ArticleFrontiers in public health2026
Association between uncertainty stress and self-rated health among Chinese healthcare professionals: a nationwide cross-sectional survey.
Article in Frontiers in public health, 2026. 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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Abstract
Background: Research on the association between uncertainty stress (US) and overall health status among healthcare professionals (HCPs) remains limited. Thus, this national cross-sectional study aimed to examine the relationship between US and self-rated health (SRH) in this population. Methods: A cross-sectional online survey of 2,976 HCPs was conducted from September 2022 to January 2023 across three Chinese provinces (eastern, central, western). A two-stage sampling approach was used: purposive sampling of three representative provinces (Zhejiang, Henan, Guizhou), followed by quota sampling within each province to enroll participants from tertiary, secondary, and primary care institutions within each province according to predefined targets. US was measured using the Uncertainty Stress Scale and SRH were assessed using the single-item measure. Binary logistic regression was performed to evaluate the association. Results: High US was reported by 26.5% of participants, and only 48.7% rated their health as good (7.1% excellent, 17.9% very good and 23.7% good). After adjustment, the high US group had an adjusted odds ratio (AOR) of 3.38 (95% CI: 2.81-4.07) for poor SRH compared with the low US group. Working in primary healthcare facilities (AOR = 0.73, 95% CI: 0.59-0.90, tertiary hospitals as referent) and working < 40 h per week (AOR = 0.61, 95% CI: 0.48-0.78, ≥60 h per week as referent) were statistically associated with better SRH, whereas an intermediate professional title was marginally associated with poorer SRH (AOR = 1.31, 95% CI: 1.00-1.70, senior title as the referent). Sensitivity analyses confirmed the robustness of the findings. Conclusions: High US is significantly associated with poor SRH among Chinese HCPs. This uncertainty stressor may represent a critical psychosocial determinant of self-perceived health in this group. Targeted interventions to mitigate US are warranted to safeguard the wellbeing of HCPs and support the sustainability of healthcare systems.
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