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Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Research

Occupational stress and associated factors among general practitioners in China: a national cross-sectional study

Authors: Jing Feng, Heng Jiang, Xin Shen, Zihui Lei, Liqing Li, Yi Zhu, Mingye Zhang, Tingting Yang, Xin Meng, Hongkun Di, Wenqi Xia, Zuxun Lu, Yong Gan

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

Occupational stress among general practitioners (GPs) is a public health concern. This study aimed to investigate the prevalence and factors associated with occupational stress among GPs in China.

Methods

A cross-sectional design was used. Data were collected from 3,236 GPs in eastern, central, and western China (response rate, 99.75%) between October 2017 and February 2018 using a structured self-administered questionnaire. An ordinal logistic regression model was used to identify the factors associated with occupational stress among GPs.

Results

Among these respondents, 313 (9.67%), 1,028 (31.77%), and 1,895 (58.56%) of GPs had a low, medium, and high level of occupational stress, respectively. GPs from central China, with temporary work contracts, without management responsibility, receiving a moderate level of income, and with moderate occupational development opportunities had a lower level of occupational stress. GPs with greater than 40 working hours per week and those who worked overtime occasionally or frequently had a higher level of occupational stress.

Conclusions

The prevalence of occupational stress among GPs is high in China. Substantial regional variation in determinants of occupational stress among GPs was observed. These findings should inform the design of policies to reduce the occupational stress of GPs.
Literature
1.
go back to reference National Institute for Occupational Safety and Health. Exposure to Stress Occupational Hazards in Hospitals. 2008. National Institute for Occupational Safety and Health. Exposure to Stress Occupational Hazards in Hospitals. 2008.
2.
go back to reference Pega F, Náfrádi B, Momen NC, et al. Global, regional, and national burdens of ischemic heart disease and stroke attributable to exposure to long working hours for 194 countries, 2000–2016: a systematic analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environ Int. 2021;154:106595.CrossRef Pega F, Náfrádi B, Momen NC, et al. Global, regional, and national burdens of ischemic heart disease and stroke attributable to exposure to long working hours for 194 countries, 2000–2016: a systematic analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environ Int. 2021;154:106595.CrossRef
3.
go back to reference Eddy P, Wertheim EH, Kingsley M, et al. Associations between the effort-reward imbalance model of workplace stress and indices of cardiovascular health: A systematic review and meta-analysis. Neurosci Biobehav Rev. 2017;83:252–66.CrossRef Eddy P, Wertheim EH, Kingsley M, et al. Associations between the effort-reward imbalance model of workplace stress and indices of cardiovascular health: A systematic review and meta-analysis. Neurosci Biobehav Rev. 2017;83:252–66.CrossRef
4.
go back to reference Mo Y, Deng L, Zhang L, et al. Anxiety of Nurses to support Wuhan in fighting against COVID-19 Epidemic and its Correlation With Work Stress and Self-efficacy. J Clin Nurs. 2021;30(3–4):397–405.CrossRef Mo Y, Deng L, Zhang L, et al. Anxiety of Nurses to support Wuhan in fighting against COVID-19 Epidemic and its Correlation With Work Stress and Self-efficacy. J Clin Nurs. 2021;30(3–4):397–405.CrossRef
5.
go back to reference Oenning NSX, Ziegelmann PK, Goulart BNG, et al. Occupational factors associated with major depressive disorder: A Brazilian population-based study. J Affect Disord. 2018;240:48–56.CrossRef Oenning NSX, Ziegelmann PK, Goulart BNG, et al. Occupational factors associated with major depressive disorder: A Brazilian population-based study. J Affect Disord. 2018;240:48–56.CrossRef
6.
go back to reference Brooks RP, Jones MT, Hale MW, et al. Positive verbal feedback about task performance is related with adaptive physiological responses: An experimental study of the effort-reward imbalance stress model. Int J Psychophysiol. 2019;135:55–62.CrossRef Brooks RP, Jones MT, Hale MW, et al. Positive verbal feedback about task performance is related with adaptive physiological responses: An experimental study of the effort-reward imbalance stress model. Int J Psychophysiol. 2019;135:55–62.CrossRef
