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. 2013 Nov 4;8(11):e78693. doi: 10.1371/journal.pone.0078693

Table 1. Data extraction table for occupation studies (ordered by occupational group).

Occupational group First author (year of publication) and title Population and location Type of study and sampling strategy No. of participants (no. who completed GHQ if different) Response rate Sample characteristics Which version of the GHQ questionnaire was used (Cut-off used) Prevalence CMD in full sample (%, 95% CI)
Academics and teachers Emslie et al. (2002) Gender differences in mental health: evidence from 3 organisations[69] White collar workers from a bank, a university and the civil service in the UK (Only the data from the British university is presented as the other data is presented in another study in the review). Cross-sectional questionnaire study, questionnaires distributed to all university employees in white collar occupations. 1641 67% 1009 men, 632 women. Mean ages: males – 44 y, females – 39 y GHQ-12 (2/3) Males - 24%, Females - 27%
Academics and teachers Kinman & Jones (2008a) Effort reward balance and over commitment:Predicting strain in academic employees in the UK[43] UK academics Cross sectional study. Random sampling. 844 1108/5000 staff (22%), but only 844 included in current study 59% male. 77% aged 40 y or over GHQ-12 (3/4) 41.80%
Academics and teachers Kinman (2008b) Work stressors, health and sense of coherence in UK academic employees[44] UK academics Cross-sectional postal study. Random sample of 1000 UK academic employees working full time. 465 47% 59% male. Mean 46 y (S.D. 7.4). GHQ-12 (3/4) 43.40%
Academics and teachers McClenahan et al. (2007) The importance of context specificity in work stress research: A test of the demand-control-support model in academics[45] UK academics Cross sectional and non-random (only lecturers and senior lecturers were included) 166 225 responded – (23%) – analyses restricted to 166 lecturers and senior lecturers 105 men and 61 women. Mean age 44 y (SD 10, range 26-64). GHQ-12 (3/4) 31.80%
Academics and teachers Miller & Travers (2005) Ethnicity and the experience of work: Job stress and satisfaction of minority ethnic teachers in the UK[46] Minority ethnic teachers in the UK Cross sectional. Non-random sampling. 208 208/1900 (9%) 77.7% female (160). Age range 21–65 y GHQ-12 (3/4) 44.2% (Males - 34.8%, Females - 46.3%)
Health professionals and NHS staff Alexander and Klein (2001) Ambulance personnel and critical incidents: Impact of accident and emergency work on mental health and emotional well-being[70] Ambulance personnel, UK Cross sectional survey, non-random sampling. 110 69% 86% male. Age range: 20–29 y: 17%, 30–39 y: 47%, 40–49 y: 22%, 50+y: 14%. GHQ 28(4/5) 32%
Health professionals and NHS staff Appleton et al, (1998) A survey of job satisfaction, sources of stress and psychological symptoms among general practitioners in Leeds[71] GPs, Leeds, UK Cross-sectional postal questionnaire, non-random sampling. 285 70% 61% male.Mean age - 42.2 y (SD: 9.21 y, range: 28–68 y) GHQ-12(2/3) 52%
Health professionals and NHS staff Baldwin et al. (1997) Young Doctors' Health- II. Health and Health Behaviour[72] Junior Doctors, UK Cross sectional study, non-random sampling. 142 95% 54.9% male. Mean age - 25 y GHQ-28, (4/5) 37%
Health professionals and NHS staff Bamber & McMahon (2008) Danger - early maladaptive schemas at work! [73] NHS staff at a Primary Care Trust and Hospital Trust in York, England Cross sectional survey. Non-random sampling. 249 24.80% 27% male. Mean age 42 y (S.D. 9.8 y, range 21–64 y) GHQ-28 (4/5) 34.1%
Health professionals and NHS staff Berman et al. (2007) Occupational stress in palliative medicine, medical oncology and clinical oncology specialist registrars[15] Specialist registrars in palliative medicine, clinical oncology and medical oncology, UK Cross-sectional mail survey, non-random sampling. 449 (390) 65.70% 34.2% male, Mean ages (SD): Overall 32.7 y (3.3), Palliative medicine 33 y (4.1), Medical oncology 32.9 y (2.9), Clinical oncology 32.3 y (3.0), GHQ-12 (3/4) 26.2%. For individual groups. Palliative: 19.5%, Medical 29.1%, Clinical 28.7%.
