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Construction and validation of an integrated measurement model of occupational stress from the perspective of cross-cultural adaptation
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Li-ming QUAN1, Yang ZHANG2, Jing-xuan MA1, Ling-yu WU3, Ting CHEN4, Ya-jia LAN1
Modern Preventive Medicine | 2026, 53(16) : 2922 - 2928
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Modern Preventive Medicine | 2026, 53(16): 2922-2928
• Environmental and Occupational Health •
Construction and validation of an integrated measurement model of occupational stress from the perspective of cross-cultural adaptation
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Li-ming QUAN1, Yang ZHANG2, Jing-xuan MA1, Ling-yu WU3, Ting CHEN4, Ya-jia LAN1
Affiliations
  • Department of Labor Health and Environmental Health, West China School of Public Health, The Fourth Hospital of West China, Sichuan University, Chengdu, Sichuan 610041, China
Published: 2026-08-25 doi: 10.20043/j.cnki.MPM.202509206
Outline
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Objective

To develop an Integrated Measurement Model (IMM) for occupational stress by utilizing the cross-culturally adapted Job Content Questionnaire (JCQ-22adj) to measure occupational stress and its related factors, manifestations, and effects.

Methods

A cluster sampling method was employed to select 807 workers undergoing occupational health examinations as the study subjects. Data on demographic characteristics, occupational stress, insomnia, self-reported symptoms, and related factors and effects were collected using a basic information questionnaire, the JCQ-22adj, the brief Athens Insomnia Scale (AIS-5), and the Symptom Checklist-90. Factor analysis and principal component analysis were applied to integrate physical examination indicators for constructing the IMM and calculating the Stress-related Health Risk Index (SHRI) to assess the risk of stress-related health outcomes.

Results

The constructed IMM comprised three core dimensions: occupational stress, insomnia, and self-reported symptoms, with economic security and work environment as external factors. The subjective and objective health outcomes were represented by perceived workplace comfort and changes in physical examination indicators, respectively. The SHRI calculation formula was derived from the model, yielding a mean score of 19.06. SHRI demonstrated a significant negative correlation with subjective workplace comfort (r=-0.25, P< 0.001). The area under the receiver operating characteristic curve for predicting stress-related diseases was 0.67 (P<0.001), indicating a moderate level of predictive validity and confirming its effectiveness in reflecting the comprehensive health risk associated with occupational stress.

Conclusion

IMM and the SHRI provide a holistic approach to assessing the impact of occupational stress and its composite state on health. They offer valuable insights for formulating targeted intervention strategies for occupational stress and for the assessment and prevention of comprehensive stress-related health risks.

Cross-cultural  /  Occupational stress  /  Integrated measurement model  /  Stress related health risk index
全立明, 张洋, 马景璇, 吴玲玉, 陈婷, 兰亚佳. 跨文化调适视角下的职业紧张整合测量模型的构建与验证. 现代预防医学, 2026 , 53 (16) : 2922 -2928 . DOI: 10.20043/j.cnki.MPM.202509206
Li-ming QUAN, Yang ZHANG, Jing-xuan MA, Ling-yu WU, Ting CHEN, Ya-jia LAN. Construction and validation of an integrated measurement model of occupational stress from the perspective of cross-cultural adaptation[J]. Modern Preventive Medicine, 2026 , 53 (16) : 2922 -2928 . DOI: 10.20043/j.cnki.MPM.202509206
Year 2026 volume 53 Issue 16
233
103
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doi: 10.20043/j.cnki.MPM.202509206
  • Receive Date:2025-09-12
  • Online Date:2026-09-28
  • Published:2026-08-25
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  • Received:2025-09-12
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    Department of Labor Health and Environmental Health, West China School of Public Health, The Fourth Hospital of West China, Sichuan University, Chengdu, Sichuan 610041, China
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小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
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