7.
go back to reference Li J, Liu H, van der Heijden B, et al. The role of Filial Piety in the relationships between work stress, job satisfaction, and turnover intention: a moderated mediation Model. Int J Environ Res Public Health. 2021;18(2):714.CrossRef Li J, Liu H, van der Heijden B, et al. The role of Filial Piety in the relationships between work stress, job satisfaction, and turnover intention: a moderated mediation Model. Int J Environ Res Public Health. 2021;18(2):714.CrossRef
8.
go back to reference Basu S, Qayyum H, Mason S. Occupational stress in the ED: a systematic literature review. Emerg Med J. 2017;34(7):441–7.CrossRef Basu S, Qayyum H, Mason S. Occupational stress in the ED: a systematic literature review. Emerg Med J. 2017;34(7):441–7.CrossRef
9.
go back to reference Boran A, Shawaheen M, Khader Y, et al. Work-related stress among health professionals in northern Jordan. Occup Med. 2012;62(2):145–7.CrossRef Boran A, Shawaheen M, Khader Y, et al. Work-related stress among health professionals in northern Jordan. Occup Med. 2012;62(2):145–7.CrossRef
10.
go back to reference He R, Liu J, Zhang WH, et al. Turnover intention among primary health workers in China: a systematic review and meta-analysis. BMJ Open. 2020;10(10):e037117.CrossRef He R, Liu J, Zhang WH, et al. Turnover intention among primary health workers in China: a systematic review and meta-analysis. BMJ Open. 2020;10(10):e037117.CrossRef
11.
go back to reference Cohidon C, Wild P, Senn N. Job stress among GPs: associations with practice organisation in 11 high-income countries. Br J Gen Pract. 2020;70(698):e657–67.CrossRef Cohidon C, Wild P, Senn N. Job stress among GPs: associations with practice organisation in 11 high-income countries. Br J Gen Pract. 2020;70(698):e657–67.CrossRef
12.
go back to reference Siegrist J, Shackelton R, Link C, et al. Work stress of primary care physicians in the US, UK and German health care systems. Soc Sci Med. 2010;71(2):298–304.CrossRef Siegrist J, Shackelton R, Link C, et al. Work stress of primary care physicians in the US, UK and German health care systems. Soc Sci Med. 2010;71(2):298–304.CrossRef
13.
go back to reference Kersting C, Zimmer L, Thielmann A, et al. Chronic stress, work-related daily challenges and medicolegal investigations: a cross-sectional study among German general practitioners. BMC Fam Pract. 2019;20(1):143.CrossRef Kersting C, Zimmer L, Thielmann A, et al. Chronic stress, work-related daily challenges and medicolegal investigations: a cross-sectional study among German general practitioners. BMC Fam Pract. 2019;20(1):143.CrossRef
14.
go back to reference Leutgeb R, Frankenhauser-Mannuß J, Scheuer M, et al. Job satisfaction and stressors for working in out-of-hours care - a pilot study with general practitioners in a rural area of Germany. BMC Fam Pract. 2018;19(1):95.CrossRef Leutgeb R, Frankenhauser-Mannuß J, Scheuer M, et al. Job satisfaction and stressors for working in out-of-hours care - a pilot study with general practitioners in a rural area of Germany. BMC Fam Pract. 2018;19(1):95.CrossRef
15.
go back to reference Voltmer E, Rosta J, Siegrist J, et al. Job stress and job satisfaction of physicians in private practice: comparison of German and Norwegian physicians. Int Arch Occup Environ Health. 2012;85(7):819–28.CrossRef Voltmer E, Rosta J, Siegrist J, et al. Job stress and job satisfaction of physicians in private practice: comparison of German and Norwegian physicians. Int Arch Occup Environ Health. 2012;85(7):819–28.CrossRef
16.
go back to reference Babbott S, Manwell LB, Brown R, et al. Electronic medical records and physician stress in primary care: results from the MEMO Study. J Am Med Inf Assoc. 2014;21(e1):e100–6.CrossRef Babbott S, Manwell LB, Brown R, et al. Electronic medical records and physician stress in primary care: results from the MEMO Study. J Am Med Inf Assoc. 2014;21(e1):e100–6.CrossRef
17.
