Individual and regional association between socioeconomic status and uncertainty stress, and life stress: a representative nationwide study of China

Yang, Tingzhong; Yang, Xiaozhao Yousef; Yu, Lie; Cottrell, Randall R.; Jiang, Shuhan

doi:10.1186/s12939-017-0618-7

Cited by 40 publications

(56 citation statements)

References 28 publications

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“…The higher the total score, the greater is the perceived level of stress. Consistent with prior practice, scores exceeding two on each item indicated "high stress" (Yang et al, 2007(Yang et al, , 2012(Yang et al, , 2017aWu et al, 2016). The Cronbach's α coefficient was 0.80 for uncertainty stress, 0.74 for life stress, and 0.61 for study stress in this study.…”

Section: Perceived Stresssupporting

confidence: 82%

“…According to current studies, there are four forms of uncertainty stress: fate unpredictability, life goal uncertainty, social value uncertainty, and social change uncertainty (Wu et al, 2016;Yang et al, 2017a,b). One study underscored that socioeconomic inequalities were an antecedent of uncertainty stress (Yang et al, 2017a). In that study of college students, uncertainty stress was found to be related to one's social standing, access to material resources, and levels of social support (Yang et al, 2017a).…”

Section: Discussionmentioning

confidence: 99%

“…One study underscored that socioeconomic inequalities were an antecedent of uncertainty stress (Yang et al, 2017a). In that study of college students, uncertainty stress was found to be related to one's social standing, access to material resources, and levels of social support (Yang et al, 2017a). As predicted by the social exchange theory (Blau, 1964), students with a lower social status will have less economic power and will be challenged to cope with stressful situations (Yang et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Drawing on theories of stress diathesis and theories of control and defense mechanisms (Mirowsky and Ross, 1990), they have shown that uncertainty stress and certainty stress like life stress or study stress, although related, are distinct components of stress (Wu et al, 2016(Wu et al, , 2018Yang et al, 2017bYang et al, , 2018Peng et al, 2019). Yang et al (2017a) found that the prevalence of severe uncertainty stress among Chinese college students was 19.6%, while severe life stress prevalence was 8.6%. Some studies have provided empirical evidence that uncertainty stress, in particular, was associated with a range of negative health outcomes, including self-reported short-and long-term illness, alcohol abuse, unintentional injuries, deliberate self-harm, and suicidal ideation among Chinese college students (Wu et al, 2016(Wu et al, , 2018Yang et al, 2017bYang et al, , 2018Peng et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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The Impacts of Uncertainty Stress on Mental Disorders of Chinese College Students: Evidence From a Nationwide Study

Yang

et al. 2020

Front. Psychol.

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Objectives: This study aimed to examine the relationships between the types of stress and students' mental health, to distinguish the effects of stressors on mental health problems, and to explore the important role of uncertainty stress on the development of mental disorders in a nationally representative sample of Chinese college students. Methods: A cross-sectional multistage study was conducted. Participants were 11,954 students, who were recruited from 50 Chinese universities located in 43 cities covering 23 provinces, autonomous regions, and municipalities across China. The Student Daily Stress Questionnaire (SDSQ) was applied to measure the different types of stress, and mental health status was measured using the 12-item Chinese Health Questionnaire (CHQ). Both unadjusted and adjusted logistic regression models were utilized in the statistical analyses. Multilevel analyses were performed to examine the variation of mental disorder at both the individual and university levels. Results: The prevalence of mental disorders was 22.8% (95% CI: 22.0-23.5%). The unadjusted models showed that age, gender, grade, major, and university location and type were the correlates of mental disorders among students. The unadjusted models developed in this research found that study stress, life stress, and uncertainty stress were positively associated with mental disorder. The multilevel logistic regression models showed that uncertainty stress was far more likely to result in students' mental disorders than study or life stress after controlling for university level. The greater the perceived uncertainty stress, the higher the prevalence of mental disorders. Conclusion: This study provides robust evidence of the impact of uncertainty stress on mental disorders among college students. Compared with life and study stress, more attention should be given to uncertainty stress. The information from this study should be helpful when considering effective mental health policies and interventions among college students in China.

