Symptoms of depression and anxiety among Vietnamese immigrants in Japan during the COVID-19 pandemic: a cross-sectional web-based study
Symptoms of depression and anxiety among Vietnamese immigrants in Japan during the COVID-19 pandemic: a cross-sectional web-based study
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COVID-19 大流行期间在日本的越南移民的抑郁和焦虑症状：一项基于网络的横断面研究
DOI：
10.1101/2022.03.09.22271973
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Kenji Kato
中科院分区：
文献类型：
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作者：
Tadashi Yamashita;Pham Nguyen Quy;Emi Nogami;Erina Seto-Suh;Chika Yamada;Saori Iwamoto;Kyoko Shimazawa;Kenji Kato
我们的目的是调查2019年冠状病毒病期间在日本的越南移民的心理健康状况和相关因素（COVID-19）pandemic.DesignOnline cross-sectional survey adopted from September 21 to October 21 2021设置对日本裔越南移民的在线调查参与的纳入标准是1）越南公民身份或越南血统的日本公民身份，主要结果患者健康问卷9（PHQ-9）和广泛性焦虑症7项（GAD-7）评分被认为是主要的结果指标。采用多因素Logistic回归分析方法，对621名被试进行抑郁和焦虑症状的相关因素分析，并将所选变量同时输入调查表（年龄：26.0±4.8岁;男性：347 [55.9%]），73.7%的受访者表示收入较COVID-19疫情前减少，60.4%的人报告最近受到社会经济状况不佳的影响。分别在203名（32.7%）和285名（45.9%）个体中观察到中度至重度抑郁症状（PHQ-9评分≥10分）和轻度至重度焦虑症状（GAD-7评分≥5分）。与抑郁症状相关的因素是年龄（比值比[OR]=0.94，p=0.043），内科或精神科共病（OR=2.46，p<0.001）和低社会经济地位（OR=2.47，p<0.001）。与焦虑症状相关的因素单一（OR=1.72，p=0.044），内科或精神科共病（OR=2.52，p<0.001），社会经济地位低（OR=2.72，p<0.001），以及没有伴侣可以讨论自己的健康状况（OR=1.66，p=0.013）。结论目前的研究结果表明，与日本公民相比，越南移民的收入减少，工作条件恶化，以及精神健康状况不佳。这些研究结果突出了低社会经济地位和社会孤立的心理健康状况差的潜在贡献。本研究的优势和局限性越南移民，谁是在日本的第二大移民群体，进行了研究。在COVID-19大流行期间，之前没有对他们的心理健康进行过评估。这项研究通过在线调查提供了一种非接触的方法来预防感染。因此，我们收到了来自日本COVID-19低感染率地区和高感染率地区的广泛回应。调查可能无法完全代表所有居住在日本的越南移民，因为一些年长的越南移民可能因在线形式而无法参与。
ObjectiveWe aimed to examine the mental health status and related factors among Vietnamese immigrants in Japan during the coronavirus disease 2019 (COVID-19) pandemic.DesignOnline cross-sectional survey administered from September 21 to October 21, 2021SettingOnline survey of Vietnamese immigrants in JapanParticipantsThe inclusion criteria for participation were 1) Vietnamese citizenship or Japanese citizenship in those of Vietnamese descent, current residence in Japan, and 2) age ≥18 years.Main OutcomesPatient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder 7-item (GAD-7) scores were considered the main outcome measures. Multivariable logistic regression was used to identify factors related to symptoms of depression and anxiety, and the chosen variables were entered simultaneously in the survey.ResultsAmong 621 participants (age: 26.0±4.8 years; male: 347 [55.9%]) who completed the questionnaire, 73.7% reported a decrease in income when compared with the period before the COVID-19 pandemic, and 60.4% reported being recently affected by poor socioeconomic status. Moderate-to-severe symptoms of depression (PHQ-9 score ≥10 points) and mild-to-severe symptoms of anxiety (GAD-7 ≥5 points) were observed in 203 (32.7%) and 285 (45.9%) individuals, respectively. Factors related to depressive symptoms were age (odds ratio [OR]=0.94, p=0.043), medical or psychiatric co-morbidity (OR=2.46, p<0.001), and low socioeconomic status (OR=2.47, p<0.001). Factors related to anxiety symptoms were being single (OR=1.72, p=0.044), medical or psychiatric co-morbidity (OR=2.52, p<0.001), low socioeconomic status (OR=2.72, p<0.001), and absence of a partner with whom to discuss one’s health (OR=1.66, p=0.013).ConclusionsThe current findings demonstrate that, when compared with Japanese citizens, Vietnamese immigrants experienced a decrease in income, worsening working conditions, and poor mental health status during the COVID-19 pandemic. These findings highlight the potential contribution of low socioeconomic status and social isolation to poor mental health status.Strengths and limitations of this studyVietnamese immigrants, who are the second largest immigrant group in Japan, were studied. No previous assessment of their mental health during the COVID-19 pandemic has been carried out.This study provided a non-contact approach to prevent infection using online surveys. Therefore, we received a wide range of responses from areas with low COVID-19 infection rate area to high COVID-19 infection rate area in Japan.The survey may not be a complete representation of all Vietnamese immigrants living in Japan, as some elderly Vietnamese immigrants may not have been able to participate due to the online format.