Educational degree differences in the association between work stress and depression among Chinese healthcare workers: Job satisfaction and sleep quality as the mediators

Qin, Afei; Hu, Fangfang; Qin, Wenzhe; Dong, Yaru; Li, Menghua; Xu, Lingzhong

doi:10.3389/fpubh.2023.1138380

Cited by 7 publications

(2 citation statements)

References 55 publications

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“…The investment in healthcare resources, such as doctors and hospital bed, requires a lengthy process. For instance, doctors typically have higher educational levels compared to other professions [ 54 ], and their training period is often prolonged [ 55 ]. Therefore, the long-term convergence rate of investment in healthcare resources is higher than the short-term convergence rate.…”

Section: Discussionmentioning

confidence: 99%

Does unequal economic development contribute to the inequitable distribution of healthcare resources? Evidence from China spanning 2001–2020

Qin,

et al. 2024

Global Health

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Background There is a dearth of research combining geographical big data on medical resource allocation and growth with various statistical data. Given the recent achievements of China in economic development and healthcare, this study takes China as an example to investigate the dynamic geographical distribution patterns of medical resources, utilizing data on healthcare resources from 290 cities in China, as well as economic and population-related data. The study aims to examine the correlation between economic growth and spatial distribution of medical resources, with the ultimate goal of providing evidence for promoting global health equity. Methods The data used in this study was sourced from the China City Statistical Yearbook from 2001 to 2020. Two indicators were employed to measure medical resources: the number of doctors per million population and the number of hospital and clinic beds per million population. We employed dynamic convergence model and fixed-effects model to examine the correlation between economic growth and the spatial distribution of medical resources. Ordinary least squares (OLS) were used to estimate the β values of the samples. Results The average GDP for all city samples across all years was 36,019.31 ± 32,029.36, with an average of 2016.31 ± 1104.16 doctors per million people, and an average of 5986.2 ± 6801.67 hospital beds per million people. In the eastern cities, the average GDP for all city samples was 47,672.71 ± 37,850.77, with an average of 2264.58 ± 1288.89 doctors per million people, and an average of 3998.92 ± 1896.49 hospital beds per million people. Cities with initially low medical resources experienced faster growth (all β < 0, P < 0.001). The long-term convergence rate of the geographic distribution of medical resources in China was higher than the short-term convergence rate (|βi + 1| > |βi|, i = 1, 2, 3, …, 9, all β < 0, P < 0.001), and the convergence speed of doctor density exceeded that of bed density (bed: |βi| >doc: |βi|, i = 3, 4, 5, …, 10, P < 0.001). Economic growth significantly affected the convergence speed of medical resources, and this effect was nonlinear (doc: βi < 0, i = 1, 2, 3, …, 9, P < 0.05; bed: βi < 0, i = 1, 2, 3, …, 10, P < 0.01). The heterogeneity between provinces had a notable impact on the convergence of medical resources. Conclusions The experiences of China have provided significant insights for nations worldwide. Governments and institutions in all countries worldwide, should actively undertake measures to actively reduce health inequalities. This includes enhancing healthcare standards in impoverished regions, addressing issues of unequal distribution, and emphasizing the examination of social determinants of health within the domain of public health research.

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Section: Discussionmentioning

confidence: 99%

Does unequal economic development contribute to the inequitable distribution of healthcare resources? Evidence from China spanning 2001–2020

Qin,

et al. 2024

Global Health

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“…Stress at work has a negative impact on sleep quality [ 53 ]. A two-year follow-up study of healthcare workers also showed that stress levels increased and sleep quality worsened during the pandemic [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep Quality as a Mediator of Burnout, Stress and Multisite Musculoskeletal Pain in Healthcare Workers: A Longitudinal Study

Vieira,

Mininel,

Sato

2023

Healthcare

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This study aimed to verify whether sleep quality is a mediator of the relationship between burnout, stress and multisite pain in healthcare workers in a longitudinal study with 12 months of follow-up during the COVID-19 pandemic. Online questionnaires were used for data collection. The sociodemographic questionnaire contained personal and occupational data. The short version of the Copenhagen Psychosocial Questionnaire (COPSOQ II-Br) was used to assess burnout and stress. The Pittsburgh Sleep Quality Index (PSQI-Br) assessed sleep quality over one month. The Nordic Musculoskeletal Questionnaire (NMQ) aimed to identify the presence of multisite musculoskeletal pain in the last 12 months and the last 7 days. Mediation analysis was used to verify whether the effect of the predictor variables (burnout and stress) on the dependent variable (number of pain sites in the last 12 months and 7 days) was due to an intervening variable (sleep quality). Stress and burnout were associated with multisite pain in healthcare workers in the last 12 months and the last 7 days. Sleep quality was a significant mediator of this association in the last 12 months, indicating that some of the association between burnout, stress and multisite pain can be explained by poor sleep quality. Thus, a comprehensive approach to long-term multisite pain should consider psychosocial aspects such as burnout, stress and sleep quality.

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Prevalence and factors associated with poor sleep quality among nurses in COVID-19 wards

Janatolmakan,

Naghipour,

Khatony

2024

Sci Rep

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Educational degree differences in the association between work stress and depression among Chinese healthcare workers: Job satisfaction and sleep quality as the mediators

Cited by 7 publications

References 55 publications

Does unequal economic development contribute to the inequitable distribution of healthcare resources? Evidence from China spanning 2001–2020

Does unequal economic development contribute to the inequitable distribution of healthcare resources? Evidence from China spanning 2001–2020

Sleep Quality as a Mediator of Burnout, Stress and Multisite Musculoskeletal Pain in Healthcare Workers: A Longitudinal Study

Prevalence and factors associated with poor sleep quality among nurses in COVID-19 wards

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