Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Department Of Political Science and Sociology, Murray State University, Murray, KY, 42701, USA.
Int J Equity Health. 2017 Jul 5;16(1):118. doi: 10.1186/s12939-017-0618-7.
Many studies have examined the association between socioeconomic status (SES) and mental stress. Uncertainty stress is a prominent aspect of mental stress. Yet no research has ever empirically analyzed the impact of SES on uncertainty stress.
Students were identified through a multistage survey sampling process including 50 universities. Each student participant completed the Global Health Professions Student Survey (GHPSS) on Tobacco Control in China. Regional variables were retrieved from the National Bureau of Statistics database. Both unadjusted and adjusted methods were considered in the analyses.
Among the 11,942 participants, severe uncertainty stress prevalence was 19.6%, while severe life stress prevalence was 8.6%. Multilevel logistic regression showed that most SES variables were associated with uncertainty stress. Students with "operation and commercial work" as mother's occupation and "rural or township" as family location exhibited a higher prevalence of severe uncertainty stress. Lower family income and original region gross domestic products (GDP) were also associated with higher severe uncertainty stress prevalence. However, only father's occupation was correlated with life stress.
Based on the literature review, this is the first empirical study examining the impact of SES on uncertainty stress in China and elsewhere in the world. Our research underscores the importance of decreasing socioeconomic inequalities in controlling excessive uncertainty stress.
许多研究都考察了社会经济地位（SES）与心理压力之间的关系。不确定性压力是心理压力的一个突出方面。然而，尚无研究从实证角度分析 SES 对不确定性压力的影响。
通过包括 50 所大学的多阶段调查抽样过程确定学生。每位学生参与者都完成了《全球卫生专业学生调查在中国的烟草控制》（GHPSS）。区域变量从国家统计局数据库中检索。分析中考虑了未调整和调整后的方法。
在 11942 名参与者中，严重不确定性压力的流行率为 19.6%，而严重生活压力的流行率为 8.6%。多层次逻辑回归显示，大多数 SES 变量与不确定性压力有关。母亲职业为“操作和商业工作”以及家庭所在地为“农村或乡镇”的学生表现出更高的严重不确定性压力流行率。较低的家庭收入和原始地区国内生产总值（GDP）也与较高的严重不确定性压力流行率相关。但是，只有父亲的职业与生活压力有关。
根据文献综述，这是首次在世界范围内实证研究 SES 对中国和其他地区不确定性压力的影响。我们的研究强调了减少社会经济不平等以控制过度不确定性压力的重要性。
