Studies have indicated that coal miners in China have higher levels of perceived job stress. However, few studies have investigated the work stress structure of coal miners. Our study focused on the work stress of coal miners in China, with a primary aim to determine the work stress structure of coal miners in China using a mixed-methods approach. Semi-structured interviews were performed with thirty-three people (team leaders and frontline coal miners) conducted with participants from various state-owned large- and medium-sized coal mines in China. Grounded theory was used to construct an initial model for the concept of coal miners' work stress. Using the results of this initial survey and findings in the existing literature, we then constructed a preliminary questionnaire regarding coal miners' work stress and administered the questionnaire to 900 coal miners in the Shaanxi, Henan, Inner Mongolia, and Gansu provinces. The results show that the work stress structure for coal miners differs from that for other occupational types in China, due to differences in the Chinese culture and foreign cultural influences. We revised our questionnaire based on these considerations and administered a new survey to the frontline production workers in coal mines. The preliminary questionnaires were revised and analyzed through exploratory and confirmatory factor analysis, resulting in a final formal model for work stress, which was supported by content and structural validity. In this research, we used the framework of grounded theory to conduct an empirical analysis of the structure model of coal miners' work stress. The findings support that the primary work stress factors of Chinese coal miners included the stress of the work environment, job responsibility, interpersonal relationships, career development, the family environment, and organizational systems. Coal enterprises should therefore always take these factors into consideration when developing and implementing safety management policies aimed at to improve the occupational health status of coal miners.
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