary Heart Disease: A Multi-Cohort Study of 90,164 Individuals," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 28(4), pages 619-626.
    2. van Vegchel, Natasja & de Jonge, Jan & Bosma, Hans & Schaufeli, Wilmar, 2005. "Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies," Social Science & Medicine, Elsevier, vol. 60(5), pages 1117-1131, March.
    3. Natalie Slopen & Robert J Glynn & Julie E Buring & Tené T Lewis & David R Williams & Michelle A Albert, 2012. "Job Strain, Job Insecurity, and Incident Cardiovascular Disease in the Women’s Health Study: Results from a 10-Year Prospective Study," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-10, July.
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    Cited by:

    1. Akiomi Inoue & Hisashi Eguchi & Yuko Kachi & Sarven S. McLinton & Maureen F. Dollard & Akizumi Tsutsumi, 2021. "Reliability and Validity of the Japanese Version of the 12-Item Psychosocial Safety Climate Scale (PSC-12J)," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    2. Alison Daly & Renee N. Carey & Ellie Darcey & HuiJun Chih & Anthony D. LaMontagne & Allison Milner & Alison Reid, 2019. "Using Three Cross-Sectional Surveys to Compare Workplace Psychosocial Stressors and Associated Mental Health Status in Six Migrant Groups Working in Australia Compared with Australian-Born Workers," IJERPH, MDPI, vol. 16(5), pages 1-15, February.

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