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"North Korea"

Original Articles
Purpose
This study assessed the levels of parenting efficacy, parenting stress, and acculturation stress of North Korean refugee mothers and analyzed their effects on parent-child relations.
Methods
A descriptive study design was used. Data were collected during 2019, and 124 North Korean refugee mothers participated.
Results
The mean score for parenting efficacy was 53.08 out of 90, that for parent-child relations was 37.84 out of 50, and that for parenting stress was 48.57 out of 90. The parental stress score was higher than that of child-related stress. The acculturation stress level was 90.66 out of 165, with the highest stress levels found for social isolation and distrust and the lowest found for perceived discrimination. Parenting efficacy, parenting stress, acculturation stress, and parent-child relations were significantly related in North Korean refugee mothers. Hierarchical regression analysis showed that the final model had an explanatory power of 35% for parent-child relations (F=17.68, p<.001). Parenting efficacy was the variable with the largest effect on parent-child relations (β=.36, p<.001), followed by parenting stress (β=-.24, p=.010).
Conclusion
The findings suggest the need to identify ways to decrease parenting stress and improve parenting efficacy. Parenting education can guide North Korean refugee mothers to strengthen their parent-child interactions.

Citations

Citations to this article as recorded by  
  • Development and effects of the PARENT (Parenting Acceptable Real Empathy Nurture Training) program for mothers who defected from North Korea
    In-Sook Lee, Jung-Hee Jeon
    Applied Nursing Research.2024; 79: 151839.     CrossRef
  • Parental Stress Associated with International Migration Processes: A Systematic Review
    Pedro Henrique Conte Gil, Carolina Da Silva Peixoto, Cesar Augusto Piccinini, Adolfo Pizzinato
    Universitas Psychologica.2024; 22: 1.     CrossRef
  • Research Trends on the Parenting Behavior of North Korean Defectors: A Scoping Review
    Ocksim Kim, Seongmi Choi, JiYeon Choi, Sang Hui Chu
    Journal of Korean Public Health Nursing.2024; 38(1): 55.     CrossRef
  • Linking acculturation stress, parenting stress and depression of Asian expatriates' wives in the USA with their distress disclosure intention: The moderating role of husband's support
    P. Praveen Kumar, K. Kavitha, K.C. Raja Shree
    Acta Psychologica.2024; 251: 104597.     CrossRef
  • Knowledge, confidence, and educational needs of newborn care among North Korean refugee women: a descriptive study
    In-Sook Lee
    Child Health Nursing Research.2023; 29(1): 72.     CrossRef
  • Effects of parenting education programs for refugee and migrant parents: a systematic review and meta-analysis
    In-Sook Lee, Eunjung Kim
    Child Health Nursing Research.2022; 28(1): 23.     CrossRef
  • Influence of hardiness, mother-child interactions, and social support on parenting stress among North Korean refugee mothers: a cross-sectional study
    In-Sook Lee, Jung-Hee Jeon
    Child Health Nursing Research.2022; 28(4): 269.     CrossRef
  • 7,060 View
  • 171 Download
  • 7 Crossref
Structural Equation Model for Psychosocial Adjustment in North Korean Adolescent Refugees
Insook Lee
Child Health Nurs Res 2018;24(3):287-297.   Published online July 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.3.287
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: x2=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.

Citations

Citations to this article as recorded by  
  • Psychosocial-Adjustment Needs of North Korean Refugee Youth from the Perspectives of Alternative-School Members
    Hwayeon Myeong, Ahlam Lee, Eun-A Park, Yea Eun Gong, MiHyang Kim, Hyunjung Jo
    Journal of Refugee Studies.2021; 34(2): 2200.     CrossRef
  • Development and effects of a psychosocial adaptation program for North Korean adolescent defectors
    In-Sook Lee, Jung-Hee Jeon
    Child Health Nursing Research.2021; 27(3): 243.     CrossRef
  • Defining Adjustment to Address the Missing Link between Refugees and Their Resettlement Communities
    Camilla Modesti, Alessandra Talamo
    International Journal of Environmental Research an.2021; 18(18): 9902.     CrossRef
  • 8,198 View
  • 159 Download
  • 3 Crossref
Purpose
The purpose of this study was to investigate the effects of oral health education on oral health knowledge, oral health behavior, and oral hygiene status of children from North Korea.
Methods
Participants were 32 North Korean children defectors (15 in the education group, 17 in the control group). The oral health education program, including theoretical training and toothbrush training, was done once a week for 4 weeks. Effects of the education program were assessed for oral health knowledge, oral health behavior, and oral hygiene status at pretest, 0, and 4 weeks after the intervention. Data were analyzed using repeated measures ANCOVA with the SAS program.
Results
Children in the education group showed increased oral health knowledge and behavior over time compared to the control group and an improvement in oral hygiene status including significantly decreased S-PHP and Snyder test for oral micro-organism.
Conclusion
Results indicate that oral health education is effective in improving oral health knowledge, oral health behavior and oral hygiene status. These improvements could lead to a better quality of life for North Korean children defectors.