Health professionals and NHS staff Burbeck et al. (2002) Occupational stress in consultants in accident and emergency medicine: a national survey of levels of stress at work[16] Accident and emergency consultants, UK Cross sectional postal survey, non-random sampling. 350 78% 83.4% male. Median age: 45 y, range 31–67. GHQ-12(3/4) 44%
Health professionals and NHS staff Butterworth et al. (1999) Stress, coping, burnout and job satisfaction in British nurses: Findings from the clinical supervision evaluation project[74] Nurses, UK Cross-sectional survey, non-random sampling. 586 96% 10% male. Age range: 21–30 y: 28%, 31–40 y: 37%, 41–50 y: 25%, 50+y: 11%. GHQ-28 (4/5) Overall: 30%, ward staff: 28%, community nurses 41%, social work trainees 64%.
Health professionals and NHS staff Calnan et al. (2001) Mental health and stress in the workplace: the case of general practice in the UK[17] GP practice staff, UK Cross sectional survey, random sample of general practices and non-random within practices. 719 70% Reported to be mainly female and in the age range 35–44 y. GHQ-12(3/4) Overall 23%. Doctors and nurses 30%, district nurses 27%, health visitors 24%, practice nurses 22%, receptionists 17%, admin/clerical staff 19%.
Health professionals and NHS staff Caplan et al. (1994) Stress, anxiety and depression in hospital consultants, general practitioners and senior health service managers[75] Hospital consultants, GPs and health services managers, Lincoln, England Cross sectional survey. Non-random sampling. 389 (65 consultants, 257 GPs, 67 managers) 80% consultants, 80% GPs, 56% managers Not reported GHQ-28 (5/6) Overall - 46%. Consultants - 46%, GPs - 48%, Managers - 46%
Health professionals and NHS staff Catt et al. (2005) The informational roles and psychological health of members of 10 oncology multidisciplinary teams in the UK[18] Members of multidisciplinary cancer teams in England, Wales & Scotland Cross sectional survey. Non-random sampling. 144 (142) Not reported Not reported GHQ-12 (3/4) 25/142 (18%)
Health professionals and NHS staff Coomber et al. (2002) Stress in UK intensive care unit doctors[19] ICU doctors in the UK Cross sectional postal survey. Non-random sampling. 627 (610) 70% total response (627/896) or 80% of potentially eligible responders (627/788) 3.4% male. Mean age 41.8 y (S.D. 7.3 y) GHQ-12 (3/4) 28.5% (24.9-32.1%) (Males - 28.3%, Females - 29.3%)
Health professionals and NHS staff Cushway (1992) Stress in clinical psychology trainees[76] Clinical psychology trainees in the UK Cross sectional survey. Non-random sampling. 287 76% 27% male. Mean age 27.4 y (S.D. 4.9 y) range 22–42 y GHQ-28 (4/5) 59%
Health professionals and NHS staff Cushway and Tyler (1994) Stress and coping in Clinical Psychologists[77] Clinical Psychologists, West Midlands UK Cross-sectional, Non-random sampling. 101 (95) 67% 38.4% male. Mean age: 37.6 y (S.D. 7.1 y) range: 25–61 y. GHQ-28(4/5) 29.40%
Health professionals and NHS staff Edwards et al. (2000) Stressors, moderators and stress outcomes: findings from the All-Wales Community Mental Health Nurse Study [78] Community mental health nurses, UK Cross sectional survey, non-random sampling. 301 49% 38% male. Mean age: 40.4 y (S.D.7.2 y), range 23–63 y. GHQ-12(1/2) 35%
Health professionals and NHS staff Fagin et al. (1995) The Claybury community psychiatric nurse study[79] Community psychiatric nurses. North East Thames region, UK. Cross sectional survey. Non-random sampling. 250 community psychiatric nurses, 323 ward-based psychiatric nurses (WBPN) Not reported CPN - 38% male, WBPNs - 37.2% male. Mean age: CPN - 38.9 y, WBPN - 34.7 y GHQ-28 (4/5) CPNs - 41%, WBPNs - 27.9%
Health professionals and NHS staff Glozier et al. (2006) Attitudes of nursing staff towards co-workers returning from psychiatric and physical illnesses[80] Nursing staff in one UK NHS Trust Cross sectional survey. Random sampling. 117 (103) 22% 8.5% male. Mean ages for the 3 groups ranged from 35.6 y (S.D. 9.4 y) to 38.6 y (S.D. 8.6 y) GHQ-12 (2/3) 27.60%
Health professionals and NHS staff Gorter et al. (2011) Burnout and engagement in relation with job demands and resources among dental staff in Northern Ireland[21] Dental staff, Northern Ireland, UK Cross-sectional mail survey, non-random sampling. 135 45% 25.2% male. Age: 50% aged 40–55 y. GHQ-12 (3/4) 25%
