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

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

doi:10.1186/s12889-022-13484-3

Table 3 Ordinal logistic regression model analysis for the association with the occupational stress among GPs

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

Variables	National^a			Eastern China^b			Central China^b			Western China^b
Variables	OR	95% CI	*P value*	OR	95% CI	*P value*	OR	95% CI	*P value*	OR	95% CI	*P value*
Region (ref: eastern China)
Central China	0.81	0.67–0.98	0.028
Western China	0.90	0.75–1.09	0.296
Age (ref: 21-)
30-	1.11	0.87–1.41	0.393	1.40	0.90–2.17	0.132	1.03	0.67–1.59	0.885	1.10	0.74–1.63	0.649
40-	1.07	0.80–1.42	0.670	1.48	0.88–2.50	0.144	1.03	0.61–1.73	0.918	0.96	0.59–1.57	0.879
50-	0.75	0.50–1.13	0.171	1.21	0.59–2.49	0.608	0.80	0.39–1.65	0.551	0.43	0.20–0.89	0.023
Gender (ref: male)
Female	0.94	0.80–1.10	0.431	0.97	0.75–1.26	0.821	0.75	0.57–0.99	0.045	1.19	0.88–1.61	0.267
Marital status (ref: unmarried/widowed/divorced)
Married	1.11	0.89–1.39	0.350	1.29	0.87–1.90	0.200	0.82	0.54–1.22	0.322	1.28	0.87–1.86	0.206
Education level (ref: associate’s degree or vocational diploma)
Bachelor degree	1.06	0.88–1.27	0.557	1.12	0.76–1.66	0.565	1.15	0.83–1.58	0.402	0.98	0.74–1.31	0.894
Master degree or higher	0.82	0.58–1.17	0.277	0.91	0.51–1.61	0.739	0.86	0.45–1.67	0.663	0.71	0.32–1.58	0.397
Work tenure (years, ref: 1-)
10-	1.14	0.94–1.37	0.192	1.05	0.78–1.42	0.734	1.18	0.83–1.67	0.364	1.18	0.81–1.72	0.389
20-	0.90	0.63–1.28	0.556	0.77	0.43–1.37	0.378	0.99	0.53–1.83	0.969	0.85	0.43–1.68	0.647
Contract status (ref: permanent)
Temporary	0.84	0.71–1.00	0.047	0.99	0.69–1.41	0.950	0.90	0.67–1.21	0.502	0.71	0.54–0.94	0.017
Professional title (ref: elementary or below)
Intermediate	1.16	0.96–1.39	0.121	0.97	0.70–1.34	0.852	1.31	0.94–1.82	0.108	1.11	0.80–1.54	0.545
Senior	0.89	0.65–1.20	0.443	0.54	0.33–0.91	0.020	0.90	0.52–1.57	0.711	1.45	0.81–2.57	0.209
Management responsibility (ref: yes)
No	0.44	0.35–0.54	< 0.001	0.34	0.23–0.48	< 0.001	0.48	0.33–0.69	< 0.001	0.50	0.34–0.72	< 0.001
Income level (ref: low)
Moderate	0.77	0.65–0.92	0.003	0.91	0.68–1.22	0.530	0.68	0.50–0.93	0.015	0.76	0.56–1.03	0.078
High	1.08	0.67–1.72	0.761	1.12	0.45–2.79	0.809	1.05	0.50–2.19	0.907	1.10	0.46–2.61	0.836
Working hours per week (ref: ≤ 40)
> 40	1.89	1.61–2.23	< 0.001	2.08	1.56–2.78	< 0.001	1.61	1.21–2.14	0.001	2.00	1.51–2.66	< 0.001
Working overtime (ref: never)
Occasion	2.50	1.86–3.35	< 0.001	1.98	1.24–3.19	0.005	2.76	1.66–4.61	< 0.001	2.91	1.63–5.18	< 0.001
Frequent	6.52	4.76–8.93	< 0.001	4.25	2.57–7.03	< 0.001	7.90	4.55–13.73	< 0.001	8.89	4.80–16.47	< 0.001
Occupational development opportunities (ref: low)
Moderate	0.79	0.67–0.92	0.002	0.91	0.71–1.18	0.491	0.81	0.61–1.07	0.131	0.68	0.52–0.89	0.005
High	0.94	0.70–1.26	0.680	1.31	0.82–2.09	0.261	0.53	0.31–0.91	0.022	1.22	0.68–2.19	0.505

Abbreviations:CI confidence interval, GPs general practitioners, OR odds ratio, ref reference
^aAdjustment for region (eastern China, central China, western China), age (21–, 30–, 40–, 50–), gender (male, female), marital status (unmarried/widowed/divorced, married), education level (associate’s degree or vocational diploma, bachelor degree, master degree or higher), work tenure (1–, 10–, 20–), contract status (permanent, temporary), professional title (elementary or below, intermediate, senior), management responsibility (yes, no), income level (low, moderate, high), working hours per week (≤ 40, > 40), working overtime (never, occasion, frequent), and occupational development opportunities (low, moderate, high)
^bAdjustment for age (21–, 30–, 40–, 50–), gender (male, female), marital status (unmarried/widowed/divorced, married), education level (associate’s degree or vocational diploma, bachelor degree, master degree or higher), work tenure (1–, 10–, 20–), contract status (permanent, temporary), professional title (elementary or below, intermediate, senior), management responsibility (yes, no), income level (low, moderate, high), working hours per week (≤ 40, > 40), working overtime (never, occasion, frequent), and occupational development opportunities (low, moderate, high)

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