Factors associated with the uptake of COVID-19 vaccination, testing and medical care among Myanmar migrants in Japan: a cross-sectional study.

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-08-06 DOI:10.1186/s41182-024-00621-4
Moe Moe Thandar, Azusa Iwamoto, Haru Angelique Hoshino, Kyoko Sudo, Mihoko Fujii, Miwa Kanda, Saki Ikeda, Masami Fujita
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Abstract

Background: Migrants are individuals who move to a different country from their usual place of residence. Japan's migrant population, particularly technical interns and students, has been growing. Even before the pandemic, previous studies have highlighted difficulties faced by migrants in utilizing healthcare services. This study examined the uptake of COVID-19 vaccination, testing, and medical care among Myanmar migrants in Japan; identified the factors associated with this uptake; and described the difficulties encountered when utilizing these services.

Methods: A cross-sectional study was conducted between March and April 2023 targeting Myanmar migrants over 18 years residing in Japan for more than 6 months. An online self-administered questionnaire in Myanmar language covered socioeconomic characteristics; history of COVID-19 vaccination, testing, and medical care; and difficulties encountered while utilizing these services with multiple-choice questions. Multivariate logistic regression analysis was performed separately to identify the factors associated with the uptake of COVID-19 vaccination, testing, and medical care.

Results: Among the 207 participants, 52% (n = 108) were under 30 years, 30% (n = 62) were male, and 31% (n = 65) were low-skilled workers (technical interns and students). Overall, 91% (n = 189) had received the COVID-19 vaccination, 76% (n = 157) had been tested for COVID-19, and 43% (n = 68) tested positive. However, only 77% (n = 52) of COVID-19 patients sought medical care. Participants under 30 years of age were less likely to receive the COVID-19 vaccine compared to those aged 30 and older (adjusted odds ratio [aOR] 0.10, 95% confidence interval [CI] 0.01-0.88, p = 0.038). Low-skilled workers were less likely to seek medical care compared to those holding other categories of residential status (aOR 0.12, 95% CI 0.02-0.79, p = 0.027). Among service users, 5% faced difficulties with COVID-19 vaccination, 10% with testing, and 17% with receiving medical care. Long waiting times and complex reservation processes were the main difficulties encountered.

Conclusions: The uptake of COVID-19 vaccination, testing, and medical care in this sample was reasonably good. However, individuals under 30 years of age showed lower uptake of vaccination, while low-skilled workers had lower uptake of medical care. Strengthening education and support for young migrants and low-skilled workers regarding COVID-19 and other infectious diseases is essential, especially in workplaces and educational institutions.

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在日本的缅甸移民中接受 COVID-19 疫苗接种、检测和医疗护理的相关因素:一项横断面研究。
背景:移民是指从常住地迁移到不同国家的人。日本的移民人口,尤其是技术实习生和学生,一直在不断增长。即使在流感大流行之前,以往的研究也曾强调过移民在利用医疗保健服务方面所面临的困难。本研究调查了在日本的缅甸移民对 COVID-19 疫苗接种、检测和医疗服务的接受情况,确定了与接受情况相关的因素,并描述了在利用这些服务时遇到的困难:2023 年 3 月至 4 月期间进行了一项横断面研究,研究对象是在日本居住 6 个月以上、年满 18 岁的缅甸移民。在线缅语自填问卷涵盖了社会经济特征、COVID-19 疫苗接种史、检测史和医疗史,以及在利用这些服务时遇到的困难等多项选择题。我们分别进行了多变量逻辑回归分析,以确定与接受 COVID-19 疫苗接种、检测和医疗服务相关的因素:在 207 名参与者中,52%(108 人)在 30 岁以下,30%(62 人)为男性,31%(65 人)为低技能工人(技术实习生和学生)。总体而言,91%(n = 189)的人接种过 COVID-19 疫苗,76%(n = 157)的人接受过 COVID-19 检测,43%(n = 68)的人检测结果呈阳性。然而,只有77%(n = 52)的COVID-19患者就医。与 30 岁及以上的参与者相比,30 岁以下的参与者接种 COVID-19 疫苗的可能性较低(调整赔率比 [aOR] 0.10,95% 置信区间 [CI] 0.01-0.88,p = 0.038)。与其他居住身份类别的人相比,低技术工人就医的可能性较低(aOR 0.12,95% CI 0.02-0.79,p = 0.027)。在服务使用者中,5%的人在接种COVID-19疫苗时遇到困难,10%的人在检测时遇到困难,17%的人在接受医疗护理时遇到困难。等待时间长和预约程序复杂是遇到的主要困难:结论:在此次抽样调查中,COVID-19 疫苗接种、检测和医疗服务的覆盖率相当不错。然而,30 岁以下人群的疫苗接种率较低,而低技能工人的医疗护理率较低。加强对年轻移民和低技能工人有关 COVID-19 和其他传染病的教育和支持至关重要,尤其是在工作场所和教育机构。
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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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