• 한국응급구조학회지
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• 제13권1호
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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.

• Parasites, Hosts and Diseases
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• 제44권3호
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• pp.265-268
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• 2006

The present authors investigated intestinal parasitic infections among North Korean residents and refugees in China in 2003. The Kato-Katz method was applied to 236 residents and soldiers in a town on the North Korea-China border and to 46 people at a refugee camp in China. Only eggs of Ascaris and Trichuris were detected, with egg positive rates of 41.1 % and 37.6%, respectively. The total egg positive rate was 55.0% and most of those who were egg positive were only lightly infected. Women of 61.2% and men of 53.1 % were egg positive. The refugees from rural areas showed higher egg positive rates than those from urban areas. The present investigation confirmed high prevalence of soil-transmitted intestinal helminths in rural borderline areas of North Korea.

• 한국학교보건학회지
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• 제33권3호
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• pp.164-174
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• 2020

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.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제24권3호
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• pp.124-131
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• 2013

South Korea is changing into a multi-cultural society, due to an increase in international marriage, foreign workers and transcultural immigration. In addition, the number of North Korean defectors entering South Korea has increased and now, there are approximately 25000. Therefore, this review have focused on a research that pertains to adaptation and mental health concerns of their children. Children who have immigrated themselves or whose parents have immigrated, might experience language barriers, difficulties in school adjustment, identity confusion and mental health problems. However, their academic performance and developmental status are known to be variable and be affected by socioeconomic status and their parents' educational level. Studies that evaluated the psychological problems of North Korean adolescent refugees' indicated the need for interests in both emotional and behavioral problems. The risk factors of North Korean adolescent refugees' mental health are suggested to be past traumatic experiences, long duration of defection and short period of adaptation. When mental health professionals provide assessment and treatment, they should consider the pre- and post-migration experiences & cultural background that affect the illness behaviors and attitudes toward mental illnesses. Lastly, the majority of children with multi-cultural background are still under an adolescent period and we should follow up with long-term perspectives.

• 한국지역지리학회지
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• 제15권6호
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• pp.820-833
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• 2009

다문화 교육의 실천은 세계 여러 나라마다 다문화 사회 형성의 특징에 따라 다양하게 전개되고 있는 가운데, 최근 우리나라는 다문화 사회로의 변화에 대해 여러 분야에서 다문화 교육의 필요성이 제기되고 있는 있다. 본 연구에서는 새터민에 대한 고정관념과 사회적 친밀감의 정도가 북한에 대한 지식과 어떤 관련성이 있는지 살펴보았다. 새터민은 세계 여러 지역에서 이주해 온 이주자들처럼 한국사회에 적응해야하는 상황이면서, 언어적, 민족적 동질성을 가진 특수성을 가진다. 같은 민족이면서 다른 문화속에서 살아왔기 때문에 새터민과 남한 사람사이에는 문화적 이질감이 존재하고 있는데 새터민의 문화적 다양성을 인정하고 수용할 수 있는 태도를 갖도록 하는 것은 다문화적 감수성을 함양의 한 축이라고 할 수 있다. 새터민의 탈북양상이 최근 가족단위의 이주가 증가하면서, 학령기 아동의 한국사회 적응은 관련 당사자 모두의 과제인 가운데, 본 연구는 학교현장에서 중학생들이 새터민 학생들을 바라보는 시각에 주목하게 되었다. 본 연구에서 북한에 대한 지식을 범주화하여 교과지식, 북한상식, 시사이슈로 나누었으며 각각의 설명력 분석 결과, 북한에 대한 지식은 새터민에 대한 태도에 영향을 주고 있었다. 2007년 개정 교육과정의 적용에 따라 북한에 대한 교육 내용이 변화되는 상황에서 본 연구 결과는 지리교육 내용을 구성에 시사점을 가지며, 다문화교육 실천에 교과의 내용지식의 활용 가능성을 밝혔다는데 연구의 의의를 두고자 한다.

• 한국가족복지학
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• 제60호
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• pp.133-173
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• 2018

본 연구는 노후소득보장체계의 핵심인 공적연금에 해당하는 북한 년로년금에 대해 공간(公刊) 문헌에 기초하여 제도를 분석하고 북한이탈주민 인터뷰를 통해 실태를 파악함으로써 제도와실태 간 일치 및 괴리를 분석하는 것을 목적으로 하고 있다. 연구방법은 1945년부터 2013년까지 사회보장과 관련된 북한 법령과 북한 사전(정치사전, 경제사전, 재정금융사전, 조선대백과사전)을 활용한 문헌분석 및 눈덩이 표집방법을 활용한 25명의 북한이탈주민 면접자료의질적 분석이다. 연구결과, 북한 년로년금의 제도와 실태는 일부에서만 일치하는 것으로 나타났다. 사회주의 국가체제에서 국가책임의 공적연금이 제대로 작동하지 않을 경우 결국 가족의 역할이 강조될 수밖에 없다. 본 연구의 학술적 함의로는 다양한 북한 원자료에 기초한 연금제도 이해와 북한이탈주민 인터뷰를 통한 실태 해석이라고 할 수 있다. 본 연구의 결과물이 통일시대 노후소득보장 체계 구축에서 가족, 시장, 국가 간의 균형을 찾는데 기여할 수있을 것이다.