Health professionals and NHS staff Guthrie et al. (1999) Sources of stress, psychological distress and burnout in psychiatrists[22] Psychiatrists, Manchester, UK Cross-sectional survey, non-random sampling. 106 76.80% 51.1% male. Consultants (59.6% male), Senior registrars (60.7% male), Registrars/SHOs (35.5% male) GHQ-12(3/4) 31.40%
Health professionals and NHS staff Hardy et al. (1999) Validation of the General Health Questionnaire-12 Using a Sample of Employees From England's Health Care Services[23] NHS Staff, UK Cross-sectional interview, non-random sampling. 11 637 Estimated response rate between 61–65% Mean age:38 y, SD 10.3 y, Range: 20–62 y GHQ -12(3/4) 27%
Health professionals and NHS staff Hughes & Parkes (2007) Work hours and well-being: The roles of work-time control and work-family interference[24] Two UK public sector organisations Cross sectional study. Random sampling for primary care sample and non-random for local government. 292 44% primary care and 46% local government All females. Mean age 42 y (S.D. 10 y, range 19–66 y). GHQ-12 (3/4) Primary care - 52/212 (24.5%), Local government office - 23/80 (28.8%)
Health professionals and NHS staff Kumary & Baker (2008) Stresses reported by UK trainee counselling psychologists[25] Counselling psychology trainees, UK Cross sectional postal survey. Non-random sampling. 109 (93) 41% 19% male. Age range: 20–30 y – 47 (43%), 31–40 y - 36 (34%), 41 y+ - 24 (22%) GHQ-12 (3/4) 58%
Health professionals and NHS staff Loretto et al. (2010) Workplace change and employee mental health: results from a longitudinal study[26] NHS staff in 6 UK NHS Trusts. First phase of a longitudinal postal survey. Stratified random sampling. 5385 18.40% 4/5 female. Mean age: 41 y (S.D. 10 y, range 17–70 y). GHQ-12 (3/4) 24.20%
Health professionals and NHS staff Macpherson et al. (1994) Psychological distress among workers caring for the elderly[81] Workers caring for the elderly, UK Cross-sectional, Non-random sampling. 188 67.40% 9% male. Mean age: 38 y (S.D. 11.85 y, range 16–69 y) GHQ-30, CGHQ scoring system (12/13) 26.6% (males 35.3%, females 25.7%)
Health professionals and NHS staff McKinstry et al. (2004) The MAGPI (Morale Assessment in General Practice Index): a new way for doctors to self-assess their morale[82] GPs in South East England, UK Cross sectional survey. Non-random sampling. 613 70% Not reported GHQ-28 (4/5) 31%
Health professionals and NHS staff McManus et al. (1999) Are UK doctors particularly stressed?[2] Doctors, UK Cross-sectional survey, random sampling within the medical directory. 1261 (1013) 81% Not reported GHQ-12(3/4) 16.90%
Health professionals and NHS staff McManus et al. (2000) Duties of a doctor: UK doctors and Good Medical Practice[27] Doctors, UK Cross sectional questionnaire study, representative stratified sampling. 556 (448) 73% Not reported GHQ-12 (3/4) 15%
Health professionals and NHS staff McManus et al. (2002) How consultants, hospitals, trusts and deaneries affect pre-registration house officer posts: a multilevel model[28] Pre-registration house officers (PRHOs), UK Cross-sectional, Non-random sampling. 1435 (1330) 58.40% Not reported GHQ-12(3/4) 31.70%
Health professionals and NHS staff McManus et al. (2003) A levels and intelligence as predictors of medical careers in UK doctors - 20 yr prospective study[29] Doctors in the UK - originally recruited in London Phase 2 of a prospective study of clinical students. Non random sampling. 349 464 out of the original 511 were on the 2001 Medical Register and 349 responded (73% response) Not reported GHQ-12 (3/4) 18%
Health professionals and NHS staff McManus et al. (2004) Stress, burnout and doctors' attitudes to work are determined by personality and learning style - A 12 yr longitudinal study of medical graduates[30] Doctors who had previously applied to one of 5 medical schools as a student in the UK Cross sectional assessment in a prospective study. Non-random sampling. 1668 (1617) 2635 doctors were applicable for this study and 1668 of these responded (63.3%) Mean age 30.4 y (S.D. 1.86 y) range 28.3–49.2 y GHQ-12 (3/4) 345/1617 (21.3%)
Health professionals and NHS staff Oyefeso et al. (2008) Prevalence and associated factors in burnout and psychological morbidity among substance misuse professionals[14] Substance misuse professionals, South Thames region, England, UK Cross-sectional study, non-random sampling. 194 (187) 69% 43% male. Age: Mean (SD): 38 (9.9) GHQ-12(3/4) 82.3%.82.40% males, 82.2% females.
