ArticleJMIR public health and surveillance2025
Impact of Perceived Unfairness, Uncertainty, and Life Stress on Urban Residents' Health in China: Cross-Sectional Study.
Article in JMIR public health and surveillance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Gender-patterned associations of exposure, coping, and health outcomes of perceived unfairness stress in urban China.BMC public health · 2026Article
- Association between uncertainty stress and self-rated health among Chinese healthcare professionals: a nationwide cross-sectional survey.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The prevalence of stress factors in urban settings has increased, with significant potential impact on health outcomes. Objective: This study aimed to explore the effect of perceived unfairness, uncertainty, and life stress on self-reported health status, short-term illness, and noncommunicable chronic diseases (NCDs). Methods: A cross-sectional study using multistage stratified sampling was carried out in Xi'an, Hangzhou, Guangzhou, and Guiyang in China in July 2021, and 2851 participants were included in data analysis. Self-reported health status, short-term illness, and NCDs were assessed using self-administered questionnaires. Perceived life stress, unfairness stress, and uncertainty stress were measured using a standard scale. Descriptive statistics were used to analyze participants' demographic characteristics, and chi-square tests clarified statistical differences in self-reported health status, short-term illness, and NCDs based on these characteristics. Multiple logistic regression models were constructed to measure the effects of perceived unfairness stress, uncertainty stress, and life stress on self-reported health status, short-term illness, and NCDs. Results: Severe uncertainty stress (odds ratio [OR] 1.230, 95% CI 1.007-1.503) and severe life stress (OR 1.728, 95% CI 1.411-2.118) were associated with a higher likelihood of poor self-reported health status. Severe uncertainty stress (OR 1.565, 95% CI 1.270-1.929) and severe life stress (OR 1.404, 95% CI 1.136-1.731) increased the odds of short-term illness. In addition, severe unfairness stress (OR 1.306, 95% CI 1.053-1.620), severe uncertainty stress (OR 1.542, 95% CI 1.248-1.905), and severe life stress (OR 1.344, 95% CI 1.084-1.667) were linked to a higher prevalence of NCDs. Conclusions: To conclude, severe uncertainty and life stress were both associated with increased odds of poor health outcomes (self-reported health status, short-term illness, and NCDs), while severe unfairness only affected NCDs. The findings of this study may serve as an empirical reference for the improvement of self-reported illness among Chinese urban residents.
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