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Quality of life and its influencing factors among medical professionals in China

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Abstract

Purpose

The present study is to evaluate quality of life (QOL) among Chinese medical professionals and explore its main influencing factors.

Methods

A total of 2,721 medical professionals were selected from two provinces by using stratified cluster sampling method. The Chinese version of Short Form-36 Health Survey (SF-36) was used to measure QOL; Occupation Stress Inventory-Revised Edition (OSI-R) was used for occupational stress and coping resources. Other potential influencing factors for QOL were collected using a structured questionnaire. Multivariate analysis approach was applied to determine the influencing factors for QOL.

Results

QOL in the medical professionals was less desirable in comparison with the general population. Occupational stress, long working hour, occupation (being nurse), department (working in surgery) were unfavorable factors for PCS and MCS, and recreation, performance recognized, drinking and physical activity were protective factors for PCS, while rational coping, recreation, social support, performance recognized, drinking and physical activity were favorable factors for MCS.

Conclusions

The results suggest that occupational factors, behavioral factors and coping resources, as well as age, play significant roles in QOL in the medical professionals. Accordingly, interventional program designed to target relieving occupational stress, adjusting behavioral habits and increasing coping resources may be useful to improve QOL among medical professionals.

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References

  • Acree LS, Longfors J, Fjeldstad AS, Fjeldstad C, Schank B, Nickel KJ et al (2006) Physical activity is related to quality of life in older adults. Health Qual Life Outcomes 4:37

    Article  Google Scholar 

  • Belkic KL, Landsbergis PA, Schnall PL, Baker D (2004) Is job strain a major source of cardiovascular disease risk? Scand J Work Environ Health 30(2):85–128

    Google Scholar 

  • Bland JM, Altman DG (1997) Statistics notes: Cronbach’s alpha. Br Med J 314:572

    CAS  Google Scholar 

  • Bratt MM, Broome M, Kelber S, Lostocco L (2000) Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses. AJCC 9(5):307–317

    CAS  Google Scholar 

  • Brown DW, Balluz LS, Heath GW, Moriarty DG, Ford ES, Giles WH et al (2003) Associations between recommended levels of physical activity and health-related quality of life: findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. Prev Med 37(5):520–528

    Article  Google Scholar 

  • Centre for Health Statistics and Information, Ministry of Health (2009) Abstract about China health statistics. http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohbgt/s8274/200905/40765.htm. Accessed 20 May 2009

  • Chen YS, Chen MC, Chou FH, Sun FC, Chen PC, Tsai KY et al (2007) The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Qual Life Res 16(8):1289–1297

    Article  Google Scholar 

  • Christian AH, Cheema AF, Smith SC, Mosca L (2007) Predictors of quality of life among women with coronary heart disease. Qual Life Res 16(3):363–373

    Article  Google Scholar 

  • Holmgren K, Dahlin-Ivanoff S, Björkelund C, Hensing G (2009) The prevalence of work-related stress, and its association with self-perceived health and sick-leave, in a population of employed Swedish women. BMC Public Health 9:73

    Article  Google Scholar 

  • Hopman WM, Berger C, Joseph L, Barr SI, Gao Y, Prior JC et al (2007) The association between body mass index and health-related quality of life: data from CaMos, a stratified population study. Qual Life Res 16(10):1595–1603

    Article  Google Scholar 

  • Hsu MY, Kernohan G (2006) Dimensions of hospital nurses’ quality of working life. J Adv Nurs 54(1):120–131

    Article  Google Scholar 

  • Johnson JV, Lipscomb J (2006) Working time per day, occupational health and the changing nature of work organization. Am J Ind Med 49:921–929

    Article  Google Scholar 

  • Khoudri I, Ali Zeggwagh A, Abidi K, Madani N, Abouqal R (2007) Measurement properties of the Short Form 36 and health-related quality of life after intensive care in Morocco. Acta Anaesthesiol Scand 51(2):189–197

    Article  CAS  Google Scholar 

  • Killian JG (2004) Career and technical education teacher burnout: impact of humor-coping style and job-related stress. Dissertation. PhD Thesis, Southern Illinois University, Carbondale

  • Kim HC, Min JY, Min KB, Park SG (2009) Job strain and the risk for occupational injury in small- to medium-sized manufacturing enterprises: a prospective study of 1, 209 Korean employees. Am J Ind Med 52(4):322–330

    Article  Google Scholar 

  • Kuper H, Marmot M (2003) Job strain, job demands, decision latitude, and risk of coronary heart disease within the Whitehall II study. J Epidemiol Community Health 57(2):147–153

    Article  CAS  Google Scholar 

  • Lam CL, Tse EY, Gandek B, Fong DY (2005) The SF-36 summary scales were valid, reliable, and equivalent in a Chinese population. J Clin Epidemiol 58(8):815–822

    Article  Google Scholar 

  • Landsbergis PA (2003) The changing organization of work and the safety and health of working people: a commentary. J Occup Environ Med 45(1):61–72

    Article  Google Scholar 

  • Li J, Lan YJ, Wang ZM, Wang MZ, Wang MZ, Liu GQ (2001a) The test of occupational stress inventory revised edition. Chin J Ind Hyg Occup Dis 19(3):190–193

    Google Scholar 

  • Li NX, Liu CJ, Li J, Ren XH (2001b) The norms of SF-36 dimension scores in urban and rural residents of Sichuan province. Hua Xi Yi Ke Da Xue Xue Bao 32:43–47

