Evidence map›Paper›PMID 40759524›Full record

ArticleBMJ open2025

Association between uncertainty stress and oral health-related quality of life among junior high school students in Zhejiang Province, China: a cross-sectional survey.

Jiangping Wang, Lujin Zhang, Jiadan Dai, Ruyu Sun, Xuepeng Chen, Weifang Zhang

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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jiangping WangDepartment of Child Psychology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center For Child Health, Zhejiang University, Hangzhou, Zhejiang, China.
Lujin ZhangStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Zhejiang University, Hangzhou, Zhejiang, China.ORCID http://orcid.org/0000-0002-2663-463X
Jiadan DaiStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Zhejiang University, Hangzhou, Zhejiang, China.
Ruyu SunStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Zhejiang University, Hangzhou, Zhejiang, China.ORCID http://orcid.org/0000-0002-6707-5600
Xuepeng ChenStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Zhejiang University, Hangzhou, Zhejiang, China.
Weifang ZhangStomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Zhejiang University, Hangzhou, Zhejiang, China chzwf@zju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the relationship between uncertainty stress and oral health-related quality of life (OHRQoL) among junior high school students in Zhejiang Province, China, and to identify the sociodemographic factors that may influence this association.

designCross-sectional survey using multistage cluster sampling.

settingJunior high schools in two cities (Ningbo and Jinhua) in Zhejiang Province, China, between April and July 2024.

participants1348 eighth-grade students aged 13-16 years were included. INCLUSION CRITERIA: voluntary participation with guardian consent, absence of mental illness or physical disabilities and adequate literacy to complete questionnaires. EXCLUSION CRITERIA: intellectual disability or incomplete responses. OUTCOME MEASURES: OHRQoL was dichotomised based on the Child Perceptions Questionnaire for 11- to 14-year-olds (CPQ11-14) median score (≤20=good OHRQoL and >20=poor OHRQoL). Uncertainty stress was measured via a validated 5-point Likert scale (≤12=low and ≥13=high).

resultsHigh uncertainty stress was significantly associated with poor OHRQoL (χ²=41.34, p<0.001). Multivariable logistic regression adjusting for gender and maternal education showed students with high uncertainty stress had 4.7-fold increased odds of poor OHRQoL (adjusted OR (aOR)=4.72, 95% CI: 2.81 to 7.93, p<0.001). Female gender was independently associated with poor OHRQoL (aOR=1.30, 95% CI: 1.05 to 1.62, p<0.05). Higher maternal education had a protective association with a maternal bachelor's degree associated with 57% reduced odds of poor OHRQoL (aOR=0.43, 95% CI: 0.25 to 0.75, p<0.01).

conclusionsJunior high school students experiencing high uncertainty stress have a significantly increased risk of poor OHRQoL. Female students and those with less educated mothers were particularly vulnerable. School-based interventions should integrate psychological support with oral health promotion. Future longitudinal studies are needed to establish causal relationships.

Indexed as

Oral HealthQuality of LifeStress, PsychologicalStudentsAdolescentChinaCross-Sectional StudiesFemaleHumansLogistic ModelsMaleSurveys and QuestionnairesUncertaintyCross-Sectional StudiesMENTAL HEALTHORAL MEDICINE

Identifiers

PMID40759524
PMCPMC12323536

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.