• Korean Journal of Community Nutrition
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• v.17 no.4
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• pp.407-418
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• 2012

Many displaced North Koreans (NK) are living in South Korea (SK); however nutrition research with the displaced NK is limited. This study examined food and nutrient consumption status of displaced NK children (6-18 year-old) currently living in SK. A total of 154 children were recruited, and a pre-tested dietary behavior questionnaire, food frequency questionnaire, 24-hr recall method were used. Sex- and age-matched SK children (n = 462) randomly selected from 2009-2010 Korea National Health and Nutrition Examination Survey were used as the comparison group. This study found that more NK children skipped breakfast (37%) and dinner (11%), and ate breakfast (38.8%) and dinner (18.2%) without family members than SK children. Many NK children reported that they rarely ate bread, rice cake, hamburger, pizza, fried food, candy. NK children consumed significantly less energy and nutrients (except calcium) and obtained more energy from fat and protein than SK children. Overall index of nutrient quality in NK children, however, was generally good. Length of stay in SK and breakfast skipping rates were significantly associated with lower diet quality. Therefore, nutrition education with displaced NK children should target those who recently came to SK. How to incorporate "new" foods, generally high in energy, sugar, or fat, in healthy ways and importance of breakfast should be emphasized. The growth patterns of the displaced NK children who were born and raised in food-deprived environments and will grow in food-affluent environments of SK should be monitored for health promotion of the NK children and for nutrition policy of the future united Korea.

• Journal of the Korean Society of School Health
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• v.22 no.1
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• pp.73-83
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• 2009

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.

• Research in Community and Public Health Nursing
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• v.29 no.4
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• pp.488-498
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• 2018

Purpose: This study was conducted to identify the influence of trauma experiences and social adjustment on health-related quality of life in North Korean defectors. Methods: The subjects were 117 North Korean defectors living in B and Y city. The data were collected from September 1 to September 20, 2014, and analyzed by the SPSS/WIN 18.0 program. Results: Significant differences were found in the health-related quality of life with respect to the subjects' education, marriage status, types of dwelling, family types, duration of residence in South Korea, jobs in South Korea and in North Korea, families left in North Korea or other surrounding countries, and subjective health status. Health-related quality of life is negatively related to trauma experiences during escape from North Korea and during their life in South Korea. Health-related quality of life positively is related to social adjustment. The meaningful variables which influenced the subjects'health-related quality include social adjustment, job in South Korea, job in North Korea, current family structure, and trauma experiences in South Korea. Total explanatory power of these factors for health-related quality in North Korean Defectors is 43.0% and social adjustment is the most influential factor. Conclusion: Therefore, in order to enhance health-related quality of life in North Korean defectors, it is necessary for them to increase social adjustment and decrease trauma experiences. In addition, methods are needed to provide job opportunities, better education and family services for North Korean defectors.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.1
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• pp.58-68
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• 2019

Purpose: The purpose of this study was to develop a program to improve the cultural competence of nursing students related to North Korean defectors and to investigate the effectiveness of the program. Methods: There were 36 nursing students in the experimental group and 30 in the control group, who were recruited from a university in I-city, Korea. A Chi-square, t-test, and ANOVA with the SPSS/Win 21.0 program were used to analyze the data. Results: After the intervention, the experimental group showed a statistically significant increase in the total score for multicultural awareness toward North Korean defectors over the control group (t=0.85, p=.026). Scores for cognitive area (t=0.89; p=.037), ritual area (t=-0.10, p=.915), and action area (t=1.18, p=.031) increased, but the conscious area score was not statistically significant. The experimental group showed a statistically significant increase in the total score for multi-cultural efficacy for North Korean refugees (t=0.36, p=.030). Scores for cognitive area (t=0.63; p=.029), working area (t=0.05, p=.955), and emotional area (t=0.79 and p=030) increased, but the working area score was not statistically significant. Conclusion: It was found that the program to promote multicultural efficacy related to North Korean defectors applied in this study was effective in enhancing multicultural awareness and efficacy of nursing students.

• Research in Community and Public Health Nursing
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• v.30 no.3
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• pp.324-335
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• 2019

Purpose: The purpose of this study is to understand nursing college life experiences of North Korean Defectors and identify their meanings. Methods: The study collected data through individual in-depth interviews among six undergraduates or graduates from nursing colleges, using phenomenological research methodology of Colaizzi-one of qualitative research approaches. Results: Six categories drawn as a result of research include 'Be bumped against hard reality wall', 'Bondage of discrimination and prejudice', 'Endure and stand with strength of faith', 'Myself grown up along with work', 'Becoming one amid differences', and 'Stepping towards unification'. Conclusion: The result of this study would contribute to understanding academic and interpersonal difficulties North Korean defectors might experience at nursing colleges. And it may also help people to learn that they would play an important role in integration of the nursing fields of South and North Korea as well as the nation's unification. Along the way, the results of the study could be basic data to establish national policy helping North Korean defectors adapt to nursing college life, and develop the supporting system of colleges as well as setting up appropriate supports and measures from the perspective of the nursing field.