    CAS  Google Scholar 

  • Li L, Wang H, Shen Y (2002) Development and psychometric tests of a Chinese version of the SF-36 Health Survey Scales. Zhonghua Yu Fang Yi Xue Za Zhi 36(2):109–113

    Google Scholar 

  • Liu Y, Tanaka H, Fukuoka Heart Study Group (2002) Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men. Occup Environ Med 59(7):447–451

    Article  CAS  Google Scholar 

  • Manning MR, Jackson CN, Fusilier MR (1996) Occupational stress, social support, and the costs of health care. Acad Manag J 39(3):738–750

    Article  CAS  Google Scholar 

  • Masthoff ED, Trompenaars FJ, Van Heck GL, Michielsen HJ, Hodiamont PP, De Vries J (2007) Predictors of quality of life: a model based study. Qual Life Res 16(2):309–320

    Article  Google Scholar 

  • McVicar A (2003) Workplace stress in nursing: a literature review. J Adv Nurs 44(6):633–642

    Article  Google Scholar 

  • Mein G, Martikainen P, Stansfeld SA, Brunner EJ, Fuhrer R, Marmot MG (2000) Predictors of early retirement in British civil servants. Age Ageing 29(6):529–536

    Article  CAS  Google Scholar 

  • Pikhart H, Bobak M, Pajak A, Malyutina S, Kubinova R, Topor R et al (2004) Psychosocial factors at work and depression in three countries of Central and Eastern Europe. Soc Sci Med 58(8):1475–1482

    Article  Google Scholar 

  • Sarna L, Bialous SA, Cooley ME, Jun HJ, Feskanich D (2008) Impact of smoking and smoking cessation on health-related quality of life in women in the Nurses’ Health Study. Qual Life Res 17(10):1217–1227

    Article  Google Scholar 

  • Schaufeli WB, Buunk BP (2003) Burnout: an overview of 25 years of research and theorizing. In: Schabracq MJ, Winnubst JAM, Cooper CL (eds) The handbook of work and health psychology, 2nd edn. Wiley, Chichester, pp 383–424

    Google Scholar 

  • Shen HC, Cheng Y, Tsai PJ, Lee SH, Guo YL (2005) Occupational stress in nurses in psychiatric institutions in Taiwan. J Occup Health 47(3):218–225

    Article  Google Scholar 

  • Tsutsumi A, Kawakami N (2004) A review of empirical studies on the model of effort-reward imbalance at work: reducing occupational stress by implementing a new theory. Soc Sci Med 59(11):2335–2359

    Article  Google Scholar 

  • Tsutsumi A, Kayaba K, Theorell T, Siegrist J (2001) Association between job stress and depression among Japanese employees threatened by job loss in a comparison between two complementary job-stress models. Scand J Work Environ Health 27(2):146–153

    CAS  Google Scholar 

  • Van der Hulst M (2003) Long work hours and health. Scand J Work Environ Health 29(3):171–188

    Google Scholar 

  • Wang ZM, Lan YJ, Li J, Wang MZ (2001) Appraisal of occupational stress and strain in primary and secondary school teachers. J West China Univ Med Sci 32(3):392–395

    CAS  Google Scholar 

  • Wang R, Wu C, Zhao Y, Yan X, Ma X, Wu M et al (2008) Health related quality of life measured by SF-36: a population-based study in Shanghai, China. BMC Public Health 8:292

    Article  Google Scholar 

  • Ware JE, Kosinski M, Gandek B (1993) SF-36 Health Survey: manual and interpretation guide. Quality Metric Inc, Lincoln, p 13

    Google Scholar 

  • Ware JE Jr, Kosinski M, Bayliss MS, McHorney CA, Rogers WH, Raczek A (1995) Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the medical outcomes study. Med Care 33:AS264–AS279

    Article  Google Scholar 

  • Wu SY, Li J, Wang MZ, Li HY (2006) Intervention on occupational stress among teachers in the middle schools in China. Stress Health 22(5):329–336

    Article  CAS  Google Scholar 

  • Wu SY, Zhu W, Wang ZM, Wang MZ, Lan YJ (2007) Relationship between burnout and occupational stress among nurses in China. J Adv Nurs 59(3):233–239

    Article  Google Scholar 

  • Wu SY, Zhu W, Li HY (2008) Relationship between job burnout and occupational stress among doctors in China. Stress Health 24(2):143–149

    Article  Google Scholar 

  • Yao SQ, Tian L, Pang BD, Bai YP, Fan XY, Shen FH et al (2008) Investigation on job stress of pediatricians and nurses working in pediatric department. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 26(9):529–532

    Google Scholar 

  • Zeng FH, Wang ZM, Wang MZ, Lan YJ (2002) Occupational stress and strain in criminal policemen. Chin J Environ Occup Med Chin 19(5):281–283

    Google Scholar 

  • Zhu W, Jiang QS, Wang ZM, Wang MZ, Lan YJ (2008) Influence of occupational stress on quality of life in medical workers. J Zhengzhou Univ (Med Sci) 43(3):468–472

    Google Scholar 

Download references

Acknowledgments

This study was supported by the Talented Person Foundation from Science Technology Agency of Fujian Province of China (NO.2006F3056) and the Science Foundation of Education Office of Fujian Province of China (NO.JA07090).

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Correspondence to Xiaorong Wang.

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Wu, S., Zhu, W., Li, H. et al. Quality of life and its influencing factors among medical professionals in China. Int Arch Occup Environ Health 83, 753–761 (2010). https://doi.org/10.1007/s00420-009-0496-4

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  • DOI: https://doi.org/10.1007/s00420-009-0496-4

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