Associations between psychological distress and the most concerning present personal problems among working-age men in Japan

BMC Public Health

Derek R Smith⁴  Jun Okahisa¹  Daisuke Yoneoka²  Hisashi Eguchi⁵  Koji Wada³ 

[1] Employee Health Office, Oriental Consultants Co. Ltd, 3-12-1 Honmachi, Shibuya-ku, Tokyo 151-0071, Japan;Department of Statistical Science, School of Advanced Sciences, the Graduate University for Advanced Studies, Kamiyamaguchi Midori-Cho 10-3, Tachikawa-Shi 190-8562, Tokyo, Japan;International Health Cooperation, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku 162-8655, Tokyo, Japan;School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Brush Road, Ourimbah, New South Wales 2258, Australia;Department of Public Health, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara 252-0374, Kanagawa, Japan

关键词: Working age population;    Purpose in life;    Personal relationships;    Personal problems;    Bullying;   

Others  :  1170962
DOI  :  10.1186/s12889-015-1676-7

 received in 2014-11-19, accepted in 2015-03-23,  发布年份 2015

【 摘 要 】

Background

Personal problems are known to influence mental health among workers. The current study investigated the most concerning present personal problems which have the greatest impact on psychological distress among working-age Japanese men, rather than issues relating to work tasks or duties.

Methods

We obtained data from the 2010 Comprehensive Survey of Living Conditions conducted by the Ministry of Health, Labour and Welfare. The original survey interviewed 289,363 households in 5,150 randomly selected municipalities of Japan, from which 228,664 households agreed to participate. We analyzed the data pertaining to men who were 20 to 59 years of age and the head of a family. The questionnaire included occupation, employment status, the most concerning present personal problems, and a measure of psychological distress (the Kessler 6 scale). Multiple logistic regression analysis was conducted to delineate the association between present personal problems and psychological distress.

Results

A total of 76,950 males were included in the analysis, 27.7% of whom reported some type of psychological distress. Statistical analysis revealed that psychological distress was associated with bullying and harassment (Odds Ratio (OR): 2.05, 95% Confidence Interval (95% CI): 1.50-2.56), divorce (OR: 1.90, 95% CI: 1.53-2.26), concerns about one’s purpose in life (OR: 1.73, 95% CI: 1.59-1.88), personal relationships with family members (OR: 1.49, 95% CI: 1.37-1.60), personal relationships with others (OR: 1.38, 95% CI: 1.29-1.48), own diseases (OR: 1.24, 95% CI: 1.15-1.33), and financial difficulties (OR: 1.16, 95% CI: 1.12-1.20); when compared with problems related to work tasks or duties.

Conclusions

Several personal factors appear to have a greater impact on the mental health of Japanese men of working age, when compared to the influence of work tasks or duties. Asking workers directly about the problems that most concern them in life might help better identify those in need psychological support. Multidisciplinary interventions to address their life concerns will likely be necessary for solving these problems and reducing psychological distress.

【 授权许可】

   
2015 Wada et al.; licensee BioMed Central.

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