{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:58:32Z","timestamp":1790852312783,"version":"4.1.0"},"reference-count":65,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":273,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82204168"],"award-info":[{"award-number":["82204168"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The relationship between extended working hours and adherence to routine dental check\u2010ups remains unclear, and whether depressive symptoms act as a potential mediator has yet to be determined. This study aimed to evaluate the association between long working hours and routine dental check\u2010ups and to assess the mediating effect of depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 40,508 participants were included in this cross\u2010sectional study. Demographic information, psychological factors, frequency of dental check\u2010ups, and daily working hours were collected through a module\u2010based electronic questionnaire. Logistic regression models were performed to report the odds ratios (ORs) and 95% confidence intervals (CIs) between long working hours and routine dental check\u2010ups. Mediation analysis was conducted to assess the mediating role of psychological factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Long working hours were inversely associated with routine dental check\u2010ups among female workers (OR, 95% CI: 0.83, 0.69\u20130.99), especially female white\u2010collar workers (0.78, 0.64\u20130.94), but not male workers (1.05, 0.83\u20131.32). Long working hours were positively associated with depressive symptoms. Depressive symptoms mediated 6.95% (95% CI 2.09%\u201334.53%) of the association in females and 5.92% (95% CI 1.92%\u201318.89%) in female white\u2010collar workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study suggested that long working hours affect the psychological status and subsequent utilization of routine dental check\u2010ups among Chinese female workers. Further longitudinal investigations are warranted to replicate our findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ijod\/4029234","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:31:24Z","timestamp":1790850684000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Depression Symptoms as a Mediator Between Long Working Hours and Dental Check\u2010Ups in Chinese Adults"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8847-3512","authenticated-orcid":false,"given":"Ruiying","family":"Fu","sequence":"first","affiliation":[{"name":"Department of Cancer Prevention and Control National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China  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