# Health literacy assessment and healthcare access difficulties of Vietnamese migrants in Japan: A cross-sectional study

**Authors:** Takashi Tsubakita, Nobuo Kawazoe, Nobuyuki Matsuo, Immaculate Sabelile Tenza, Immaculate Sabelile Tenza, Immaculate Sabelile Tenza

PMC · DOI: 10.1371/journal.pone.0344665 · 2026-03-20

## TL;DR

This study assesses health literacy and healthcare access challenges among Vietnamese migrants in Japan, finding gender and topic-based disparities.

## Contribution

The study introduces insights into health literacy disparities and proposes culturally tailored interventions for Vietnamese migrants in Japan.

## Key findings

- Women scored higher than men in mental health and sexually transmitted infection knowledge.
- Health literacy disparities were observed by gender and topic area.
- Culturally adapted health education is needed to improve healthcare access for Vietnamese migrants.

## Abstract

While the number of Vietnamese migrant workers in Japan has been increasing, their healthy literacy as a key concern for ensuring equitable access to healthcare is unknown. This study assessed health literacy among Vietnamese migrants in Japan and examined their access to healthcare and the difficulties they encounter. Convenience sampling was employed, with Vietnamese support organizations across Japan invited to disseminate a web-based survey via social media platforms. Using both self-reported and test-based health literacy tools, we measured health literacy levels in a sample of 137 Vietnamese migrants. We identified disparities by gender and topic area, where women were likely to score higher than men, particularly in mental health and knowledge of sexually transmitted infections. Our findings underscore the importance of culturally tailored health education and community-based interventions to support the health of this population. The study highlights the need for cultural and linguistically adapted educational materials to improve equitable access to healthcare. Our work contributes to the ongoing dialogue on migrant health and the development of inclusive public health strategies.

## Full-text entities

- **Genes:** HYLS1 (HYLS1 centriolar and ciliogenesis associated) [NCBI Gene 219844] {aka HLS}
- **Diseases:** infectious diseases (MESH:D003141), STIs (MESH:D012749), syphilis (MESH:D013587), Autism spectrum (MESH:D000067877), measles (MESH:D008457), post-traumatic stress disorder (MESH:D013313), pneumothorax (MESH:D011030), amenorrhea (MESH:D000568), injuries (MESH:D014947), developmental disorders (MESH:D002658), schizophrenia (MESH:D012559), ACADEMIC EDITOR (MESH:D007859), depression (MESH:D003866)
- **Chemicals:** carbohydrates (MESH:D002241), blood sugar (MESH:D001786), salt (MESH:D012492), potassium (MESH:D011188), PONE-D-25-55029R1 (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13004346/full.md

---
Source: https://tomesphere.com/paper/PMC13004346