**Toni Alterman 1,\* , Rebecca Tsai 1, Jun Ju <sup>1</sup> and Kevin M. Kelly <sup>2</sup>**


Received: 30 November 2018; Accepted: 9 January 2019; Published: 15 January 2019

**Abstract:** This study examined associations between trust, an important aspect of workplace social capital, with seven cardiovascular disease (CVD) risk factors (American Heart Association Life's Simple 7 (LS7)): smoking, obesity, low physical activity, poor diet, diabetes, high cholesterol, and high blood pressure. Data are from the U.S. Gallup-Sharecare Well-Being Index (2010–2012), a nationally representative telephone survey of U.S. workers (*n* = 412,884). The independent variable was the response to a work environment (WE) question as to whether their supervisor always creates an open and trusting environment. Regression models were adjusted for demographic characteristics with each of the LS7 CVD risk factors as dependent variables. Twenty-one percent of workers reported that their supervisor did not create an open and trusting environment. Trust was associated with increased adjusted odds of having many of the LS7 CVD risk factors. Among those workers whose supervisor created a mistrustful environment, the odds ratios were greatest (>20%) for having four or more of the LS7 CVD risk factors.

**Keywords:** cardiovascular disease; work environment; social capital; trust; Total Worker Health®; health behaviors; job stress
