Preprint Article Version 1 This version is not peer-reviewed

Predicting Cardiovascular Disease from Psychosocial Safety Climate: A Prospective Cohort Study from Australia

Version 1 : Received: 12 January 2018 / Approved: 15 January 2018 / Online: 15 January 2018 (16:58:20 CET)

How to cite: Becher, H.; Dollard, M.F.; Smith, P.; Li, J. Predicting Cardiovascular Disease from Psychosocial Safety Climate: A Prospective Cohort Study from Australia. Preprints 2018, 2018010127 (doi: 10.20944/preprints201801.0127.v1). Becher, H.; Dollard, M.F.; Smith, P.; Li, J. Predicting Cardiovascular Disease from Psychosocial Safety Climate: A Prospective Cohort Study from Australia. Preprints 2018, 2018010127 (doi: 10.20944/preprints201801.0127.v1).

Abstract

Abstract: Cardiovascular Disease (CVD) is the most prevalent disease worldwide, which has been linked to work stress because of poor job design as explained by the Job Demand-Control (JDC) and the Effort-Reward Imbalance (ERI) models. In this paper we explore for the first time relative impact of a specific aspect of organisational climate, Psychosocial Safety Climate (PSC), on any CVD including angina, myocardial infarction, hypertension, and stroke. We used two waves of interview data from Australia, with an average lag of 5 years (excluding baseline CVD, final n = 1223). Logistic regression was conducted to estimate the prospective associations between PSC at baseline on incident CVD at follow-up. It was found that participants in low PSC environments were 59% more likely to develop new CVD than those in high PSC environments. Logistic regression showed that PSC at baseline predicts lower CVD risk at follow-up (OR = 0.98, 95% CI 0.96-1.00), and this risk remained unchanged even after joint adjustment for measures of ERI and JDC. These results suggest that PSC is an independent risk factor for CVD in Australia. Beyond job design this study implicates organisational climate and prevailing management values regarding worker psychological health as the genesis of CVD.

Subject Areas

Cardiovascular Disease; Psychosocial Safety Climate; Demand-Control; Effort-Reward Imbalance; Epidemiology; Psychosocial Risks

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