• 여성건강간호학회지
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• 제25권1호
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• pp.46-59
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• 2019

Purpose: To determine associations of traumatic events and post-traumatic stress disorder (PTSD) with sexual autonomy and identify factors influencing sexual autonomy among female university students of North Korean defectors. Methods: A cross-sectional, descriptive study was performed with a total of 103 female students who completed a structured online self-report survey from January 7 to March 31, 2018. This study was conducted using questionnaires on interpersonal trauma scale, the Traumatic Scale for North Korean Refugees (TSNKR), and sexual autonomy measurement for college students. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression with SPSS WIN 23.0 program. Results: Traumatic events, PTSD, and sexual autonomy scores were $3.96{\pm}3.07$, $31.47{\pm}10.75$, and $52.66{\pm}6.89$, respectively. PTSD was positively correlated with traumatic events (r=.22, p=.030). Sexual autonomy was inversely correlated with PTSD (r=-.25, p=.010). Contraceptive use, PTSD, and voluntary sexual debut explained 26% of sexual autonomy of participants. Conclusion: To improve sexual autonomy of young women from North Korea, reproductive intervention programs including contraception, sexual assertiveness training, and psychoeducation to reduce PTSD need to be developed and implemented.

• 한국가족관계학회지
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• 제20권4호
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• pp.47-72
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• 2016

According to the survey by the Ministry of Unification, 28,133 live in South Korea as of september 2015 and the number has been steadily increased. It is interesting to note that the majority of defectors were women. Statistics say that the total of women defectors was 1,138 in 2002 and consisted of 55.5%. But the number increased to 2,706 in 2011 and consisted of 70.5%(Wikipedia, 2015). Most of them have trauma, because they experienced terrible events like prostitution, sexual abuse, domestic violence, etc. while they were living in South Korea. They had to get over a lot of challenges they never expected. They had to do whatever they need to do for their survival in South Korea as well as in North Korea. Objectives: This study focuses on identifying the psychosocial resources available for them in order to help them out living here. Method: For this purpose, this study conducted unstructured in-depth interviews with four women defectors from North Korea. Their age bracket is between the ages of 50 and 58 and they have stayed over five years in South Korea. They were recommended by social welfare workers, who had dealt with them over 20 years. For the reliability of this study, the three methods were performed such as three-month close relationship, three-person triangular verification, and diversification of resources-the field notes and observation notes. Results: As a result of this study, the resources may be labeled into three main clusters of themes such as 1) Self-Preservation - 'Self-Love', 'Family-Attachment', 'Share the Goods', 'Live in Harmony', 'Avoidance of conflict'; 2) Self-Conquest - 'Endurance', 'Earnestness and Effort', 'My own Activities', 'Chat', 'Put Down', 'Appreciation and Optimism'; 3) Self-Presence Awareness - 'I was a Precious Daughter', 'I am Mother'. Also there are thirteen sub categories to be considered. Conclusions: This study focuses on identifying how women defectors have used or can use the psychosocial resources available for them, rather than what they have struggled with. It is meaningful to identify in a positive light that this study provides how they have adjusted to a totally different context for their survival and what psychosocial resources they have used. This study can give an idea about how they may receive proper and practical help from the government programs in order to become better used to new living circumstances in South Korea. As well, this study can provide meaningful criteria and guidance with family life educators for women defectors and social workers working in counseling and social welfare areas. This study contributes to better understanding about how they are using these psychosocial resources.

• 한국콘텐츠학회논문지
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• 제18권7호
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• pp.470-483
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• 2018

본 연구는 탈북여성 관련 양적 연구동향을 분석하여 탈북여성에 대한 이해의 폭을 넓히고 향후 연구방향을 제시하기 위해, 한국학술정보원(KISS), 누리미디어(DBpia)에서 '탈북여성', '새터민 여성', '북한이탈 여성'의 키워드로 검색하여 나온 양적실증연구논문 최종 36편을 동향분석을 했다. 동향분석은 연구의 출처 및 연도별, 연구방법별, 그리고 연구대상별 일반적 특성의 분석과 더불어 연구의 내용 분석을 실시하였다. 주요 연구결과는 다음과 같다. 첫째, 탈북여성 관련 논문의 출처를 분석한 결과, 탈북여성 관련 연구가 가장 많이 게재된 학술지는 "한국심리학회지: 여성"이었다. 둘째, 연도별 연구동향을 살펴본 결과, 2000년부터 2004년까지는 1편에 불과하였던 탈북여성 연구는 그 이후 2010년(8편, 22.2%)부터 크게 증가하였다. 셋째, 연구방법별 연구동향을 분석한 결과에 따르면, 설문 조사(24편, 66.67%), 2차자료분석(7편, 19.44%), 개입평가연구(3편, 8.33%), 구조화된 면접 조사(2편, 5.56%)의 순으로 나타났다. 넷째, 주된 양적 자료분석 방법별 연구동향을 분석한 결과에 따르면, 통계적 분석방법(34편, 94.44%)이 가장 많이 활용되었다. 다섯째, 내용 분석을 통해, 탈북여성 관련 연구에서 중점이 되는 특정 주제를 범주화한 결과, 가장 많이 다루어진 주제는 탈북여성의 정신건강 및 심리(17편, 47.22%), 탈북여성의 사회적응(5편, 13.89%), 탈북여성의 취업 및 진로(4편, 11.11%), 탈북여성의 건강(4편, 11.11%), 탈북여성의 성(3편, 8.33%), 탈북여성의 실태(3편, 8.33%) 순으로 나타났다. 이러한 결과를 토대로 향후 탈북여성 관련 연구과제 및 방향을 제시하였다.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.60-74
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• 2016