• Nutrition Research and Practice
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• 제11권4호
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• pp.307-318
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• 2017

BACKGROUND/OBJECTIVES: Relocation to new environments can have a negative impact on health by altering body weight and dietary patterns. This study attempted to elucidate changes in body weight, food security, and their current food and nutrient consumption in adult North Korean refugees (NKR) living in South Korea (SK). SUBJECTS/METHODS: This study analyzed data on 149 adult NKR from a North Korean refugee health in SK cohort at four time points (leaving North Korea, entering SK, first examination, and second examination). Body weight was self-reported at the two earlier time points and directly measured at the two later time points. Food security, diet-related behaviors (dietary habits and food consumption), and sociodemographic information were obtained using a self-administered questionnaire. Nutrient intake information was obtained by one-day 24-hour recall. Statistical analyses were performed with SPSS ver 23.0. RESULTS: Body weight increased during relocation by an average of 4 kg, although diversified patterns were observed during the settlement period in SK. Approximately 39.6% of subjects maintained their body weight between the first and second examinations, whereas 38.6% gained and 22.1% lost at least 3% of their body weight at the first examination by the second examination. Food security status improved from 12.1% food secure proportion to 61.7%. NKR showed generally good food and nutrient consumption (index of nutrient quality: 0.77-1.93). The body weight loss group showed the most irregular meal consumption pattern (P < 0.05), and eating-out was infrequent in all three groups. Consumption frequencies of food groups did not differ by group, except in the fish group (P = 0.036). CONCLUSION: This study observed considerable body weight adjustment during the settlement period in SK after initial weight gain, whereas food security consistently improved. More detailed understanding of this process is needed to assist healthy settlement for NKR in SK.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2004년도 제56차 추계 학술대회 연제집
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• pp.64.1-64.1
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• 2004

• 한국구조물진단유지관리공학회 논문집
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• 제22권5호
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• pp.39-46
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• 2018

최근 한반도는 동계올림픽 단일팀 참가, 남북정상회담 이후 남북 경제협력 방안이 본격적으로 논의될 것으로 보이고, 도로, 철도 등 남북 주요 인프라에 대한 관심이 커지고 있다. 그리고 대부분의 북한 시설물은 고령화, 노후화 및 유지관리 불량 등 시설물의 안전성과 기능성에 대한 문제점이 제기되고 있다. 이에 본 연구에서는 북한 인프라 개선 및 개발에 대한 새로운 전략을 마련하기 위하여 성능관점의 북한 유지관리 수준을 분석하고 남북 상호 인프라 유지관리 수준을 비교하였다. 본 연구결과, 북한의 도로, 철도 등 국가기반시설과 전력 및 통신, 상하수도 등 생활기반시설의 유지관리가 매우 취약한 것으로 조사되었고, 이에 대한 보수 보강 등 개선이 시급한 것으로 나타났다. 이에 본 연구는 안전과 성능에 대한 평가를 통해 남북 유지관리 수준의 격차를 줄이고, 향후 통합 한반도 안전 및 유지관리 체계를 구축하는데 기초자료로 활용하고자 한다.

• 보건행정학회지
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• 제16권4호
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• pp.48-67
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• 2006

The aim of the study was to examine levels of satisfaction with health care in North Korea and to identify factors associated with it using a convenience sample of North Korean refugees in China. Data from the 2004 Survey of Health Seeking Behavior of North Korean Households conducted by the Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health were used. The study subjects were 273 North Korean refugees whose length of stay in China was less than 3 months. Factor analysis was used to extract factor dimensions from the 12 satisfaction items. Bivariate (t test and ANOVA) and multiple regression analyses were used in examining factors associated with satisfaction with health care use in North Korea Overall, satisfaction level was low ($2.36{\pm}0.36$, score range: 1-5). Of the three-factor dimensions, physician skills scored the highest $(2.93{\pm}0.36)$, followed by drug availability $(2.51{\pm}0.07)$ and general cleanliness $(1.66{\pm}0.55)$. In the multiple regression analysis, having a usual source of care was significantly associated with patient satisfaction. Respondents who identified primary care (section) doctors as their usual source of care tended to be less satisfied than those with the city or county hospital as their usual source of care. County residents tended to report a lower degree of satisfaction with general cleanliness than city residents. Among socioeconomic characteristics, the number of household assets positively predicted satisfaction with drug availability. North Korean residents appear to be dissatisfied with their medical care. It may reflect some inadequacies in the North's universal health care system to meet the healthcare needs of its people.