Health professionals and NHS staff Paice et al. (2002) Stressful incidents, stress and coping strategies in the pre-registration house officer year[31] PRHOs - Newly qualified doctors, Hospitals, UK Cross sectional postal study, non-random sampling. 1435 (1430) 58.40% 45.2% male. GHQ-12 (3/4) 31.30%
Health professionals and NHS staff Patterson & Bell (2000) Supporting staff in employment: the emotional wellbeing of staff in an NHS psychiatric hospital[83] NHS staff of a large psychiatric service in Scotland, UK Cross sectional study. Non-random sampling. 287 47.90% Not reported GHQ-28 (4/5) 32.90%
Health professionals and NHS staff Ramirez et al. (1995) Burnout and psychiatric disorder among cancer clinicians [32] Consultant non-surgical oncologists, UK Cross sectional study. Non-random sampling. 393 (60 medical oncologists, 207 clinical oncologists, 126 palliative care specialists) (392) 83% (87% medical oncologists, 82% clinical oncologists, 82% palliative care specialists) Overall: 74% male. Medical oncologists -92% male, clinical oncologists – 79% male, palliative care specialists – 58% male.Age range - < = 35 y - 5%, 36–45 y - 49%, 46–55 y - 30%, >55 y - 16%. GHQ-12 (3/4) Overall - 28% (Medical oncologists - 32%, clinical oncologists 28%, palliative care specialists 25%)
Health professionals and NHS staff Ramirez et al. (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work[33] Hospital consultants, UK Cross-sectional questionnaire based study, random sampling. 882 78% 88% male. Age ranges - <35 y - 3%, 36–45 y - 44%, 46–55 y - 37%, >55 y - 16%. GHQ-12 (3/4) 27%
Health professionals and NHS staff Sharma et al, (2008a) Stress and burnout among colorectal surgeons and colorectal nurse specialists working in the National Health Service[34] Colorectal surgeons and nurses, Ireland and rest of UK Cross sectional, non-random sampling 253 surgeons, 177 nurses (251 surgeons, 176 nurses) Surgeons: 55.6%, Nurses: 54.3% Surgeons: 90% male. Nurses: 4.5% male. Mean age: Nurses: 42.8 y, Surgeons: 47.7 y GHQ-12(3/4) Surgeons 30.2%, nurses 30.3%
Health professionals and NHS staff Sharma et al. (2008b) Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service[35] Vascular surgeons, UK (Data for colorectal surgeons reported in another paper) Cross-sectional survey, non-random sampling 248(244) 62.3% 94.3% male. Mean age 47.1 y (range 31–65 y) GHQ-12(3/4) Vascular surgeons: 35.7%
Health professionals and NHS staff Sheikh & Hurwitz (2000) Psychological morbidity in general practice: a descriptive and explanatory study[84] General practice managers from two health authorities in Southern England, UK Cross sectional postal survey. Non-random sampling. 111 74.50% 87% female. Mean age 46.5 y (S.D. 9.1) GHQ-28 (5/6) 41/111 (37%)
Health professionals and NHS staff Taylor et al. (2005) Changes in mental health of UK hospital consultants since the mid-1990s[11] Hospital consultants in the UK Cross sectional survey. 2002 follow-up. Non-random. 1308 1308/1794 (73%) 81% female GHQ-12 (3/4) 32%
Health professionals and NHS staff Tyler et al. (1991) Stress and well-being in nurses: a comparison of the public and private sectors[85] Nurses from 4 NHS and 3 private hospitals in the Midlands, England, UK Cross sectional survey. Non-random sampling. 156 Overall 57%, 53% for the public sector, 63% for private Not reported GHQ-28 (3/4) 33%
Health professionals and NHS staff Wall et al. (1997) Minor psychiatric disorder in NHS trust staff: occupational and gender differences[36] Employees from 19 NHS trusts in England, UK Cross sectional survey. Participants from larger occupational groups were randomly sampled and from smaller groups were non-randomly sampled. 11637 (11291) 61–65% 26% male GHQ-12 (3/4) 26.80%