Citations

Citations to this article as recorded by  
  • A Qualitative Study of Preschool Children’s Perspectives on an Oral Health Promotion Program in New South Wales, Australia
    Jinal Shashin Parmar, Prathyusha Sanagavarapu, Sowbhagya Micheal, Navira Chandio, Susan Cartwright, Amit Arora
    Children.2024; 11(4): 415.     CrossRef
  • The influence of North Korean defectors’ oral health service experience on oral health behavior
    Siwoo Kim, Yuri Lee, Jae-Sung Kwon, Saran Kim, Jungtae Kim, Steacey Kim, Jae Hoon Lee
    Journal of Korean Academy of Oral Health.2022; 46(3): 115.     CrossRef
  • Changes in the oral health and tooth brushing habits of upper grade primary school children according to the composition of the tooth brushing environment of the school
    Su-Kyung Jwa
    Journal of Korean Academy of Oral Health.2021; 45(4): 210.     CrossRef
  • An exploratory study on development policy and the status of oral health care in the North Korea during the Kim Jong-Un era
    Sae-Rom Lee, Se-Hwan Jung
    Journal of Korean Academy of Oral Health.2020; 44(1): 26.     CrossRef
  • 10,448 View
  • 267 Download
  • 4 Crossref
Effects of Parenting Stress in North Korean Refugee Fathers on Their Parenting Behavior
In-Sook Lee, Jung-Hee Jeon
Child Health Nurs Res 2016;22(3):182-189.   Published online July 31, 2016
DOI: https://doi.org/10.4094/chnr.2016.22.3.182
Purpose
The purpose of this study was to identify effects of parenting stress in North Korean refugee fathers on their parenting behavior.
Methods
A descriptive study design was used. Data were collected during 2014 and 2015 in a settlement support center for North Korean refugees and 99 North Korean refugee fathers participated. Data were analyzed using SPSS 21.0.
Results
Warmth․encouragement parenting behavior received the highest score. The score for parenting stress was 81.98 out of 180, and 32.3% of participants were found to need professional help (≥PSI 90). There were significant negative correlations between warmth․encouragement parenting behavior and parenting stress. There were also significant positive correlations between rejection․neglect parenting behavior and parenting stress. Predictors of warmth․encouragement behavior were parent-child dysfunctional interaction which explained 10.1% of the variance. Predictors of rejection․neglect behavior were parent-child dysfunctional interaction, number of children and wife’s education level which explained 33.4% of the variance.
Conclusion
Findings show that North Korean refugee fathers’ parenting stress significantly influenced warmth․encouragement and rejection․neglect parenting behavior indicating a need to identify ways to decrease parenting stress. Parenting education can guide North Korean refugee fathers to strengthen parent-child positive interactions and therefore promote their children’s growth and development.

