Abstract
Health climate is critical for achieving a better health performance in building construction projects. However, the topic is rarely investigated by extant literature. The aim of this study is to identify key determinants of health climate in building construction projects. To achieve this goal, a hypothesis was established between practitioners’ perceptions of health climate and their health status, based on a comprehensive literature review and structured interviews conducted with experienced experts. Then, a questionnaire was developed and administered for data collection. Partial least-squares structural equation modeling was used for data processing and hypothesis test. Results showed that health climate in building construction projects is positively correlated with the health status of the practitioners, and that employment involvement was the most important determinant of health climate in building construction projects, followed by management commitment, and supportive environment. Moreover, significant factors under each determinant of health climate were also disclosed. As limited research has been conducted to examine health climate in building construction projects, this study bridges the knowledge gap and is a contributory work to the current body of knowledge of construction health. Additionally, the findings of this study can provide authorities and practitioners with a deeper understanding of construction health and thereby helping them bring forward more feasible measures to improve health in building construction projects. Thus, this study is useful to the practice as well.
Similar content being viewed by others
Data availability
The datasets or analyses during the current study are available from the corresponding author on reasonable request.
References
Barbosa C et al (2019) Occupational safety and health performance indicators in SMEs: a literature review. Work-a J Prev Assess Rehab 64(2):217–227
Basen-Engquist K et al (1998) Worksite health and safety climate: scale development and effects of a health promotion intervention. Prev Med 27(1):111–119
Boschman JS et al (2013) Psychosocial work environment and mental health among construction workers. Appl Ergon 44(5):748–755
Boustras G et al (2015) Management of health and safety in micro-firms in Cyprus—results from a Nationwide Survey. Saf Sci 79:305–313
Brondino M et al (2012) Multilevel approach to organizational and group safety climate and safety performance: Co-workers as the missing link. Saf Sci 50(9):1847–1856
Burke TJ et al (2017) Let’s work out: communication in workplace wellness programs. Int J Workplace Health Manag 10(2):101–115
Burki T (2018) Mental health in the construction industry. Lancet Psychiatry 5(4):303–303
Chan IYS et al (2016) Occupational health management system: a study of expatriate construction professionals. Accid Anal Prev 93:280–290
Chan APC et al (2020) Mental ill-health risk factors in the construction industry: systematic review. J Constr Eng Manag 146(3):04020004
Cheng YH (2019) Railway safety climate: a study on organizational development. Int J Occup Saf Ergon 25(2):200–216
Cheung CM, Zhang RP (2020) How organizational support can cultivate a multilevel safety climate in the construction industry. J Manag Eng 36(3):04020014
Chiaburu DS, Harrison DA (2008) Do peers make the place? Conceptual synthesis and meta-analysis of coworker effects on perceptions, attitudes, OCBs, and performance. J Appl Psychol 93(5):1082–1103
Choudhry RM et al (2009) Measuring safety climate of a construction company. J Constr Eng Manag-Asce 135(9):890–899
Clarke S (2012) The effect of challenge and hindrance stressors on safety behavior and safety outcomes: a meta-analysis. J Occup Health Psychol 17(4):387–397
Centers for Disease Control and Prevention (2005) CDC National Healthy Worksite Program (NHWP) Employee Health Assessment (CAPTURE). Available online: https://www.cdc.gov/workplacehealthpromotion/tools-resources/pdfs/nhwp-capture-health-assessment-update.pdf. Accessed 5 May 2022
Centers for Disease Control and Prevention (2018) CDC NHWP health and safety climate survey (INPUTS). Available online: https://www.cdc.gov/workplacehealthpromotion/tools-resources/pdfs/nhwp_inputs_survey.pdf. Accessed 5 May 2022
Dabirian S et al (2020) Stochastic-based noise exposure assessment in modular and off-site construction. J Clean Prod 244:118758
Dalmases M et al (2019) Impact of sleep health on self-perceived health status. Sci Rep 9(1):7284
