The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study

Abstract Background The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education an...

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Main Authors: Jihyun Lee, Yui Park, Dong-Hun Han, Ji Won Yoo, Wenlian Zhou, Pearl Kim, Jay J. Shen
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-10770-4
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author Jihyun Lee
Yui Park
Dong-Hun Han
Ji Won Yoo
Wenlian Zhou
Pearl Kim
Jay J. Shen
author_facet Jihyun Lee
Yui Park
Dong-Hun Han
Ji Won Yoo
Wenlian Zhou
Pearl Kim
Jay J. Shen
author_sort Jihyun Lee
collection DOAJ
description Abstract Background The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the associations of education and social support with the self-rated health status among NKDs. Methods This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support on their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables. Results NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR = 5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions Participation in regular education in South Korea is important for the health status of NKDs. Moreover, social support has an important role in the association between education and self-rated health. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.
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spelling doaj.art-7db9e6a957294e2e98cf3e4f1392aea52022-12-21T19:55:26ZengBMCBMC Public Health1471-24582021-04-012111810.1186/s12889-021-10770-4The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional studyJihyun Lee0Yui Park1Dong-Hun Han2Ji Won Yoo3Wenlian Zhou4Pearl Kim5Jay J. Shen6Department of Dental Education, School of Dentistry, Seoul National UniversityDepartment of Dental Education, School of Dentistry, Seoul National UniversityDental Research Institute, Seoul National UniversityDepartment of Internal Medicine, School of Medicine, University of NevadaDepartment of Dental Medicine, School of Dental Medicine, University of NevadaDepartment of Health Care Administration and Policy, School of Public Health, University of NevadaDepartment of Health Care Administration and Policy, School of Public Health, University of NevadaAbstract Background The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the associations of education and social support with the self-rated health status among NKDs. Methods This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support on their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables. Results NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR = 5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions Participation in regular education in South Korea is important for the health status of NKDs. Moreover, social support has an important role in the association between education and self-rated health. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.https://doi.org/10.1186/s12889-021-10770-4EducationNorth Korean defectorsSelf-rated healthSocial support
spellingShingle Jihyun Lee
Yui Park
Dong-Hun Han
Ji Won Yoo
Wenlian Zhou
Pearl Kim
Jay J. Shen
The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study
BMC Public Health
Education
North Korean defectors
Self-rated health
Social support
title The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study
title_full The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study
title_fullStr The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study
title_full_unstemmed The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study
title_short The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study
title_sort association of education in a new society and social support from the education with the health of north korean defectors a cross sectional study
topic Education
North Korean defectors
Self-rated health
Social support
url https://doi.org/10.1186/s12889-021-10770-4
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