최근 북한이탈주민 사이버대학 사회복지전공생의 증가와 더불어 필수과목인 사회복지실습에서의 경험탐색을 통한 적절한 실습 교육의 필요성이 대두되고 있다. 본 연구는 북한이탈주민 사이버대학생들이 사회복지실습에서 경험하는 어려움은 무엇인지를 심층적으로 파악하여 보다 효과적인 실습교육 지원방안을 모색하기 위한 목적을 가지고 수행되었다. 이를 위하여 사회복지실습을 마친 G 사이버대학교 사회복지전공생 북한이탈주민을 대상으로 심층개별면접을 실시하고, 질적 연구방법인 근거이론의 지속적 비교분석을 통한 개방코딩을 활용하여 자료를 분석하였다. 그 결과, 북한이탈주민 사이버대학생이 경험하는 사회복지실습에서의 어려움은 49개의 개념, 18개의 하위범주, 7개의 범주로 최종 분석되었다. 범주는 다양한 장애요인으로 인한 실습 진입의 어려움, 북한과의 차이로 인한 혼란, 기대와 다른 과업과 역할 수행, 부담되는 인간관계, 복지적 전문역량 부족감, 불가피한 환경적 어려움, 그리고 개인적 고충상황이었다. 이를 근거로 이들에 대한 보다 효과적인 실습교육을 위한 지원방안을 학교, 실습기관, 실습생과 사회의 측면에서 제언하였다.

• 한국보건간호학회지
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• 제25권2호
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• pp.221-232
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• 2011

Purpose: The study sought to provide basic information for North Korean defectors (Sae-Tu-Min) by studying the quality of life(QoL) based on their general characteristics and health problems. Methods: The targeted subjects were 1400 North Korean settlers who were receiving settlement service by Korean National Red Cross after finishing their training at Hanawon in 2005. The data was collected from August to October in 2007. The QoL was assessed by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA and t-test with SPSS win 15.0 program. Result: The majority of the 466 subjects were female(77.9%). The average age was 36.8 years, 52.8% lived alone, and 64.0% were unemployed. The average QoL score of the group was $62.4{\pm}18.4$, which was markedly lower in terms of social, physical and mental health compared to the scores of immigrants to South Korea from other countries. The score was the highest for physical ability and the lowest for general health. Influential socio-demographic factors to QoL were gender, age, education, religion, annual salary, occupation, and life insurance. Employed in the subject group showed higher level of QoL on eight categories than unemployed. Concerning health problems that detracted from QoL, 18.5% of the subjects were aware they suffered from anemia and 8.8% of them recognized they suffered from attention deficits. Conclusion: The health conditions of the North Korean settlers had improved since they settled in South Korea, but their QoL was lower than other immigrants. Various programs to maintain and promote the health of North Korean settlers would be useful.

• 한국임상약학회지
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• 제25권4호
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• pp.223-230
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• 2015

Background: 8,000 children in North Korea died before they reached the 1 year after births in 2013. The high mortality rate of children under five years of age is mainly caused by infectious diseases and malnutrition. The need for national pediatric immunization and supply of vaccines will be vital when the abrupt reunification occurs. Objective: The purpose of this study is to scrutinize the pediatric immunization coverage of North Korea. Additionally it is to estimate the amount and the costs needed to vaccinate. Methods: The target population is the children of North Korea. The method is based on a pre-survey and an interview of North Korea defectors. The target interviewees searched for are as follows; doctors, teachers, and others. The interview includes questions on mortality rates and immunization coverage. The analysis is largely based on the statements of the health care providers within the selected group. Results: The interviewees are 8; 7 female and 1 male. The birth years range from 1956 to 1982. 3 out of 8 are former health care providers; a doctor, a pharmacist, and a nurse. The morbidity rate of infectious diseases exceeds the data from WHO. The immunization coverage is nearly 0% after 1980s. In order to ensure the welfare of North Korean children, at least 8,234,000 vaccine doses, requiring over 105 million U.S. dollars, are needed. Conclusion: The morbidity rate of infectious disease in North Korea is conspicuous. The preparation for supply and expenditure of vaccines is vital.