Damman OC et al (2015) Employees are ambivalent about health checks in the occupational setting. Occup Med-Oxford 65(6):451–458
Davies N et al (2007) Sensing danger - Challenges in supporting health and safety compliance in the field. In: Proc., 8th IEEE Workshop on Mobile Computing Systems and Applications. IEEE, Tucson, AZ, pp 34–38
Dement JM et al (2021) COPD risk among older construction workers-updated analyses 2020. Am J Ind Med 64(6):462–475
Dong XWS et al (2020) Musculoskeletal disorders and prescription opioid use among US construction workers. J Occup Environ Med 62(11):973–979
Dursun S (2011) Güvenlik Kültürünün Güvenlik Performansi Üzerine Etkisine Yönelik Bir Uygulama. Bursa Uludag University, Turkish
Eiff G (1999) Organizational safety culture. In: Proceedings of the 10th International Symposium on Aviation Psychology. Dept. of Aviation, Columbus, OH, pp 1–14
Fernandez-Muniz B et al (2007) Safety culture: analysis of the causal relationships between its key dimensions. J Saf Res 38(6):627–641
Fernandez-Muniz B et al (2012) Safety climate in OHSAS 18001-certified organisations: antecedents and consequences of safety behaviour. Accid Anal Prev 45:745–758
Fuller T et al (2021) A systematic review of factors influencing the implementation of health promotion programs in the construction industry. Eng Constr Arch Manag 29(6):2554–2573
Gallagher C et al (2003) Occupational safety and health management systems in Australia: barriers to success. Policy Pract Health Saf 1(2):67–81
Gill A et al (2010) The relationship between transformational leadership and employee desire for empowerment. Int J Contemp Hosp Manag 22(2–3):263–273
Gregoriou S et al (2022) Occupational contact allergy of construction workers in Greece: trends during 2009–2018. Contact Dermatitis 86(1):34–39
Griffin MA, Neal A (2000) Perceptions of safety at work: a framework for linking safety climate to safety performance, knowledge, and motivation. J Occup Health Psychol 5(3):347–358
Grote G (2012) Safety management in different high-risk domains—all the same? Saf Sci 50(10):1983–1992
Hadjimanolis A et al (2015) Work attitudes and safety performance in micro-firms - Results from a nationwide survey: (the opinion of the employees). Saf Sci 80:135–143
Hair JF et al (2011) PLS-SEM: Indeed a silver bullet. J Mark Theor Pract 19(2):139–152
Hair JF et al (2019) When to use and how to report the results of PLS-SEM. Eur Bus Rev 31(1):2–24
Health and Safety Executive (HSE) (2002) Safety climate measurement: user guide and toolkit. Available online: http://plataforma.responsable.net/sites/default/files/safety-climate-assessment-toolkit_1.pdf. Accessed 16 May 2022
Health and Safety Executive (HSE) (2021) Construction statistics in Great Britain, 2021. Available online: https://www.ons.gov.uk/releases/constructionstatisticsgreatbritain2021. Accessed 13 Jun 2022
Henseler J et al (2017) Partial least squares path modeling: updated guidelines. In: Latan H, Noonan R (eds) Partial least squares path modeling: basic concepts, methodological issues and applications. Springer International, Cham, pp 19–39
Hon CKH et al (2012) Empirical study to investigate the difficulties of implementing safety practices inthe repair and maintenance sector in Hong Kong. J Constr Eng Manag 138(7):877–884
Hsueh P-R et al (2009) Consensus statement on the management of invasive candidiasis in intensive care units in the Asia-Pacific Region. Int J Antimicrob Agents 34(3):205–209
Hwang B-G et al (2018) Safety in green building construction projects in Singapore: performance, critical issues, and improvement solutions. KSCE J Civ Eng 22(2):447–458
Jones W et al (2019) Raising the bar for occupational health management in construction. Proc Inst Civ Eng-Civ Eng 172(4):183–190
Jonsson E et al (2019) Silica dust and sarcoidosis in Swedish construction workers. Occup Med-Oxford 69(7):482–486
Landsbergis PA (2003) The changing organization of work and the safety and health of working people: a commentary. J Occup Environ Med 45(1):61–72
Le Y et al (2014) Investigating the causal relationships between causes of and vulnerabilities to corruption in the Chinese public construction sector. J Constr Eng Manag 140(9):05014007
Liang H, Shi X (2022) Exploring the structure and emerging trends of construction health management: a bibliometric review and content analysis. Eng Constr Archit Manag 29(4):1861–1889
Lie A et al (2016) Occupational noise exposure and hearing: a systematic review. Int Arch Occup Environ Health 89(3):351–372