Health professionals and NHS staff Wray et al. (2009) A wealth of knowledge: A survey of the employment experiences of older nurses and midwives in the NHS[86] Nurses and midwives in NHS and primary care trusts in UK. Cross sectional postal survey. All qualified nurses and midwives over 50 y of age and a random sample of 20% of those aged <50 y. 510 20% 10% male. 62.1% were aged 50 y and over. GHQ-12 (23/24 Likert scoring) 41%
Manual workers Avery et al. (1998) Mental and physical health of miners following the 1992 national pit closure programme[87] Males working in the mining industry in 1992, Nottinghamshire, England, UK Cross sectional. Non-random sampling. 241 current miners (226) 51% overall All males. 45.6% under 35 y, 44.8% 36–49 y and 8.7% 50 y and over GHQ-12 (2/3) 104 (46%)
Manual workers Booth and Lloyd (1999) Stress in Farmers[88] Farmers, South-West of England, UK Cross sectional postal survey, non-random sampling. 303 30.30% 89.4% male. 36% were aged between 30–39 y. GHQ-28(4/5) 35%
Manual workers Hussain (2004) Musculoskeletal symptoms among truck assembly workers[41] Assembly workers at a UK based company Cross sectional study. Non-random sampling. 323 323/461 (70%) Mean age 36.5 y (S.D. 12.3 y) GHQ-12 (3/4) 51/323 (15.8%)
Manual workers Wadsworth et al. (2008) Fatigue and health in seafaring population[42] Seafarers, UK Cross-sectional questionnaire survey, non-random sampling. 1855 (1809) 20% 96% male. Mean age 43.5 y, median 45 y, range 17–66 y. GHQ-12 (3/4) 18%
Military personnel Bridger et al. (2007) Occupational stress and strain in the naval service:1999 and 2004[37] Personnel in Royal Navy and Royal Marines in the UK Cross sectional assessment in 1999. Stratified random sampling. 1707 78%, 1217 males, 490 females, Mean age - 31.05 y (S.D. 7.63 y), GHQ-12 (3/4) 32%, (Males-31%, Females-43%,)
Military personnel Bridger et al. (2008) Occupational stress and strain in the Royal Navy 2007[38] Personnel in Royal Navy and Royal Marines in the UK Phase 1 of a longitudinal study conducted from 2007–8. Stratified sample of 5000 naval personnel 2596 2596/4542 (57%) Mean age 34.7 y GHQ-12 (3/4) 31.5% (Males - 27.8% (26-30%), Females - 37.3% (34-50%)
Military personnel Hotopf et al. (2006) The health of UK military personnel who deployed to the 2003 Iraq war: a cohort study[5] UK armed forces personnel Cross sectional assessment. First phase of a cohort study. Random stratified sampling. 10272 (Era group - 5550, TELIC - 4722) 58.7% Era -90% male, TELIC - 92% male. GHQ-12 (3/4) Era - 20% (1071/5481), TELIC - 20% (953/4631)
Military personnel Jones et al. (2006) The burden of psychological symptoms in UK armed forces[39] UK armed forces personnel Cross sectional postal survey. Random sampling. 1382 65% 92% male, Mean age 32 y (S.D. 7.9 y) GHQ-12 (3/4) 270/1382 (20%)
Military personnel Unwin et al. (1999) Health of UK servicemen who served in Persian Gulf War[89] UK armed forces personnel Cross sectional postal survey. Random stratified sampling. 8195 (7507) 65% All males. Mean age 34.7 years GHQ-12 (2/3) Overall - 31.2% (Gulf - 39.2%, Bosnia - 26.3%, Era - 24.0%)
Other Lloyd-Williams et al. (2004) A prospective study of the roles, responsibilities and stresses of chaplains working within a hospice[48] Chaplains working within a hospice, UK Cross-sectional study. Questionnaires sent to all chaplains working in a hospice in the UK. 115 57% Not reported GHQ-12(3/4) 24%
