DOI QR코드

DOI QR Code

북한이탈청소년의 결핵에 대한 지식 및 태도가 결핵예방행위에 미치는 영향

The Effects of Knowledge and Attitudes related to Tuberculosis on Tuberculosis Prevention Behaviors in North Korea Refugee Adolescents

  • 김선화 (국립재활원 재활연구소 임상재활연구과) ;
  • 신주현 (이화여자대학교 간호대학)
  • Kim, Seon Hwa (Department of Clinical Rehabilitation Research, National Rehabilitation Center) ;
  • Shin, Juh Hyun (College of Nursing, Ewha Womans University)
  • 투고 : 2020.11.09
  • 심사 : 2020.12.10
  • 발행 : 2020.12.31

초록

Purpose: The purpose of this study was to identify the factors affecting tuberculosis prevention behaviors in North Korean adolescent refugees. Methods: From September 16 to October 8, 2019, a survey was conducted to collect data from 143 North Korean adolescent refugees aged 13 to <25 at alternative and general schools in Seoul and Gyeonggi Province. The scale developed by Park (2008) and adapted by Cha (2012) was used to rate tuberculosis prevention behaviors in daily life with the aim of preventing high school students from getting infected with tuberculosis. The collected data were processed through frequency analysis, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression, using SPSS 25.0. Results: The mean score was 13.65 for knowledge of tuberculosis, 44.23 for attitudes towards tuberculosis, and 41.33 for tuberculosis prevention behaviors. Significant differences were found according to gender, country of origin, duration of stay in South Korea, tuberculosis examination, pre-entry chest x-ray, education about tuberculosis, alcohol intake, and subjective health status. A positive correlation was found between knowledge, attitudes, and prevention behaviors. The factors affecting tuberculosis prevention behaviors were attitudes (β=.38, p<001) and subjective health status (β=.26, p<.001). Conclusion: It is necessary to provide attitude-based education that can reinforce positive attitudes in order to improve North Korean adolescent refugees' tuberculosis prevention behaviors. This is expected to help them pay more attention to health care and become better at prevention behaviors. It is, therefore, necessary to develop a tuberculosis prevention education program with the aim of making them more knowledgeable about tuberculosis and providing them with systematic and sustainable education.

