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This study aimed to determine the level of occupational stress in coal miners and to assess the associations between occupational stress and job burn-out, depression and hypertension. The results could provide clues for preventive measures and strategies to improve the psychological well-being of this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Xinjiang Coal Administration Bureau.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Four coal mines were selected randomly (computer-generated random number-based selection process) from the 21 coal mines of Xinjiang, and all miners with &gt;1 year of employment were screened for participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>A general demographic questionnaire, the Self-rating Depression Scale, the Effort\u2013Reward Imbalance (ERI) model and the Maslach Burn-out Inventory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1400 questionnaires were collected, including 1334 (95.3%) valid questionnaires. This survey indicated that 1107 (83.0%) participants with an ERI score &gt;1 (high occupational stress) and 227 (12.8%) had ERI \u22641. Severe depression was found in 21.7% of the participants. Job burn-out was positively correlated with occupational stress, which was, in turn, associated with depression. Multivariable linear regression analysis showed that depression (\u03b2=0.006, p=0.012), sex (\u03b2=0.358, p&lt;0.001) and occupational stress (\u03b2=0.702, p&lt;0.001) were independently associated with job burn-out. Working years (\u03b2=\u22120.086, p\n                      <jats:italic>=<\/jats:italic>\n                      0.015) and job burn-out (\u03b2=0.022, p\n                      <jats:italic>&lt;<\/jats:italic>\n                      0.001) were directly associated with depression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights that occupational stress may affect job burn-out, depression symptoms and hypertension. A higher degree of occupational stress was associated with poorer mental status and hypertension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-036087","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T02:06:03Z","timestamp":1595297163000},"page":"e036087","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":36,"title":["Associations of occupational stress with job burn-out, depression and hypertension in coal miners of Xinjiang, China: a cross-sectional study"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1949-8980","authenticated-orcid":false,"given":"Xianting","family":"Yong","sequence":"first","affiliation":[{"name":"Department of Occupational Health and Environmental Health, College of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, 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