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Psychological Distress and Associated Factors among Technical Intern Trainees in Japan: A Cross-Sectional Study

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  • Ei Thinzar Khin

    (Department of Medical Education, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan)

  • Yuko Takeda

    (Department of Medical Education, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan)

  • Kazunari Iwata

    (Department of Japanese Language and Literature, Faculty of Liberal Arts, University of the Sacred Heart, Tokyo 150-0012, Japan)

  • Shuhei Nishimoto

    (Innovative Organization for Human Resource Cultivation and Encouragement (iforce), Tokyo 111-0051, Japan)

Abstract

Japan is experiencing significant demographic shifts due to an aging and declining population. In 1993, the Japanese Government introduced the Technical Intern Training Program (TITP) to accept foreign national workers. While the number of technical intern trainees under this program has constantly increased, many of them face challenges in their daily lives, such as stress, health insecurities and limited access to healthcare. Therefore, we conducted a cross-sectional study to assess the mental well-being of technical intern trainees, focusing on psychological distress and its related factors. This study included 304 technical intern trainees from 12 prefectures in Japan, and was conducted from August 2021 to October 2021. We used self-administered questionnaires in the participants’ native languages to assess their sociodemographic conditions, health-related conditions such as health insecurities and healthcare-seeking behaviors, and psychological distress. The K6 Kessler Psychological Distress Scale was applied to evaluate the levels of psychological distress. Among the participants, 26.3% had moderate psychological distress and 2.3% had severe psychological distress. In addition, about 15% of the participants reported health insecurities and did not see a doctor despite wanting to. The multivariate model of logistic regression revealed significant associations between psychological distress and female gender (AOR 2.62, 95% CI 1.12–6.12), nationality other than Vietnamese (AOR 4.85, 95% CI 2.60–9.07), tough financial conditions (AOR 2.23, 95% CI 1.18–4.19), experiencing health insecurity (AOR 2.21, 95% CI 1.04–4.66) and the health behavior of refraining from seeking medical care (AOR 3.06, 95% CI 1.49–6.30). The top reasons for refraining from seeking medical care were the participants’ limited knowledge about the healthcare system in Japan and their worries about medical bills. These findings highlight the necessity to extend mental health support services, including counseling services, and share information about Japan’s healthcare system to supply medical services to the targeted technical intern trainee population.

Suggested Citation

  • Ei Thinzar Khin & Yuko Takeda & Kazunari Iwata & Shuhei Nishimoto, 2024. "Psychological Distress and Associated Factors among Technical Intern Trainees in Japan: A Cross-Sectional Study," IJERPH, MDPI, vol. 21(8), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:963-:d:1441203
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    References listed on IDEAS

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    1. Torres, J.M. & Wallace, S.P., 2013. "Migration circumstances, psychological distress, and self-rated physical health for Latino immigrants in the United States," American Journal of Public Health, American Public Health Association, vol. 103(9), pages 1619-1627.
    2. Swartz, J.A. & Jantz, I., 2014. "Association between nonspecific severe psychological distress as an indicator of serious mental illness and increasing levels of medical multimorbidity," American Journal of Public Health, American Public Health Association, vol. 104(12), pages 2350-2358.
    3. Sopak Supakul & Pichaya Jaroongjittanusonti & Prangkhwan Jiaranaisilawong & Romruedee Phisalaphong & Tetsuya Tanimoto & Akihiko Ozaki, 2023. "Access to Healthcare Services among Thai Immigrants in Japan: A Study of the Areas Surrounding Tokyo," IJERPH, MDPI, vol. 20(13), pages 1-13, July.
    4. Sangnim Lee & Nhan Huu Thanh Nguyen & Shori Takaoka & An Dang Do & Yoshihisa Shirayama & Quy Pham Nguyen & Yusuke Akutsu & Jin Takasaki & Akihiro Ohkado, 2023. "A Study on the Health-Related Issues and Behavior of Vietnamese Migrants Living in Japan: Developing Risk Communication in the Tuberculosis Response," IJERPH, MDPI, vol. 20(12), pages 1-21, June.
    5. Randall S. Jones & Haruki Seitani, 2019. "Labour market reform in Japan to cope with a shrinking and ageing population," OECD Economics Department Working Papers 1568, OECD Publishing.
    6. Akihito Uezato & Kohei Sakamoto & Mieko Miura & Akane Futami & Toshihiko Nakajima & Pham Nguyen Quy & Soi Jeong & Shigeru Tomita & Yoshihisa Saito & Yui Fukuda & Nonoka Yoshizawa & Atsuko Taguchi, 2024. "Mental health and current issues of migrant workers in Japan: A cross-sectional study of Vietnamese workers," International Journal of Social Psychiatry, , vol. 70(1), pages 132-143, February.
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