ArticleInternational journal for equity in health2021
Factors associated with access to health care among foreign residents living in Aichi Prefecture, Japan: secondary data analysis.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Awareness of and Satisfaction with Governmental COVID-19 Support Among Foreign Residents in Japan: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Area-Specific State of Suicide Deaths Among Foreign Nationals Living in Japan: A National Vital Statistics Study 2013-2022.Journal of immigrant and minority health · 2026Article
- Healthcare utilization and satisfaction: a cross-sectional study among Indian immigrants in Japan.BMC public health · 2026Article
- Review
- Factors affecting genetic counseling experiences of foreign residents in Japan: implications for healthcare inclusivity.Journal of community genetics · 2025Article
- Health transition of Thai migrant women in Japan: a preliminary cross-sectional study in a country with insufficient migrant health data.Archives of public health = Archives belges de sante publique · 2025Article
- Culture and context in Interprofessional education: Expectations in Australia and Japan.Medical education · 2025Article
- Barriers and facilitators for healthcare access among immigrants in Japan: a mixed methods systematic review and meta-synthesis.The Lancet regional health. Western Pacific · 2025Article
- Different trends in suicide rates among foreign residents in Japan and Japanese citizens during the COVID-19 pandemic.International journal for equity in health · 2024Article
- Psychological Distress and Associated Factors among Technical Intern Trainees in Japan: A Cross-Sectional Study.International journal of environmental research and public health · 2024Article
- The current status of neglected tropical diseases in Japan: A scoping review.PLoS neglected tropical diseases · 2024Article
- Access to Healthcare Services among Thai Immigrants in Japan: A Study of the Areas Surrounding Tokyo.International journal of environmental research and public health · 2023Article
- Demands for Community Services and Associated Factors among Residents in Smart Communities: A Case Study of Xuzhou City.International journal of environmental research and public health · 2023Article
- Pre- and post-COVID-19 all-cause mortality of Japanese citizens versus foreign residents living in Japan, 2015-2021.SSM - population health · 2022Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Japan, foreign residents, and particularly new arrivals in the country, experience barriers to health care and show poorer health outcomes when compared to Japanese nationals. The health-care-related situation for foreign residents in Japan has been characterized by drastic changes over time; thus, there is difficulty identifying individuals who are "left behind" by the system. In this study, we aimed to identify, among foreign residents who attended informal free medical consultations, factors associated with "being advised to visit a medical facility" and "being referred to a medical facility," which represented hypothetical proxy indicators of barriers to health care.
methodsSecondary data analyses were conducted using the activity records of a non-governmental organization that provides free consultations targeting foreign residents in various locations in Aichi Prefecture, Japan. Participant characteristics, including insurance coverage, were determined. Bivariate and multi-variate analyses were performed to identify factors associated with having barriers to health care.
resultsAmong 608 extracted cases, 164 (27.5%) cases were advised to visit a medical facility, and 72 (11.8%) were referred to a medical facility during the consultations. Those who were not covered by public insurance showed a 1.56-time (95% confidence interval [CI]: 1.19-2.05) higher prevalence of being advised to visit a medical facility when compared to those who were covered by public insurance. Unemployed people and students were more likely to be referred to a medical facility than were professional workers; the prevalence ratios were 3.28 (95% CI: 1.64-6.57) and 2.77 (95% CI: 1.18-6.46), respectively.
conclusionsAlthough the majority were insured, almost 30% were advised to visit a medical facility, which implied that they had had limited access to the formal health-care system before availing of the free consultations. The findings highlight those uninsured, unemployed people and students, who are considered vulnerable to access to health care. It is vital to provide those who are vulnerable with the necessary support while updatinge evidence, so that no one is "left behind."
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