Police Biggam et al. (1997) Coping with the occupational stressors of police work[90] Serving Scottish police officers, UK Cross sectional study. Non-random sampling. 699 Not reported 87.5% male. Mean age 35.9 y (range 18–56) GHQ-28 (4/5) 22.8% (n = 160)
Police Brown et al. (1999) Distinguishing traumatic, vicarious and routine operational stressor exposure and attendant adverse consequences in a sample of police officers[91] Police Officers, UK Cross-sectional study. Non-random sampling. 593 60% female, 61% male. 61.9% male. Mean age: males - 35.1 y (8.09 y), females - 29.4 y (6.0 y) GHQ-12 (1/2) 40%
Social services staff Coffey et al. (2004) Stress in Social Services: Mental Well-being, Constraints and Job Satisfaction[40] Social Services staff, North-West England, UK Cross-sectional study. Non-random sampling. 1234 (1,078) 32.70% 19% male. Age range: 50+y: -29% GHQ-12 (3/4) 36%
Social services staff Evans et al. (2006) Mental health, burnout and job satisfaction among mental health social workers in England and Wales[20] Mental health social workers in England & Wales, UK Cross sectional postal study. Random sampling. 237 237/610 (39%) questionnaires received out of those distributed. Adjusted response rate of 49% as 125 participants were not eligible for the study 39% male. Mean age 46 y (9.2 y) GHQ-12 (3/4) 111 (47%)
Social services staff Kinman & Grant (2011) Exploring stress resilience in trainee social workers[92] Trainee social workers in the UK Cross sectional study. Non-random sampling. 240 Not reported 18% male. Mean age 33.7 y (S.D. 9.04 y) GHQ-12 (2/3) 43%
White collar workers Bond & Donaldson-Feilder (2004) The relative importance of psychological acceptance and emotional intelligence to workplace well-being[13] 5 organisations: a manufacturing company, the London office of an overseas government, the management consultancy arm of a large accountancy firm, the corporate headquarters of an insurance broker, and a financial services consultancy, UK Cross-sectional study. Non-random sampling. 290 51% Male: 51%. Age: Mean: 38.19 y, SD: 10.55 y GHQ-12(3/4) 14.40%
White collar workers Emslie et al. (1999) Problematizing gender, work and health: the relationship between gender, occupational grade, working conditions and minor morbidity in full-time bank employees[93] Full time bank employees, Scotland, UK Cross sectional survey, Random sample other than for particular occupational grades for which all individuals invited to participate. 2176 (2130) 76% 51.1% male. Mean age: 35.6 y, 60% aged 35 y or younger GHQ-12(2/3) Overall: 26.6%, (males: 25.0%, females: 28.0%). Clerical: 25%, supervisors: 27.6%, managers: 29.1%
White collar workers Guppy and Weatherstone (1997) Coping strategies, dysfunctional attitudes and psychological well-being in white collar public sector employees[47] Public sector employees, UK Cross-sectional, random sample of offices in which all individuals invited to participate. 274 99.60% 31% male. Mean age 33 y, (S.D. 9.6 y, range: 17–59 y) GHQ-12 (3/4) 26.30%
White collar workers Stansfeld et al. (1992) Social class and minor psychiatric disorder in British Civil Servants: a validated screening survey using the General Health Questionnaire [94] Staff from 20 London based civil service departments aged between 35–55 years, UK. First phase of a longitudinal prospective study (1985–8). All civil servants in the selected departments, aged 33–55 years, invited to participate. 10314 (10195) 73% 67% male. Aged 35–55 y. GHQ-30 (4/5) 26.9%