• Korean Journal of Culture and Social Issue
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• v.14 no.1_spc
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• pp.487-518
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• 2008

The study identifies the major themes for integration education program which enhances the relationship between the north Korean refugees and their south Korean hosts. The themes were selected based on qualitative analysis of the socio-cultural conflicts experienced by the refugees and the hosts in the acculturation process. Twenty-eight north Korean refugees over age 20 participated in semi-structured interviews, and two south Korean groups in close contact with the refugees, police and volunteer teachers, were interviewed in focus groups. The interviews were recorded and transcribed for categorization and coding. The study views the acculturation issue as the two-sided integration task for both the north Korean refugees and the south Korean hosts rather than as the one-sided acceptance and assimilation task for the refugees.

• Korean Medical Education Review
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• v.14 no.2
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• pp.95-101
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• 2012

As North Korea passed from the Devotion (Jeongseong) movement to the black market (Jangmadang) system, the medical service system in that country was effectively destroyed. North Korean physicians who have successfully defected to South Korea (North Korean defector physicians, NKDPs) have experienced socio-economic hardships on their way to becoming incorporated into the South Korean medical system due to different medico- social cultures, different (English-based) medical terminology, and the clinical knowledge gap between North and South Korea. Since 2009, we have operated programs at the Seoul Medical Center to help NKDPs prepare for the South Korean medical licensing examination. These programs consist of clinical education at the medical center, personal mentoring, arrangement of educational programs at the medical college, mock tests at the consortium, and administrative aid. Looking forward, we hope to achieve the following: 1) More systematic support plans are needed involving medical education experts, field physicians, and experts on reunification. 2) An evaluation of defector physicians' current medical knowledge may provide information about the areas where supplementary education is most needed and the standards for certificating licenses. 3) In the short term, a customized glossary should be developed to assist defector physicians prepare for the examination. 4) To secure internships and residencies is the most important issue for further sustained training of NKDP physicians to become good clinicians after certification. Hopefully, this short report on the current ongoing educational course will lead to more extensive discussion.

• The Korean Journal of Emergency Medical Services
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• v.13 no.1
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• pp.5-18
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• 2009

Purpose : The purpose of this survey was to investigate the health status (food intake, exercise, smoking, drinking, stress, social support) of North Korean Refugees in Gwangju metropolitan city and Jeonnam province. Method : Data were collected by self-reported questionnaire from 61 North Korean Refugees from March 20 to April 20, 2005. The data were analyzed by descriptive statistics using SPSS win 12.0 programs. Results: In current health status, 42.7% of the subjects were in poor health. In exercise status, 32.8% of the subjects practiced exercise regular basis but only 13.1% did it 3-4 times per week. In smoking status, 26.2% of the subjects were current smokers and 81% were nicotine dependent. In drinking status, 37.7% of the subjects were current drinkers, 48% were problematic and 17% were alcohol dependent. In stress status, 42.7% of the subjects were in psycho-emotional, 49.2% in physical and 19.6% in behavioral stress. The mean score of social support was 24 out of 54 points showing a little low relatively. Conclusion : These findings showed that the health conditions of Saeteomins were poor relatively. Therefore, health care programs should be started for these Saeteomins in order to improve their health status.

• Journal of the East Asian Society of Dietary Life
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• v.21 no.1
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• pp.1-13
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• 2011

The number of North Korean refugees residing in the Republic of Korea (South) has reached 17,000, and this number is expected to exceed 20,000 (North Korean Supporter's Association, 2009). Refugees have developed improper dietary habits while hiding and escaping North Korea. They have also developed preferences for exotic food. This thesis attempts determine the changes in Korean food. This study also describes the view on South Korean food by North Korean refugees. According to our survey, women refugees had better dietary habits than men. Moreover, women and those in their 40's showed a tendency to choose food based on quality over quantity. Both men and women refugees responded that they cook food based on North Korean recipes. Those who view their current financial status as average or higher stated that South Korean food is tastier than North Korean food. Those whose financial status among North Koreans was average or higher when they lived in North Korea appreciated the splendor and beauty of South Korean food more. The results of this study are expected to assist in determining the differences in dietary habits between those from the North compared to Koreans living in the Republic of Korea. Therefore, studies between South and North Korean food should continue.

• Korean Journal of Childcare and Education
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• v.13 no.1
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• pp.85-106
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• 2017

Objective: The purpose of this study was to learn from Korean female defectors about their views of child-rearing experiences in South Korea. This study explored how 7 North Korean female defectors with young children developed child-rearing microideologies that acknowledge both North Korean cultural ideology and South Korean cultural ideology. Methods: To examine North Korean female defectors' child-rearing experiences, indepth interviews with 7 North Korean female defectors with young children were conducted. Results: Four theme clusters, 11 themes, and 47 meanings were found from a phenomenological analysis with indepth interview data. Based on the themes, three types of child-rearing microideologies were identified: (1) separation,(2) assimilation, and (3) integration. Each type of child-rearing microideology can be understood with a meaningful phrase "there is no choice", "nevertheless" and "because I came here to be better," respectively. Conclusion/Implications: This study provides knowledge on the individual-specified child-rearing strategy of North Korean female defectors with young children and suggests the necessity of diverse policy proposals based on the child-rearing microideology types.