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

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  • Natalie V. Schwatka

    (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)

  • Miranda Dally

    (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)

  • Liliana Tenney

    (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)

  • Erin Shore

    (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)

  • Carol E. Brown

    (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)

  • Lee S. Newman

    (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
    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
    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)

Abstract

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.

Suggested Citation

  • Natalie V. Schwatka & Miranda Dally & Liliana Tenney & Erin Shore & Carol E. Brown & Lee S. Newman, 2020. "Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business," IJERPH, MDPI, vol. 17(6), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2142-:d:336155
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    References listed on IDEAS

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    1. Janalee Thompson & Natalie V. Schwatka & Liliana Tenney & Lee S. Newman, 2018. "Total Worker Health: A Small Business Leader Perspective," IJERPH, MDPI, vol. 15(11), pages 1-15, October.
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    Cited by:

    1. Liliana Tenney & Amy G. Huebschmann & Carol E. Brown & Natalie V. Schwatka & Lee S. Newman, 2022. "Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out a Total Worker Health ® Intervention to Employers," IJERPH, MDPI, vol. 19(3), pages 1-20, January.
    2. Carol E. Brown & Lynn Dexter & Natalie V. Schwatka & Miranda Dally & Liliana Tenney & Erin Shore & Lee S. Newman, 2021. "Total Worker Health ® and Small Business Employee Perceptions of Health Climate, Safety Climate, and Well-Being during COVID-19," IJERPH, MDPI, vol. 18(18), pages 1-15, September.
    3. Achim Siegel & Aileen C. Hoge & Anna T. Ehmann & Peter Martus & Monika A. Rieger, 2021. "Attitudes of Company Executives toward a Comprehensive Workplace Health Management—Results of an Exploratory Cross-Sectional Study in Germany," IJERPH, MDPI, vol. 18(21), pages 1-20, October.

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