• Journal of Preventive Medicine and Public Health
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• 제48권1호
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• pp.62-71
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• 2015

Objectives: This study aimed to investigate North Korean refugees' knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Methods: Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. Results: The North Korean refugees' mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. Conclusions: This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees' knowledge of mental illnesses. In addition, the evaluations of North Korean refugees' mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

• 보건행정학회지
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• 제28권1호
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• pp.70-76
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• 2018

Background: The purpose of this study was to investigate the determinants of North Korean refugees' trust in South Korea health service. Methods: This study surveyed 168 North Korean refugees aged 19 and over living in Seoul, Gyeonggi, Incheon, and Gangwon. The collected data were analyzed by frequency analysis, t-test, analysis of variance, and hierarchical regression analysis to analyze the effect on the trust of refugees. Results: The difference analysis showed statistically significant difference according to duration of residence and employment status. The determinants of North Korean refugees' trust in South Korea health services were duration of residence, basic communication skills, health communication skills, and experience of health service. Conclusion: In order to increase the trust of North Korean defectors in South Korea medical services, it is necessary to resolve communication problems and improve the satisfaction of health services. For this, the interpreter service should be activated. And specific education should be given to the North Korean refugees about the health care system and the utilization methods of health service in Korea.

• 대한불안의학회지
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• 제6권1호
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• pp.37-44
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• 2010

Objectives : This study investigated the influence of traumatic experience on the ego identity, self-esteem, and general psychopathology of adolescent North Korean refugees. Methods : The participants were 146 adolescents North Korean refugees who attended H High School for North Korean refugees. We divided the subjects into two groups according to the severity of their traumatic experience : the more-traumatic-experience group and the less-traumatic-experience group. Each group performed self-report assessments including an assessment to reveal demographic characteristics, the Traumatic Experiences Scale for North Korean Defectors, the Scale for Ego identity, the Scale for Self-esteem and the Symptom Check-90-Revision (SCL-90-R). Statistical analysis of t-test and multiple regression utilized SPSS 12.0 for Window for comparison between more-traumatic-experience group and less-traumatic-experience group. Results : The prevalence of posttraumatic stress disorder among adolescents North Korean refugees was 37%. The factor with the greatest influence on ego identity was length of time living in South Korea, while, for self-esteem the most influential factor was perception of health. The more-traumatic-experience group had lower self-esteem scores on some subscales of the Scale for Ego identity. They had higher scores on all SCL-90-R subscales than the less-traumatic-experience group. Conclusion : Adolescent North Korean refugees experienced high rates of posttraumatic stress disorder. The more traumatic-experience-group had lower self esteem and poorer ego identity and mental health than the less-traumatic-experience group.

• 벤처창업연구
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• 제10권2호
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• pp.69-76
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• 2015

북한이탈주민은 1990년대 중반이후 북한경제가 붕괴되자 북한을 이탈하여 중국 등 제3국을 거쳐 한국에 입국하였다. 3개월의 정착교육을 이수하고 거주하는 지역에서 생활하면서 의사소통 곤란, 가치관과 정체성의 혼란 및 문화의 차이 등으로 많은 어려움을 겪고 있다. 본 연구의 목적은 북한이탈주민의 벤처창업 성향에 따른 사회적응성 및 가족건강성 회복을 위한 정책대안을 제시하고자 한다. 북한이탈주민의 벤처창업 성향을 분석하기 위해 수도권에 거주하고 있는 북한이탈주민 중 부부중심, 한 부모 및 1인 가족 45명을 대상으로 1:1 인터뷰를 실시하였다. 본 연구를 통해 북한이탈주민의 삶의 질 향상 및 성공적인 남한 정착을 위한 4가지 정책적 대안을 도출하였다.

• 한국조리학회지
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• 제19권2호
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• pp.93-110
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• 2013

본 연구는 새터민들의 남한 음식에 대한 수용을 조사하고, 새터민들의 성별에 따른, 연령에 따른 남한음식 선호도를 조사하여 새터민들의 바람직한 식습관을 형성하는데 도움이 되고자 실시하였다. 새터민들은 남한 거주 초기에 남한음식 적응에 어려움을 겪는 사람과 그렇지 않는 사람들로 상이한 결과를 보였다. 남한음식 적응에 어려움을 겪은 이유는 남한음식이 북한음식에 비해 달고, 양념이 강하고, 새로운 재료, 새로운 조리방법을 많이 사용하기 때문으로 조사되었다. 새터민들은 북한 음식에 비해 남한 음식이 아주 달게 느끼는 것으로 조사되었으며 거주 기간이 길수록 단맛에 익숙해지는 경향을 보였다. 새터민들은 쌀밥, 냉면, 된장국, 갈비찜, 불고기, 채소볶음, 오이생채, 채소전, 배추김치, 생선튀김, 순대, 배, 과일주스, 생수를 선호했다. 30세 이상의 새터민들은 기존음식을 선호하는 반면, 30세 미만의 새터민들은 라면과 스파게티 같은 새로운 음식에 대한 선호도가 높은 것으로 조사되었다. 새터민들은 탈북 초기에는 남한 음식의 수용에 다소 어려움이 있었으나 적응하는 데는 기간이 필요하므로 이 기간에 식생활에 대한 교육이 필요한 것으로 생각되었다.

