A prospective cohort study in depression and anxiety among Vietnamese migrants in Japan during the early to mid-COVID-19 pandemic.

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-07-01 DOI:10.1186/s41182-024-00605-4
Tadashi Yamashita, Pham Nguyen Quy, Chika Yamada, Emi Nogami, Kenji Kato
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Abstract

Introduction: The enduring COVID-19 pandemic has had persistent, intermittent socioeconomic impacts on migrants. This raises the concern that many Vietnamese migrants in Japan may have developed mental health issues due to the socioeconomic impact. The study aimed to examine changes in the socio-economic and mental health status of Vietnamese migrants in Japan and factors affecting mental health status during the early to mid-COVID-19 period.

Methods: We conducted a prospective cohort study among Vietnamese migrants in Japan from September to October 2021 (baseline) and from May to June 2022 (follow-up) using an online questionnaire. Multiple linear regression analyses were conducted to examine the association between changes in socioeconomic status and alterations in symptoms of depression and anxiety within this demographic.

Results: The mean age of the 159 participants was 26.1 ± 4.9 years, with a mean length of residency in Japan of 4.0 ± 4.1 years. The mean PHQ-9 score exhibited a significant decrease from 7.89 (SD = 6.34) to 6.62 (SD = 5.87) (p = 0.01). Variables associated with changes in depression and anxiety included subjective socioeconomic status (unstandardized partial regression coefficient (UPRC): 1.901, 95% confidence interval (CI) 0.30 to 3.50, p = 0.02) and (UPRC: 2.060, 95% CI 0.80 to 3.32, p = 0.002), as well as changes in having someone with whom to discuss one's health (UPRC: 2.689, 95% CI 0.89 to 4.49, p = 0.004) and (UPRC: 1.955, 95% CI 0.54 to 3.38, p = 0.007).

Conclusions: In this prospective cohort study of depression and anxiety, depressive symptoms among Vietnamese migrants decreased from 2021 to 2022. Key findings underscore the importance of socioeconomic status improvement and having someone to discuss to about their health as protective factors against mental health challenges. Employment and social support have emerged as crucial determinants of mental health among Vietnamese migrants in Japan, emphasizing the necessity for comprehensive support strategies addressing both economic vulnerabilities and social connectedness.

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前瞻性队列研究:COVID-19 大流行初期至中期在日越南移民的抑郁和焦虑情况。
导言:持续的 COVID-19 大流行对移民的社会经济产生了持续的、间歇性的影响。这使人们担心,许多在日本的越南移民可能会因社会经济影响而产生心理健康问题。本研究旨在探讨在日本的越南移民在COVID-19初期至中期的社会经济和心理健康状况的变化,以及影响心理健康状况的因素:我们使用在线问卷对 2021 年 9 月至 10 月(基线)和 2022 年 5 月至 6 月(随访)的在日越南移民进行了前瞻性队列研究。我们进行了多元线性回归分析,以研究社会经济地位的变化与该人群抑郁和焦虑症状变化之间的关联:结果:159 名参与者的平均年龄为 26.1 ± 4.9 岁,在日本的平均居住时间为 4.0 ± 4.1 年。平均 PHQ-9 分数从 7.89(标准差 = 6.34)大幅降至 6.62(标准差 = 5.87)(p = 0.01)。与抑郁和焦虑变化相关的变量包括主观社会经济地位(非标准化部分回归系数 (UPRC):1.901,95% 置信区间(CI)为 0.30 至 3.50,p = 0.02)和(UPRC:2.060,95% CI 为 0.80 至 3.32,p = 0.002),以及是否有人与自己讨论健康问题的变化(UPRC:2.689,95% CI 为 0.89 至 4.49,p = 0.004)和(UPRC:1.955,95% CI 为 0.54 至 3.38,p = 0.007):在这项关于抑郁和焦虑的前瞻性队列研究中,越南移民的抑郁症状从 2021 年到 2022 年有所减少。主要研究结果表明,社会经济地位的提高以及有人与他们讨论健康问题是应对心理健康挑战的重要保护因素。在日本的越南移民中,就业和社会支持已成为心理健康的重要决定因素,这强调了针对经济脆弱性和社会联系的综合支持战略的必要性。
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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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