키워드

참고문헌

  1. Ministry of Unification. 2020 status of North Korean entry [Internet]. Seoul: Ministry of Unification; 2020 [cited 2020 Sept 3]. Available from: https://www.unikorea.go.kr/unikorea/business/statistics/
  2. National Law Information Center. Korea ministry of government legislation [Internet]. Seoul: National Law Information Center; 2019 [cited 2020 Sept 3]. Available from: http://www.law.go.kr/lsSc.do?menuId=1&subMenuId=15#undefined
  3. Jeon JH. Tuberculosis experience of North Korean refugees. Paper presented at: Symposium on State of Tuberculosis and Health Care in North Korea; 2018 Aug 23; Seoul Metropolitan Northwest Hospital, Seoul.
  4. Kim HJ. TB clinic-tuberculosis status and management of North Korean refugees. The World of Health. 2011;58(5):6-9.
  5. Kim SY. A study on the health behavior of North Korean refugee adolescents: comparison with South Korean adolescents. Journal of Korean Unification & Nursing. 2019;1(1):26-40.
  6. The Korea National Tuberculosis Association, Kim HJ. Study on the management system of tuberculosis patients in vulnerable juvenile group. Final Report on Academic Research Services. Osong: KCDC; 2011 November. Report No.: 2011E3100300.
  7. Im YJ, Oh WO, Suk MH. Adolescent health behaviors according to Body Mass Index. Child Health Nurse Research. 2017;23 (1):1-9. https://doi.org/10.4094/chnr.2017.23.1.1
  8. Korea Centers for Disease Control and Prevention. Zero Tuberculosis [Internet]. Osong: Korea Centers for Disease Control and Prevention; 2020 [cited 2020 November 9]. Available from: https://tbzero.cdc.go.kr/tbzero/main.do
  9. Kim GM, Kim HJ, Nam CM, Jee SH. A study on continuity of knowledge, attitude, and preventive behavior among elementary school students after tuberculosis prevention education. The Journal of the Korea Society of School Health. 2016;29(3): 209-217. https://doi.org/10.15434/kssh.2016.29.3.209
  10. Oh JE, Jeon GS, Jang KS. Tuberculosis-related knowledge, attitude and preventive behaviors among middle school students. The Journal of the Korean Society of School Health. 2015;28(3):177-187. https://doi.org/10.15434/kssh.2015.28.3.177
  11. Cha MS. The knowledge, attitude and prevention about tuberculosis for the high school students [master's thesis]. Daegu: Keimyung University; 2012. p. 1-56.
  12. Cha EJ, Lee SH. Effects of knowledge, attitude about tuberculosis and self efficacy on tuberculosis preventive behavior in college students. Journal of the Korean Data Analysis Society. 2016;18(5):2857-2870.
  13. Lee IS, Park HR. The knowledge & attitude on tuberculosis by parents of North Korean refugee children. Child Health Nursing Research. 2015;21(3):216-226. https://doi.org/10.4094/chnr.2015.21.3.216
  14. Jung EY, Seo JH, Kong JH. A study on knowledge, attitude and prevention behavior of tuberculosis in male high school students. Journal of Agricultural Medicine and Community Health. 2018;43(4):213-223. https://doi.org/10.5393/JAMCH.2018.43.4.213
  15. Lim SJ, Lee HJ. The effect of knowledge, attitudes and prevention behaviors for tuberculosis infection in nursing students. Journal of Korean Biological Nursing Science. 2016;18 (1):43-50. https://doi.org/10.7586/jkbns.2016.18.1.43
  16. Naidoo S, Taylor M. Association between South African high-school learners' knowledge about tuberculosis and their intention to seek healthcare. Global Health Action. 2013;6(1):1-8. https://doi.org/10.3402/gha.v6i0.21699
  17. Moon SM, Kim DW. The effect of department of emergency medical service students' knowledge and attitudes toward tuberculosis infection prevention behaviors. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(2): 259-266. https://doi.org/10.5762/KAIS.2019.20.2.259
  18. Kang DHS. Influencing factors in preventive behavior of tuberculosis among elementary school teachers. The Korean Society of Health Service Management. 2018;12(3):157-168. https://doi.org/10.12811/kshsm.2018.12.3.157
  19. Kang SR, Kim EY. Relationships between knowledge, attitude and preventive behavior about tuberculosis in service workers. Journal of the Korea Academia-Industrial. 2016;17(5):354-363. https://doi.org/10.5762/KAIS.2016.17.5.354
  20. Park MS. Study on knowledge, attitude and practice of the high school about tuberculosis. [master's thesis]. Busan: Inje University; 2008. p. 1-52.
  21. Lee YS. The knowledge & attitude on tuberculosis for the nursing students in Daejeon, South Korea and Yanbien, China. The Journal of the Korea Contents Association. 2015;15(11): 274-288. https://doi.org/10.5392/JKCA.2015.15.11.274
  22. Kang BS. A study on North Korean children born in third countries's right to education. Comparative law review. 2018; 29:25-46.
  23. Oh SY. A study on factors affecting knowledge and awareness of tuberculosis among North Korean defectors [master's thesis]. Seoul: Korea National Open University Graduate School; 2013. p. 1-88.
  24. Lee SY. Analysis of the barriers for the management of tuberculosis in North Korea through interviews with patients, caregivers, and physicians among the North Korean defectors [doctor's thesis]. Seoul: Yeon Sei University Graduate School; 2017. p. 1-110.
  25. Yang YK. Factors influencing preventive health behaviors for cancer in undergraduates. Journal of Korean Academy of Fundamentals of Nursing. 2015;22(2):59-68. https://doi.org/10.7739/jkafn.2015.22.1.59
  26. Kim MJ. The convergence study of nursing students' knowledge, attitudes and preventive behaviors against MERS in South Korea. Journal of the Korea Convergence Society. 2017;8(4):149-157. https://doi.org/10.15207/JKCS.2017.8.4.149
  27. Kim YH, Kwon YC. The effect dementia knowledge and attitude on dementia preventive behavior of adults. The Journal of the Convergence on Culture Technology. 2019;6(3):9-17. https://doi.org/10.17703/JCCT.2020.6.3.9
  28. National Institute of Korean Language. Standard Korean language dictionary [Internet]. Seoul: National Institute of Korean Language; 2008 [cited 2020 November 9]. Available from: https://stdict.korean.go.kr/search/searchView.do
  29. Kim NS, Lee KE. Factors affecting cancer preventive behavior in middle-aged people. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(1):29-38. https://doi.org/10.7739/jkafn.2014.21.1.29
  30. Korea Centers for Disease Control and Prevention, Zero Tuberculosis. National tuberculosis management guidelines [Internet]. Osong: Korea Centers for Disease Control and Prevention; 2019 [cited 2020 November 9]. Available from: https://tbzero.cdc.go.kr/tbzero/main.do