ArticleBMJ open2018
Relationship between stress-related psychosocial work factors and suboptimal health among Chinese medical staff: a cross-sectional study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention.Frontiers in public health · 2022Pooled it
- Analysis of sub-health status and related factors in medical students in the Chinese Mainland from the perspective of health ecology.BMC public health · 2025Article
- Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study.International journal of occupational medicine and environmental health · 2024Article
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- Influence of lifestyle on suboptimal health: Insights from a national cross-sectional survey in China.Journal of global health · 2023Article
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- A Study on Influencing Factors of Physicians' Suboptimal Health Status in Primary Healthcare Institutions.Risk management and healthcare policy · 2023Article
- Working in hospitals during a pandemic: investigating the resilience among medical staff during COVID-19 outbreak through qualitative and quantitative research.Primary health care research & development · 2022Article
- Stress load of Chinese nurses in Fangcang Shelter Hospitals during the COVID-19 pandemic: A latent profile analysis.Frontiers in public health · 2022Article
- Prevalence of Suboptimal Health Status and Its Influencing Factors among Chinese Software Programmers.Iranian journal of public health · 2021Article
- Evaluation of the relationship between cognitive impairment and suboptimal health status in a northern Chinese population: a cross-sectional study.Journal of global health · 2020Article
- The development and evaluation of a sub-health self-rating scale for university students in China.BMC public health · 2019Article
- Suboptimal health status and psychological symptoms among Chinese college students: a perspective of predictive, preventive and personalised health.The EPMA journal · 2018Article
- Latent class analysis to evaluate performance of plasma cortisol, plasma catecholamines, and SHSQ-25 for early recognition of suboptimal health status.The EPMA journal · 2018Article
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6 authors.
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Abstract
objectivesThe study aimed to develop and validate a model to measure psychosocial factors at work among medical staff in China based on confirmatory factor analysis (CFA). The second aim of the current study was to clarify the association between stress-related psychosocial work factors and suboptimal health status.
designThe cross-sectional study was conducted using clustered sampling method.
settingXuanwu Hospital, a 3A grade hospital in Beijing.
participantsNine hundred and fourteen medical staff aged over 40 years were sampled. Seven hundred and ninety-seven valid questionnaires were collected and used for further analyses. The sample included 94% of the Han population.
main outcome measuresThe Copenhagen Psychosocial Questionnaire (COPSOQ) and the Suboptimal Health Status Questionnaires-25 were used to assess the psychosocial factors at work and suboptimal health status, respectively. CFA was conducted to establish the evaluating method of COPSOQ. A multivariate logistic regression model was used to estimate the relationship between suboptimal health status and stress-related psychosocial work factors among Chinese medical staff.
resultsThere was a strong correlation among the five dimensions of COPSOQ based on the first-order factor model. Then, we established two second-order factors including negative and positive psychosocial work stress factors to evaluate psychosocial factors at work, and the second-order factor model fit well. The high score in negative (OR (95% CI)=1.47 (1.34 to 1.62), P<0.001) and positive (OR (95% CI)=0.96 (0.94 to 0.98), P<0.001) psychosocial work factors increased and decreased the risk of suboptimal health, respectively. This relationship remained statistically significant after adjusting for confounders and when using different cut-offs of suboptimal health status.
conclusionsAmong medical staff, the second-order factor model was a suitable method to evaluate the COPSOQ. The negative and positive psychosocial work stress factors might be the risk and protective factors of suboptimal health, respectively. Moreover, negative psychosocial work stress was the most associated factor to predict suboptimal health.
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