Abstract：
BACKGROUND: Preventing occupational accidents is a major global challenge, and employee safety practices play a crucial role in accident prevention. Although perceived organizational support (POS) is related to safety practices, there is currently insufficient evidence supporting a relationship between POS and occupational accidents. We investigated the relationships between POS and both occupational accidents and near-miss events that can lead to accidents in the following year among workers in various industries in Japan.
METHODS: This prospective cohort study was conducted from March 2022 to March 2023 using a questionnaire survey. In total, 9916 participants who completed the follow-up survey and met our inclusion criteria were analyzed. The follow-up survey asked participants about both occupational accidents and near-miss events experienced in the year following the baseline assessment. POS was evaluated at baseline using the eight-item version of the Survey of Perceived Organizational Support. Odds ratios (ORs) for the relationships between POS and occupational accidents and near-miss events were estimated using multilevel logistic regression analyses nested by industries.
RESULTS: The ORs for self-reported occupational accidents were significantly higher for the moderate (OR = 1.41, 95% confidence interval [CI]: 1.10-1.82), low (OR = 1.49, 95%CI: 1.18-1.89), and very low (OR = 2.03, 95%CI: 1.61-2.56) POS groups compared with the very high group. The ORs for self-reported near-miss events were also significantly higher for the moderate (OR = 1.21, 95%CI: 1.03-1.43), low (OR = 1.20, 95%CI: 1.03-1.40), and very low (OR = 1.56, 95%CI: 1.34-1.82) groups than the very high group.
CONCLUSIONS: Our findings suggest lower POS is related to a higher occurrence of occupational accidents and near-miss events in the following year. Organizations should consider enhancing employees\' POS to reduce occupational accidents and near-miss events.
CONCLUSIONS: To enhance employees\' POS, organizations should address identified antecedents of POS (e.g., fairness, supervisor support, rewards, favorable job conditions, and human resource practices).
METHODS: This prospective cohort study was conducted from March 2022 to March 2023 using a questionnaire survey. In total, 9916 participants who completed the follow-up survey and met our inclusion criteria were analyzed. The follow-up survey asked participants about both occupational accidents and near-miss events experienced in the year following the baseline assessment. POS was evaluated at baseline using the eight-item version of the Survey of Perceived Organizational Support. Odds ratios (ORs) for the relationships between POS and occupational accidents and near-miss events were estimated using multilevel logistic regression analyses nested by industries.
RESULTS: The ORs for self-reported occupational accidents were significantly higher for the moderate (OR = 1.41, 95% confidence interval [CI]: 1.10-1.82), low (OR = 1.49, 95%CI: 1.18-1.89), and very low (OR = 2.03, 95%CI: 1.61-2.56) POS groups compared with the very high group. The ORs for self-reported near-miss events were also significantly higher for the moderate (OR = 1.21, 95%CI: 1.03-1.43), low (OR = 1.20, 95%CI: 1.03-1.40), and very low (OR = 1.56, 95%CI: 1.34-1.82) groups than the very high group.
CONCLUSIONS: Our findings suggest lower POS is related to a higher occurrence of occupational accidents and near-miss events in the following year. Organizations should consider enhancing employees\' POS to reduce occupational accidents and near-miss events.
CONCLUSIONS: To enhance employees\' POS, organizations should address identified antecedents of POS (e.g., fairness, supervisor support, rewards, favorable job conditions, and human resource practices).
摘要：
背景：预防职业事故是一项重大的全球挑战，员工安全实践在预防事故中起着至关重要的作用。尽管感知的组织支持(POS)与安全实践有关，目前没有足够的证据支持POS和职业事故之间的关系。我们调查了POS与职业事故和未遂事件之间的关系，这些事故和未遂事件可能导致次年日本各行业工人之间的事故。
方法：这项前瞻性队列研究于2022年3月至2023年3月使用问卷调查进行。总的来说,对完成随访调查并符合我们纳入标准的9916名参与者进行了分析。后续调查向参与者询问了基线评估后一年中发生的职业事故和未遂事件。使用“感知组织支持调查”的八项版本在基线上对POS进行了评估。使用按行业嵌套的多水平逻辑回归分析来估计POS与职业事故和未遂事件之间关系的赔率（OR）。
结果：中度者自我报告职业事故的OR值明显更高（OR=1.41，95％置信区间[CI]：1.10-1.82），低（OR=1.49，95CI：1.18-1.89），和极低组(OR=2.03,95CI:1.61-2.56)POS与极高组比较。中度患者自我报告的近错过事件的OR也显着较高（OR=1.21，95CI：1.03-1.43），低（OR=1.20，95CI：1.03-1.40），且极低组(OR=1.56,95CI：1.34-1.82)比极高组。
结论：我们的研究结果表明，较低的POS与第二年职业事故和未遂事件的较高发生率有关。组织应考虑加强员工的POS，以减少职业事故和未遂事件。
结论：为了提高员工的POS，组织应解决已确定的POS的前身(例如，公平,主管支持,奖励,良好的工作条件,和人力资源实践)。
方法：这项前瞻性队列研究于2022年3月至2023年3月使用问卷调查进行。总的来说,对完成随访调查并符合我们纳入标准的9916名参与者进行了分析。后续调查向参与者询问了基线评估后一年中发生的职业事故和未遂事件。使用“感知组织支持调查”的八项版本在基线上对POS进行了评估。使用按行业嵌套的多水平逻辑回归分析来估计POS与职业事故和未遂事件之间关系的赔率（OR）。
结果：中度者自我报告职业事故的OR值明显更高（OR=1.41，95％置信区间[CI]：1.10-1.82），低（OR=1.49，95CI：1.18-1.89），和极低组(OR=2.03,95CI:1.61-2.56)POS与极高组比较。中度患者自我报告的近错过事件的OR也显着较高（OR=1.21，95CI：1.03-1.43），低（OR=1.20，95CI：1.03-1.40），且极低组(OR=1.56,95CI：1.34-1.82)比极高组。
结论：我们的研究结果表明，较低的POS与第二年职业事故和未遂事件的较高发生率有关。组织应考虑加强员工的POS，以减少职业事故和未遂事件。
结论：为了提高员工的POS，组织应解决已确定的POS的前身(例如，公平,主管支持,奖励,良好的工作条件,和人力资源实践)。