Lin SH et al (2008) Safety climate measurement at workplace in China: a validity and reliability assessment. Saf Sci 46(7):1037–1046
Ling FYY et al (2013) Modeling relational transaction and relationship quality among team members in public projects in Hong Kong. Autom Constr 36:16–24
Man SS et al (2021) The acceptance of personal protective equipment among Hong Kong construction workers: an integration of technology acceptance model and theory of planned behavior with risk perception and safety climate. J Safety Res 79:329–340
Manapragada A, Bruk-Lee V (2016) Staying silent about safety issues: conceptualizing and measuring safety silence motives. Accid Anal Prev 91:144–156
Mateos-Aparicio G (2011) Partial least squares (PLS) methods: Origins, evolution, and application to social sciences.". Commun Stat-Theor Methods 40(13):2305–2317
Mearns KJ, Reader T (2008) Organizational support and safety outcomes: an un-investigated relationship? Saf Sci 46(3):388–397
Micheli GJL, Cagno E (2010) Dealing with SMEs as a whole in OHS issues: warnings from empirical evidence. Saf Sci 48(6):729–733
Mohamed S (2002) Safety climate in construction site environments. J Constr Eng Manag 128(5):375–384
Muluk NB, Oguzturk O (2008) Occupational noise-induced tinnitus: does it affect workers’ quality of life? J Otolaryngol-Head Neck Surg 37(1):65–71
National Bureau of Statistics of China (2017) Measures for the classification of large, medium, small and micro enterprises in statistics (2017). Available online: http://www.stats.gov.cn/tjsj/tjbz/201801/t20180103_1569357.html. Accessed 26 Jan 2023
National Bureau of Statistics of China (2021) China statisic yearbook. Available online: https://data.stats.gov.cn/easyquery.htm?cn=C01. Accessed 12 Jun 2022
National Health Commission of the People's Republic of China (2022) 2021 Statistical Bulletin on the Development of China's Health and Wellness. Available online: http://www.gov.cn/xinwen/2022-07/12/content_5700670.htm. Accessed 12 Jun 2022
Neal A, Griffin MA (2006) A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. J Appl Psychol 91(4):946–953
Niessen MAJ, et al (2013) Determinants of participation in a web-based health risk assessment and consequences for health promotion programs. J Med Int Res 15(8):e151
Ning Y (2014) Quantitative effects of drivers and bathers on networking strategies in public construction projects. Int J Project Manag 32(2):286–297
Ning Y, Ling FYY (2013) Reducing hindrances to adoption of relational behaviors in public construction projects. J Constr Eng Manag 139(11):04013017
Niskanen T et al (2016) A systems thinking approach of occupational safety and health applied in the micro-, meso- and macro-levels: a Finnish survey. Saf Sci 82:212–227
Nordlof H et al (2017) A cross-sectional study of factors influencing occupational health and safety management practices in companies. Saf Sci 95:92–103
Okonkwo PN, Wium J (2020) Health and safety management systems within construction contractor organizations: Case study of South Africa. J Constr Eng Manag 146(5):05020003
Parker AW et al (2017) Development of a multilevel health and safety climate survey tool within a mining setting. J Saf Res 62:173–180
Pritchard C, Dixon PB (2008) Reporting of skin cancer risks in the house-building industry: Alternative approaches to the analysis of categorical data. Public Health 122(3):237–242
Puah LN et al (2016) The effects of perceived organizational support, perceived supervisor support and perceived co-worker support on safety and health compliance. Int J Occup Saf Ergon 22(3):333–339
Reinartz W et al (2009) An empirical comparison of the efficacy of covariance-based and variance-based SEM. Int J Res Mark 26(4):332–344
Reinhold K et al (2015) Practical tool and procedure for workplace risk assessment: evidence from SMEs in Estonia. Saf Sci 71:282–291
Rhoades L, Eisenberger R (2002) Perceived organizational support: a review of the literature. J Appl Psychol 87(4):698–714
Ribisl KM, Reischl TM (1993) Measuring the climate for health at organizations: development of the worksite health climate scales. J Occup Med 35(8):812–824
Rodrigues MA et al (2015) "Multilevel model of safety climate for furniture industries. Work-a J Prev Assess Rehab 51(3):557–570
Romero D et al (2018) On-the-ground health and safety experiences of non-union casino hotel workers: a focus-group study stratified by four occupational groups. Am J Ind Med 61(11):919–928
Safeer R, Allen J (2019) Defining a culture of health in the workplace. J Occup Environ Med 61(11):863–867
