{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T05:59:11Z","timestamp":1776405551829,"version":"3.51.2"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The implementation of the \u201cDouble Reduction\u201d Policy in China has raised concerns about increased anxiety levels among primary school teachers. However, the prevalence of anxiety symptoms and the factors associated with them remain unclear. This study aims to investigate the prevalence and correlates of anxiety among primary school teachers under this policy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted from September to October 2022 among primary school teachers in 15 cities across China. Participants completed a series of questionnaires administered via WeChat to assess anxiety symptoms and potential related factors, including perceived stress, sociodemographic characteristics, and job-related variables. Anxiety and perceived stress were measured using the Generalized Anxiety Disorder-7 (GAD-7) and 10-item Perceived Stress Scale (PSS-10), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 44.5% (1,423\/3,199) of teachers reported at least mild anxiety symptoms. Among them, 56.43%, 25.30% and 18.27% had mild, moderate, and severe anxiety, respectively. In the final logistic regression model, five variables remained independently associated with anxiety: education level (master\u2019s degree or above: OR\u00a0=\u00a02.781, 95% CI: 1.858\u20134.163), income dissatisfaction (OR\u00a0=\u00a01.487, 95% CI: 1.205\u20131.834), intermediate professional title (OR\u00a0=\u00a01.372, 95% CI: 1.084\u20131.738), younger age (OR\u00a0=\u00a00.979, 95% CI: 0.966\u20130.993), and perceived stress (OR\u00a0=\u00a01.489, 95% CI: 1.443\u20131.538).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anxiety was prevalent among primary school teachers during the implementation of the \u201cDouble Reduction\u201d Policy. Higher education level, income dissatisfaction, intermediate professional title, younger age, and elevated perceived stress were significant risk factors for anxiety. Therefore, interventions focusing on stress management and occupational support may help improve teachers\u2019 mental well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1792092","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T05:22:59Z","timestamp":1776403379000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Anxiety among Chinese primary school teachers under the \u201cdouble reduction\u201d policy: prevalence and associated factors"],"prefix":"10.3389","volume":"17","author":[{"given":"Xing","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Neurosis and Psychosomatic Diseases, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University","place":["Huzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeyun","family":"Hu","sequence":"additional","affiliation":[{"name":"Zhejiang Chinese Medical University","place":["Hangzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunhui","family":"Zhong","sequence":"additional","affiliation":[{"name":"The Third People\u2019s Hospital of Ganzhou","place":["Ganzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baiping","family":"Tao","sequence":"additional","affiliation":[{"name":"Department of Neurosis and Psychosomatic Diseases, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University","place":["Huzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191710706","article-title":"Stress, burnout, anxiety and depression among teachers: A scoping review","volume":"19","author":"Agyapong","year":"2022","journal-title":"Int J Environ Res Public 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