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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

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Authors
Lee, Jihyun; Park, Yui; Han, Dong-Hun; Yoo, Ji Won; Zhou, Wenlian; Kim, Pearl; Shen, Jay J
Issue Date
2021-04-21
Publisher
BMC
Citation
BMC Public Health. 2021 Apr 21;21(1):766
Keywords
EducationNorth Korean defectorsSelf-rated healthSocial support
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.
ISSN
1472-6831
Language
English
URI
https://hdl.handle.net/10371/174679
DOI
https://doi.org/10.1186/s12889-021-10770-4
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dept. of Dentistry (치의학과)Journal Papers (저널논문_치의학과)
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