북한이탈 청소년을 위한 통합적 건강증진 프로그램 개발 = Development of a comprehensive health promotion program for North Korean young adult defectors in South Korea

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to develop a comprehensive health promotion program for North Korean young adult detectors 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 detectors were recruited. The proeram 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.

참고문헌 (Reference)

1 유가효, "한국사회에서 탈북 아동,청소년의 학업성취 및 사회적 적응 - 초기 사회적응교육을 중심으로" 한국가정관리학회 22 (22): 185-196, 2004

2 이기영, "탈북청소년의 남한사회적응에 관한 질적 분석" 한국청소년정책연구원 13 (13): 175-223, 2002

3 신형미, "탈북청소년을 위한 집단미술치료 체험연구" 서울여자대학교 2006

4 최성숙, "탈북청소년을 위한 미술치료" 가톨릭대학교 2003

5 금명자, "탈북 청소년의 문화 적응 과정 이해" 한국상담심리학회 16 (16): 295-308, 2004

6 정효지, "탈북 청소년의 건강위험 실태 조사" 서울대학교 통일연구소 연구과제 결과보고서 2007

7 박순영, "중국 체류 북한 어린이의 성장발육상태 연구" 6 (6): 199-219, 2000

8 서주원, "줄넘기 운동이 초등학교 비만아의 체지방, 순환기능과 혈청지질에 미치는 영향" 4 (4): 35-48, 2000

9 김봉석, "줄넘기 운동이 비만 중학생의 체지방, 심폐지구력 및 혈중지질에 미치는 영향" 한국스포츠리서치 16 (16): 509-516, 2005

10 장홍선, "자전적 공연 연습을 통해 본 탈북청소년 사례 연구" 국민대학교 2008

11 장남수, "연변지역 탈북 아동 및 청소년의 체위와 식생활 양상" 33 (33): 324-331, 2000

12 김복희, "소득수준에 따른 우리나라 성인의 식품 및 영양소 섭취수준 비교 - 김복희- 2001 국민건강？영양조사 결과를 중심으로" 대한지역사회영양학회 10 (10): 952-962, 2005

13 오경자, "빈곤가정 청소년의 심리사회적 적응 : 위험요인과 보호요인의 탐색" 한국임상심리학회 24 (24): 53-72, 2005

14 통일부 인도협력국, "북한이탈주민 현황[Online]"

15 변미희, "북한이탈 청소년의 자아존중감 향상을 위한 집단미술치료 프로그램의 효과-북한이탈청소년을 위한 대안학교 재학생을 중심으로-" 한국청소년학회 12 (12): 127-150, 2005

16 박윤숙, "북한이탈 청소년의 사회적 지지 특성과 남한사회 적응에 관한 연구" 80-117, 2008

17 김예영, "북한이탈 아동의 건강상태 평가" 17 (17): 55-63, 2005

18 박순영, "남한 거주 탈북 어린이, 청소년의 신체성장, 심리발달, 그리고 복지서비스 욕구에 관한 연구" 서울대학교 통일연구소 연구과제 결과보고서 2006

19 Lohr, K.N., "Use of medical care in the Rand Health Insurance Experiment. Diagnosis- and service-specific analyses in a randomized controlled trial" 24 (24): S1-87, 1986

20 Uchino, B., "The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health" 119 (119): 488-531, 1996

21 Snaith, R.P., "The hospital anxiety and depression scale manual" NFER-Nelson 1994

22 Kloomok, S., "Self-concept in children with learning disabilities: The relationship between global self-concept, academic "discounting," nonacademic self-concept, and perceived social support" 17 : 140-153, 1994

23 Central Bureau of Statistics, "Report on the DPRK nutrition assessment" 2002

24 Wildman, J., "Income related inequalities in mental health in Great Britain: analysing the causes of health inequality over time" 22 : 295-312, 2003

25 Wenz-Gross, M., "Importance of social support in the adjustment of children with learning problems, Exceptional Children" 63 (63): 183-193, 1997

26 Wills, T.A., "How are social support effects mediated? A test with parental support and adolescent substance use" 71 (71): 937-52, 1996

27 Blackwell, D.L., "Does childhood health affect chronic morbidity in later life?" 52 : 1269-1284, 2001

28 Prader, A., "Catch-up growth" 54 (54): 133-146, 1978

29 김은경, "12주간 재즈댄스 트레이닝이 체력과 신체구성 및 심폐기능에 미치는 영향" 한국운동생리학회 11 (11): 199-209, 2002