• Child Health Nursing Research
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• 제24권3호
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• pp.287-297
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• 2018

Purpose: This study aimed to identify variables influencing the psychosocial adjustment of North Korean adolescent refugees in order to establish a structural equation model and design an intervention strategy to improve psychosocial adjustment. Methods: The subjects included 290 North Korean adolescent refugees aged 16~24 years who were enrolled in alternative schools or regional adaptation centers. They were surveyed using a structured questionnaire. Results: The goodness of fit measures of the model were as follows: $x^2=131.20$ (p<.001), GFI=.93, CFI=.91, TLI=.86, RMSEA=.08, and SRMR=.07. The results estimated from the structural equation model indicated a good fit of data to the hypothesized model, which proposed that stress and emotional intelligence are associated with psychosocial adjustment. The major variables influencing psychosocial adjustment were stress, emotional intelligence, which was a significant direct effect, whereas attitude of parenting showed an indirect effect on psychosocial adjustment through emotional intelligence. These variables account for 50.0% of psychosocial adjustment. Conclusion: It is necessary to develop a program and intervention plan that can enhance emotional intelligence and thereby relieve the stress of North Korean adolescent refugees. The program should also include parenting education so that parents have positive attitude of parenting.

• 가정간호학회지
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• 제23권2호
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• pp.166-176
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• 2016

Purpose: The purpose of this study was to investigate the knowledge and prevention attitudes of female North Korean refugees regarding cervical cancer and human papillomavirus(HPV) infection. Methods: A descriptive study was conducted. Data were collected from November 2015 to March 2016 and 130 female North Korean refugees participated. Data were analyzed using SPSS 21.0. Results: Score on knowledge and prevention attitudes regarding cervical cancer and HPV were 2.53 out of 8 points, 1.67 out of 17 points, and 28.90 out of 36 points. There were significant differences between entry duration, the number of children, previous cervical cancer tests, Precognition about HPV, preferred education method, and knowledge of cervical cancer. There were significant differences between previous cervical cancer tests, Precognition about HPV and knowledge of HPV. The correlation between knowledge and prevention attitudes regarding cervical cancer and HPV was significant positive. Conclusion: Female North Korean refugees' knowledge level of cervical cancer and HPV is very low. However, their attitudes towards prevention was higher. These results imply a need for education, aimed at guiding North Korean female refugees, so as to enhance their knowledge regarding cervical cancer and HPV, and to promote their sexual health.

• 한국조리학회지
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• 제20권6호
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• pp.147-158
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• 2014

본 연구는 새터민들의 편의식품에 대한 선호도와 이용현황을 파악하여 올바른 편의식품을 선택할 수 있게 하고자 실시하였다. 새터민 211명에게 설문지를 조사하여 SPSS를 이용해서 분석했다. 반 이상의 새터민들이 편의식품을 좋아하고, 즐겨먹는 것으로 조사되었다. 반 정도의 새터민들이 편의식품에 대해 경우에 따라 좋다고 생각하고 있었고, 새터민들은 편의식품을 간식으로 즐겨 먹었다. 새터민들은 영양보다는 편리성과 맛 때문에 편의식품을 선택하고 있다. 새터민들은 거주기간이 짧을수록 패스트푸드의 맛, 편리성, 영양, 가격때문에 패스트푸드를 선택하는 경향을 보였다. 새터민들에게 편의식품에 대해 이해시키고, 올바른 편의식품 사용방법에 대해 기초적인 식생활교육을 실시하는 것이 바람직하다고 생각되었다.

• 동의신경정신과학회지
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• 제24권4호
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• pp.373-384
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• 2013

Objectives: The purpose of this study is to understand the cognition of the initiation of diseases of North Korean refugees in South Korea. Methods: 9 North Korean refugees hospitalized in Oriental Neuropsychiatry of National Medical Center participated in the interview. The statements were analyzed by using the phenomenological research methodology and Giorgi's analytical method, in particular, was applied. Results: A total of 4 categories and 15 sub categories were derived from the participants' descriptions. North Korean refugees who thought their diseases have begun while living in North Korea coming to South Korea, have fire disease because of the strict social system, limitations imposed on their actions, and the violence of their husbands. And who thought during escaping from North Korea, have anxiety about being killed, found and transferred to North Korea. They also suffered from a sense of guilt towards their family who were left behind as well as from depression. Consequently, they thought their skeletal diseases have begun during this period. Who thought during their period in Korea, their diseases like fire disease and depression have been worsen because of unfamiliar circumstances and doctors who said their problems had been caused by psychiatric disorder. Nevertheless, they did their jobs, felt happy and had a will to be cured thingking possibilities of overcoming diseases. Conclusions: These results suggest that various factors during different periods in the life of North Korean refugees could have an effect on their present diseases.

• 한국사회복지학
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• 제64권4호
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• pp.89-111
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• 2012

최근 탈북자들이 한국 뿐 아니라 영국, 캐나다, 미국 등 난민 인정이 가능한 서구사회에 정착하고 있다. 본 연구는 2006년부터 탈북자들의 입국이 허용된 미국에 정착한 탈북자들이 정착지 결정과 적응 과정에서 어떤 경험들을 하게 되는지를 보다 심도 깊게 이해하고자 하였다. 이를 위하여 현재 미국에 거주하고 있는 탈북자 8명을 대상으로 심층 면접을 실시하였고, 탈북자들을 돕는 일을 하는 실무자 1명의 면접 자료를 보조적으로 사용하였다. 탈북자들의 미국 정착 및 적응에 관한 내용을 근거이론 접근방법에 의하여 분석한 결과 89개의 범주들과 19개의 상위범주를 파악하였고, 패러다임 모형에 의한 분석도 시도하였다. 연구의 중심 현상은 "정착지에 대한 자발적 선택"이었으며, 정착지의 결정과 적응 과정에서 이러한 선택에 따른 탈북자들의 적응 과정의 상호작용과 결과들이 나타났다. 또한 이들의 삶의 방식이 욕구결핍의 해결과정으로서의 정착 과정을 밟고 있음을 알 수 있었다. 제언으로는 미국 내 거주 탈북자들의 삶을 통해 한국 사회가 탈북자 적응문제에 대해 재고해보아야 할 복지적 함의도 제시하였다.