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.
Highlights
Circulatory Diseases (CDs), are a group of disorders of the circulatory system including myocardial infarction, stroke, angina and hypertension (as defined by the World Health Organization, International Classification of Diseases and Related Health Problems (ICD)-tenth revision) [1]
Since Psychosocial Safety Climate (PSC) can negatively predict a range of risk factors for work stress, including those embodied in Effort-Reward Imbalance and Job Demand-Control theories we propose a hypothesis, that PSC negatively predicts future Circulatory diseases (CDs) after controlling for effort-reward imbalance and Job Demand-Control job strain
PSC was significantly negatively related to CDs at Time 2
Summary
Circulatory Diseases (CDs), are a group of disorders of the circulatory system including myocardial infarction, stroke, angina and hypertension (as defined by the World Health Organization, International Classification of Diseases and Related Health Problems (ICD)-tenth revision) [1]. CDs are among the greatest health risks in the world [2], causing more deaths than any other single cause, accounting for approximating 30% of deaths annually worldwide [3]. Despite some major improvements in circulatory health via public health interventions, CDs continue to grow as a global pandemic. This widespread health impact has a correspondingly large impact on workplace productivity; CDs have. Res. Public Health 2018, 15, 415; doi:10.3390/ijerph15030415 www.mdpi.com/journal/ijerph
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