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Section: Perceived Stresssupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impacts of Uncertainty Stress on Mental Disorders of Chinese College Students: Evidence From a Nationwide Study

Yang

et al. 2020

Front. Psychol.

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“…These categories are consistent with the national standard for overweight and obesity utilized in China ( Department of Disease Control and Prevention, 2003 ). Self-report measures of overweight and obesity have been shown to be reliable in this population as there is a high correlation with objective measures for these variables (97.1% for the combined prevalence of overweight and obesity, and 98.8% for obesity ( Yang, Yang, Yu, Cottrell, & Jiang, 2017 ).…”

Section: Methodsmentioning

confidence: 99%

Overweight and Obesity Among Chinese College Students: An Exploration of Gender as Related to External Environmental Influences

et al. 2018

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While many studies have examined factors associated with overweight and obesity among college students, no study has yet compared gender differences influencing overweight and obesity using a multilevel framework. The present study examines different influences on overweight and obesity between men and women at both individual and environmental levels. Participants were 11,673 college students identified through a multistage survey sampling process conducted in 50 Chinese universities. The prevalence of overweight and obesity was 9.5% (95% CI [7.7, 11.3]) in the overall study sample, 13.9% (95% CI [11.5, 16.7]) in males and 6.1% (95% CI [4.1, 8.1]) in females, respectively. We found that higher family income, perceived life stress, home region GDP, and university city unemployment were associated with higher overweight and obesity levels in males, independent of other individual- and city-level covariates. However, unlike male students, only unemployment was associated with overweight and obesity among females. Our research indicates Chinese males are more susceptible to overweight and obesity, and are more easily influenced by external variants than Chinese females. This information should be considered in formulating gender-specific policies and designing and implementing effective interventions to reduce the prevalence of overweight and obesity among young adult male college students.

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Association Between Socioeconomic Status and In Utero Fetal Brain Development

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Andersen

et al. 2021

JAMA Netw Open

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IMPORTANCE Children raised in settings with lower parental socioeconomic status are at increased risk for neuropsychological disorders. However, to date, the association between socioeconomic status and fetal brain development remains poorly understood.OBJECTIVE To determine the association between parental socioeconomic status and in vivo fetal brain growth and cerebral cortical development using advanced, 3-dimensional fetal magnetic resonance imaging. DESIGN, SETTING, AND PARTICIPANTSThis cohort study of fetal brain development enrolled 144 healthy pregnant women from 2 low-risk community obstetrical hospitals from 2012 through 2019 in the District of Columbia. Included women had a prenatal history without complications that included recommended screening laboratory and ultrasound studies. Exclusion criteria were multiple gestation pregnancy, known or suspected congenital infection, dysmorphic features of the fetus, and documented chromosomal abnormalities. T2-weighted fetal brain magnetic resonance images were acquired. Each pregnant woman was scanned at up to 2 points in the fetal period. Data were analyzed from June through November 2020. EXPOSURES Parental education level and occupation status were documented. MAIN OUTCOMES AND MEASURES Regional fetal brain tissue volume (for cortical gray matter, white matter, cerebellum, deep gray matter, and brainstem) and cerebral cortical features (ie, lobe volume, local gyrification index, and sulcal depth) in the frontal, parietal, temporal, and occipital lobes were calculated. RESULTS Fetal brain magnetic resonance imaging studies were performed among 144 pregnant women (median [interquartile range] age, 32.5 [27.0-36.1] years) with gestational age from 24.0 to 39.4 weeks; 75 fetuses (52.1%) were male, and 69 fetuses (47.9%) were female. Higher parental education level was associated with significantly increased volume in the fetal white matter

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Individual and regional association between socioeconomic status and uncertainty stress, and life stress: a representative nationwide study of China

Cited by 40 publications

References 28 publications

The Impacts of Uncertainty Stress on Mental Disorders of Chinese College Students: Evidence From a Nationwide Study

The Impacts of Uncertainty Stress on Mental Disorders of Chinese College Students: Evidence From a Nationwide Study

Overweight and Obesity Among Chinese College Students: An Exploration of Gender as Related to External Environmental Influences

Association Between Socioeconomic Status and In Utero Fetal Brain Development

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