Career Status and Mental Health Among Female Dentists in China: A Nationwide Cross-Sectional Survey

Introduction and aims Female dentists make up a large proportion in China and often face heavy workloads and occupational pressure. This study aims to conduct a comprehensive analysis of the current situation, challenges and mental health conditions of female dentists in China. Methods A cross-sectional survey among female dentists in China was conducted using a structured questionnaire. The survey collected information on demographic characteristics, workload, income satisfaction, psychological status, occupational stress, and occupational attitudes. Logistic regression was used to analyse factors associated with income satisfaction, anxiety symptoms, depressive emotions, and professional commitment. Results A total of 3,504 valid responses from female dentists across China were collected. 27.22% participants reported income dissatisfaction, with 55.5% perceiving income not proportional to their effort and 45.32% believing they earned less than male colleagues of the same level. Age, practice status, clinical specialty, annual income and workload all affect income satisfaction. Family responsibilities substantially impacted careers, with 44.06% having given up opportunities for advancement due to family reasons. Mental health burdens were substantial, with 97.6% reporting occasional or frequent anxiety and 86.24% experiencing depressive moods. Work-family imbalance is the strongest positive predictor of anxiety and depression. A total of 78.48% participants expressed love for their profession, though only 40.83% would actively recommend it to others. Dissatisfaction with income, work intensity and promotion speed and work-family imbalance significantly reduces professional commitment. Conclusions Female dentists in China constitute a highly qualified group yet facing multifaceted professional obstacles. Income satisfaction, psychological well-being, and occupational enthusiasm among female dentists are influenced by multiple factors. Systemic interventions are urgently needed to address pay equity, provide support for work-family balance and mental health to ensure a sustainable and healthy future for the dental workforce. Clinical Relevance This survey provides important insights into the current career landscape of female dentists in China and may inform strategies aimed at improving porfessional development and workforce equity.