go back to reference Viehmann A, Kersting C, Thielmann A, et al. Prevalence of chronic stress in general practitioners and practice assistants: Personal, practice and regional characteristics. PLoS ONE. 2017;12(5):e0176658.CrossRef Viehmann A, Kersting C, Thielmann A, et al. Prevalence of chronic stress in general practitioners and practice assistants: Personal, practice and regional characteristics. PLoS ONE. 2017;12(5):e0176658.CrossRef
18.
go back to reference Degen L, Linden K, Seifried-Dübon T, et al. Job satisfaction and chronic stress of general practitioners and their teams: baseline data of a cluster-randomised trial (IMPROVEjob). Int J Env Res Public Health. 2021;18(18):9458.CrossRef Degen L, Linden K, Seifried-Dübon T, et al. Job satisfaction and chronic stress of general practitioners and their teams: baseline data of a cluster-randomised trial (IMPROVEjob). Int J Env Res Public Health. 2021;18(18):9458.CrossRef
19.
go back to reference Lee FJ, Stewart M, Brown JB. Stress, burnout, and strategies for reducing them: what’s the situation among Canadian family physicians? Can Fam Physician. 2008;54(2):234–5.PubMedPubMedCentral Lee FJ, Stewart M, Brown JB. Stress, burnout, and strategies for reducing them: what’s the situation among Canadian family physicians? Can Fam Physician. 2008;54(2):234–5.PubMedPubMedCentral
20.
go back to reference Li L, Gan Y, Yang Y, et al. Analysis on professional identity and related factors among Chinese general practitioners: a National Cross-sectional Study. BMC fam pract. 2020;21(1):80.CrossRef Li L, Gan Y, Yang Y, et al. Analysis on professional identity and related factors among Chinese general practitioners: a National Cross-sectional Study. BMC fam pract. 2020;21(1):80.CrossRef
21.
go back to reference Salam A, Abu-Helalah M, Jorissen SL, et al. Job stress and job satisfaction among health care professionals. Eur Sci J. 2014;10(32):156–73. Salam A, Abu-Helalah M, Jorissen SL, et al. Job stress and job satisfaction among health care professionals. Eur Sci J. 2014;10(32):156–73.
22.
go back to reference Birhanu M, Gebrekidan B, Tesefa G, et al. Workload Determines Workplace Stress among Health Professionals Working in Felege-Hiwot Referral Hospital, Bahir Dar. Northwest Ethiopia J Environ Public Health. 2018;2018:6286010.PubMed Birhanu M, Gebrekidan B, Tesefa G, et al. Workload Determines Workplace Stress among Health Professionals Working in Felege-Hiwot Referral Hospital, Bahir Dar. Northwest Ethiopia J Environ Public Health. 2018;2018:6286010.PubMed
23.
go back to reference Wu J, Yang Y. Inequality trends in the demographic and geographic distribution of health care professionals in China: Data from 2002 to 2016. Int J Health Plann Manage. 2019;34(1):e487–508.CrossRef Wu J, Yang Y. Inequality trends in the demographic and geographic distribution of health care professionals in China: Data from 2002 to 2016. Int J Health Plann Manage. 2019;34(1):e487–508.CrossRef
24.
go back to reference Ma J, Chen X, Zheng Q, et al. Serious Workplace Violence Against Healthcare Providers in China Between 2004 and 2018. Front public health. 2020;8:574765.CrossRef Ma J, Chen X, Zheng Q, et al. Serious Workplace Violence Against Healthcare Providers in China Between 2004 and 2018. Front public health. 2020;8:574765.CrossRef
25.
go back to reference Gibson J, Checkland K, Coleman A, et al. Eighth national GP worklife survey. 2015. Gibson J, Checkland K, Coleman A, et al. Eighth national GP worklife survey. 2015.
26.
go back to reference Chinese Medical Doctor Association. The research reports of Chinese physician practice status. 2015. Chinese Medical Doctor Association. The research reports of Chinese physician practice status. 2015.
27.
go back to reference Song P, Ren Z, Chang X, et al. Inequality of Paediatric Workforce Distribution in China. Front Public Health. 2016;13(7):703. Song P, Ren Z, Chang X, et al. Inequality of Paediatric Workforce Distribution in China. Front Public Health. 2016;13(7):703.
Metadata
Title
Occupational stress and associated factors among general practitioners in China: a national cross-sectional study
Authors
Jing Feng
Heng Jiang
Xin Shen
Zihui Lei
Liqing Li
Yi Zhu
Mingye Zhang
Tingting Yang
Xin Meng
Hongkun Di
Wenqi Xia
Zuxun Lu
Yong Gan
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-13484-3

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