ArticleYonago acta medica2026
Psychosocial Factors Associated with Help-Seeking Intention Among Adults in Rural Japan.
Article in Yonago acta medica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Clarifying the psychosocial factors associated with help-seeking intention among residents in rural areas is essential for developing community-based support systems and preventing social isolation. This study examined psychosocial factors associated with help-seeking intention among adults in a rural region of Japan. Methods: A total of 448 adults living in Tottori Prefecture, Japan, participated in an online survey. Measures included help-seeking intention, perceived social climate, intrapersonal factors, social and interpersonal resources, and attitudes and skills related to help-seeking. Hierarchical logistic regression was conducted, with age and gender in Step 1 and 23 psychosocial variables in Step 2 using forward likelihood-ratio selection. Multicollinearity was assessed, and sensitivity analyses examined robustness. Results: Individuals who believed that "it is unavoidable to burden others as long as one is alive" had higher help-seeking intention (OR = 2.69). Those endorsing that "it is better to be useful to others" also showed higher intention (OR = 4.94). Participants who had consulted someone during childhood worries were more likely to have help-seeking intention (OR = 6.48). Having a place to connect with others outside home, school, or work was associated with higher intention (OR = 1.90). Believing that "being listened to is meaningful" was associated with higher intention (OR = 2.59), and willingness to "consult another person if the first consultation did not go well" was also positive (OR = 3.88). In contrast, individuals who felt isolated (OR = 0.43) and those who did not know how to seek support (OR = 0.30) were less likely to have help-seeking intention. Conclusion: Help-seeking intention in rural adults was associated with diverse psychosocial factors, including tolerance toward burdening others, value of being useful, childhood help-seeking experience, third places, perceived value of being listened to, persistence in help-seeking, subjective isolation, and uncertainty about how to seek help.
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