Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
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Development of a comprehensive health promotion program for North Korean young adult defectors in South Korea

북한이탈 청소년을 위한 통합적 건강증진 프로그램 개발

  • Choi, Seul-Ki (Health Promotion Research Division, Korea Institute for Health and Social Affairs) ;
  • Park, Sang-Min (Department of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Joung, Hyo-Jee (Division of Public Health Nutrition, Graduate School of Public Health, Seoul National University)
  • 최슬기 (한국보건사회연구원 건강증진연구실) ;
  • 박상민 (서울대학교병원 가정의학과, 서울대학교 의과대학) ;
  • 정효지 (서울대학교 보건대학원 보건영양학교실)
  • Published : 2009.06.01
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Abstract

Purpose: The purpose of this study was to develop a comprehensive health promotion program for North Korean young adult defectors in South Korea. Methods: The comprehensive health promotion program consisted of nutrition, mental healthcare, physical activity and sexual behavior was developed on the basis of need assessment results. For the evaluation of the program, 70 North Korean young adults who were attending two alternative schools for North Korean defectors were recruited. The program had taken place once a week for 13 or 19 weeks. Effectiveness of the health promotion program was evaluated using anthropometric measurement, 3-day food records and a questionnaires that comprised the Hospital Anxiety and Depression Scale (HADS), the Short Form with 36 questions (SF-36) and health behaviors. The surveys were proceeded at the beginning and after the program. Results: After health promotion program, participants' height was significantly increased (p=0.004) and body fat mass (0=0.004) and percentage of body fat mass (p=0.003) were significantly decreased. The number of subjects who ate breakfast alone was decreased whereas the number of subjects who ate breakfast with friends was increased (p<0.001). There were no significant changes in dietary intakes, mental health status and quality of life. North Korean young adult defectors' willingness to participate and interests in the health promotion program were high, however the practice rate was low. Conclusion: The health promotion program could induce interests and willingness to participate, but bring about limited effects on the health behaviors. These results imply that a health promotion program for North Korean young adult defectors should have a long-term strategy as well as short-term plan. Furthermore, it should be based on their health problems, health related behaviors, academic performance and daily life matters.

Keywords

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