Sarstedt M et al (2021) Partial least squares structural equation modeling. In: Handbook of market research. Springer International Publishing, Cham, pp 587–632
Seckiner SU, Unal H (2021) Comparing the alternatives for the most favourable personal protective equipment. Int J Occup Saf Ergon 27(3):921–927
Shan M, et al (2022) Investigating the critical issues in the conservation of heritage building: the case of China. J Build Eng 51:104319
Smallwood J, Deacon C (2020) Occupationalhealth (OH) practices in South African construction. MATEC Web of Conferences. EDP Sciences 312:03003
Snashall D (2005) Occupational health in the construction industry. Scand J Work Environ Health 31:5–10
Soler RE et al (2010) A systematic review of selected interventions for worksite health promotion: the assessment of health risks with feedback. Am J Prev Med 38(2):S237–S262
Stanevich RS, Stanevich RL (1989) Guidelines for an occupational safety and health program. AAOHN J 37(6):205–214
Tin SPP, et al (2016) Workplace health promotion: assessing the cardiopulmonary risks of the construction workforce in Hong Kong. Plos One 11(1):e0146286
Top Y et al (2016) Comparison of practices related to occupational health and safety in microscale wood-product enterprises. Saf Sci 82:374–381
Tucker S et al (2008) Perceived organizational support for safety and employee safety voice: the mediating role of coworker support for safety. J Occup Health Psychol 13(4):319
Turner N et al (2012) Job demands-control-support model and employee safety performance. Accid Anal Prev 45:811–817
Unal O et al (2021) The role of the human factor in occupational safety and health performance. Int J Occup Saf Ergon 27(1):179–184
Wachter JK, Yorio PL (2014) A system of safety management practices and worker engagement for reducing and preventing accidents: an empirical and theoretical investigation. Accid Anal Prev 68:117–130
Wang C et al (2017) Fuzzy mapping on psychological disorders in construction management. J Constr Eng Manag 143(2):04016094
Widaningsih L et al (2018) The attitude of construction workers toward the implementation of occupational health and safety (OHS). Proc IOP Confer Ser Mater Sci Eng 306(1):012075
Yiu NSN et al (2019) Implementation of safety management system in managing construction projects: Benefits and obstacles. Saf Sci 117:23–32
Zhao Z et al (2020) Investigating the impact of governmental governance on megaproject performance: Evidence from China. Technol Econ Dev Econ 26(2):449–478
Zhao WH (2019) Correlative analysis of occupational health management in construction companies to related factors based on fuzzy clustering and grey theory. Proc IOP Confer Seri Earth Environ Sci 267(5):052058
Zhou QA et al (2011) Safety climate improvement: case study in a Chinese construction company. J Constr Eng Manag-Asce 137(1):86–95
Zohar D, Luria G (2005) A multilevel model of safety climate: Cross-level relationships between organization and group-level climates. J Appl Psychol 90(4):616–628
Zweber ZM et al (2016) A practical scale for multi-Faceted organizational health climate assessment. J Occup Health Psychol 21(2):250
Acknowledgements
This study was supported by the National Natural Science Foundation of China (Grant No. 71901224) and Natural Science Foundation of Hunan Province, China (Grant No. 2020JJ5779). Sincere thanks also go to industry and academic experts who have participated in surveys, for both interview and questionnaire.
Funding
This study was supported by the National Natural Science Foundation of China (Grant No. 71901224) and Natural Science Foundation of Hunan Province, China (Grant No. 2020JJ5779).
Author information
Authors and Affiliations
Contributions
Si-Yi Li: methodology, formal analysis, investigation and writing—original draft preparation. Ming Shan: conceptualization, writing—review and editing, Supervision. Zhao Zhai: writing—reviewing and editing.
Corresponding author
Ethics declarations
Ethics approval
No applicable.
Consent to participate
No applicable.
Consent for publication
No applicable.
Competing interests
The authors declare no competing interests.
Additional information
Responsible Editor: Philippe Garrigues
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Li, SY., Shan, M. & Zhai, Z. Understanding key determinants of health climate in building construction projects. Environ Sci Pollut Res 30, 51450–51463 (2023). https://doi.org/10.1007/s11356-023-25950-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-023-25950-5