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, the lower the risk of MSDs (OR = 0.50, 95% CI.0.34,0.74). Occupational stress (OR = 1.32, 95% CI.1.05,1.67) and mental disorder(OR = 2.94, 95% CI.2.25,3.84) increased the risk of MSDs. A Bayesian network diagram showed that occupational stress and MSDs have direct effects on mental disorders, and occupational stress can have indirect effects on mental disorders through MSDs. Our research shows that MSDs are common among coal miners. Occupational stress and psychological disorders can increase the incidence of MSDs. Our research shows t