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.
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.
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.
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.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |