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

Harry Becher1, Maureen F Dollard2,3, Peter Smith4,5,6

  • 1Asia 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. harry.becher@unisa.edu.au.

Insights

Poor psychosocial safety climate at work increases the risk of developing circulatory diseases (CDs). This study found low psychosocial safety climate (PSC) environments linked to a 59% higher likelihood of new CD diagnoses.

Area of Science:

  • Occupational Health
  • Cardiovascular Research
  • Psychosocial Epidemiology

Background:

  • Circulatory diseases (CDs) are a leading global cause of mortality.
  • Organizational climate, specifically Psychosocial Safety Climate (PSC), has not been previously linked to CDs.
  • Understanding workplace factors influencing cardiovascular health is crucial.

Purpose of the Study:

  • To investigate the impact of Psychosocial Safety Climate (PSC) on the incidence of circulatory diseases (CDs).
  • To determine if PSC is an independent risk factor for CDs, beyond established job design factors.

Main Methods:

  • Longitudinal study using two waves of interview data from Australian workers (n=1223).
  • Baseline PSC data was used to predict incident CDs at follow-up (average 5-year lag).
  • Logistic regression analysis was employed to assess associations, controlling for covariates.

Main Results:

  • Participants in low PSC environments had a 59% higher likelihood of developing new CDs compared to those in high PSC environments.
  • Baseline PSC significantly predicted lower CD risk at follow-up (OR = 0.98).
  • This association remained significant after adjusting for effort-reward imbalance and job strain.

Conclusions:

  • Psychosocial Safety Climate (PSC) is an independent risk factor for circulatory diseases (CDs) in Australia.
  • Organizational climate and management values concerning psychological health may contribute to the development of CDs.
  • Interventions targeting workplace psychosocial safety could mitigate circulatory disease risk.

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