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Income Differences in the Association Between Medical-Preventive Integration KAP and Depressive Symptoms: A
Ting Wang1, Qiaosheng Li2, Xiaoyu Fang3
1National Center for Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
Healthcare (Basel, Switzerland)
|July 15, 2026
Summary
Healthcare workers
Area of Science:
- Public Health
- Occupational Health
- Mental Health Research
Background:
- Depressive symptoms pose a significant challenge among healthcare workers.
- Understanding the factors influencing mental well-being in this population is crucial for targeted interventions.
- Medical-preventive integration Knowledge, Attitude, and Practice (KAP) are key areas to explore.
Purpose of the Study:
- To investigate the relationship between medical-preventive integration KAP and depressive symptoms in Chinese healthcare workers.
- To examine the moderating role of monthly income on this relationship.
- To adjust for the influence of work stress as a covariate.
Main Methods:
- Cross-sectional survey of 5908 healthcare workers in China (2024).
- Descriptive statistics for participant characteristics.
- Multiple linear regression and moderation analysis to assess KAP, income, work stress, and depressive symptoms.
Main Results:
- Knowledge and attitude towards medical-preventive integration were negatively associated with depressive symptoms.
- Practice engagement was positively associated with depressive symptoms.
- Work stress correlated positively with practice and depressive symptoms. Higher income amplified these associations, particularly for practice.
Conclusions:
- A complex interplay exists between KAP, work stress, income, and depressive symptoms in healthcare workers.
- Targeted interventions are needed to support healthcare professionals, especially those with higher income and practice engagement.
- Optimizing support systems can mitigate depressive symptoms among healthcare workers.