Citations

Citations to this article as recorded by  
  • Ambiguous Loss, Continuing Bonds, and Post-Separation Growth in North Korean Defector Women
    Kyong Ah Kim, Richard M. Lee, Hyein Chang
    Journal of Loss and Trauma.2025; : 1.     CrossRef
  • 가족관계에서 탈북청년들의 신념변화에 관한 질적 연구: 부모-자녀관계에서 ‘좋은 부모’에 관한 인식을 중심으로*
    주람 전, 일현 배, 지홍 배, 윤정 신
    Journal of Family Relations.2024; 28(4): 93.     CrossRef
  • Development and effects of the PARENT (Parenting Acceptable Real Empathy Nurture Training) program for mothers who defected from North Korea
    In-Sook Lee, Jung-Hee Jeon
    Applied Nursing Research.2024; 79: 151839.     CrossRef
  • Research Trends on the Parenting Behavior of North Korean Defectors: A Scoping Review
    Ocksim Kim, Seongmi Choi, JiYeon Choi, Sang Hui Chu
    Journal of Korean Public Health Nursing.2024; 38(1): 55.     CrossRef
  • Influence of parenting efficacy, parenting stress, and acculturation stress on parent-child relations among North Korean refugee mothers
    In-Sook Lee, Jung-Hee Jeon
    Child Health Nursing Research.2021; 27(2): 171.     CrossRef
  • Stress e competenze genitoriali nelle separazioni giudiziarie. Analisi dei fattori protettivi e di rischio nelle relazioni parentali
    Daniela Pajardi, Monia Vagni, Valeria Giostra, Viviana La Spada, Tiziana Maiorano
    RICERCHE DI PSICOLOGIA.2019; (4): 693.     CrossRef
  • Structural Equation Model for Psychosocial Adjustment in North Korean Adolescent Refugees
    Insook Lee
    Child Health Nursing Research.2018; 24(3): 287.     CrossRef
  • 10,365 View
  • 136 Download
  • 7 Crossref
The Knowledge & Attitude on Tuberculosis by Parents of North Korean Refugee Children
In Sook Lee, Ho Ran Park
Child Health Nurs Res 2015;21(3):216-226.   Published online July 31, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.3.216
Purpose
The purpose of this study was to investigate the knowledge and attitude on tuberculosis by parents of North Korean refugees’ children.
Methods
A descriptive study was conducted. Data were collected from July to November, 2014 in Hanawon and 74 North Korean refugee parents participated in the study. Data were analyzed using the SPSS 21.0.
Results
The score for knowledge was 17.72 out of 30 points, for awareness in attitude, 49.34 out of 60 points and for prevention behavior in attitude, 48.39 out of 60 points. There were positive significant correlations among knowledge, attitude and health interest. There was also a significant positive correlation between awareness and prevention behavior in attitude, and between prevention behavior and health interest.
Conclusion
North Korean refugee parents showed a low level of knowledge and a negative attitude. The implication of these results is an awareness of the need for education on the causes, transmission and importance of treatment for tuberculosis. This kind of education can guide North Korean refugee parents to obtain correct information and positive attitudes and therefore, be able to effectively practice appropriate health behaviors in tuberculosis management for their children.

Citations

Citations to this article as recorded by  
  • Systematic review of evidence on public health in the Democratic People’s Republic of Korea
    John J Park, Ah-Young Lim, Hyung-Soon Ahn, Andrew I Kim, Soyoung Choi, David HW Oh, Owen Lee-Park, Sharon Y Kim, Sun Jae Jung, Jesse B Bump, Rifat Atun, Hee Young Shin, Kee B Park
    BMJ Global Health.2019; 4(2): e001133.     CrossRef
  • Army Soldiers’ Knowledge of, Attitude Towards, and Preventive Behavior Towards Tuberculosis in Korea
    Yun Choi, Geum Hee Jeong
    Osong Public Health and Research Perspectives.2018; 9(5): 269.     CrossRef
  • Relationships between Knowledge, Attitude and Preventive Behavior about Tuberculosis in Service Workers
    Seung-Rang Kang, Eun-Young Kim
    Journal of the Korea Academia-Industrial cooperati.2016; 17(5): 354.     CrossRef
  • A Study on Continuity of Knowledge, Attitude, and Preventive Behavior among Elementary School Students after Tuberculosis Prevention Education
    Gyeong Mi Kim, Heejin Kim, Chung Mo Nam, Sun Ha Jee
    Journal of the Korean Society of School Health.2016; 29(3): 209.     CrossRef
  • 11,665 View
  • 139 Download
  • 4 Crossref
PURPOSE
This study was done to develop a theory on the early childhood caring experience of North Korean refugee mothers and how such caring affects how they deal with the socio-psychological problems they face as North Korean refugees.
METHODS
Data were gathered by in-depth interviews, participant observation, and medical records, and were analyzed using the Grounded Theory methods of Strauss and Corbin (1998).
RESULTS
From open coding 62 concepts, 23 subcategories and 11 categories were derived, and the North Korean refugee mothers' caring experience was revealed to be 'hopeful upbringing'. A central theme common to the participants was 'coexistence of expectations and worries'.
CONCLUSION
The results of this study provide theoretical grounds to understand North Korean refugee mothers' child care experiences and offer personalized nursing and a deeper understanding of their needs by looking at their experience. Findings may also be useful to help nurses who care for North Korean refugee mother-child dyads in the community and in clinical settings to gain insight on this special needs group, and facilitate the development of interventions based on better understanding of the mothers' experiences.

Citations

Citations to this article as recorded by  
  • 가족관계에서 탈북청년들의 신념변화에 관한 질적 연구: 부모-자녀관계에서 ‘좋은 부모’에 관한 인식을 중심으로*
    주람 전, 일현 배, 지홍 배, 윤정 신
    Journal of Family Relations.2024; 28(4): 93.     CrossRef
  • Comparing the nutritional status of children and adolescents from North Korean defector families and South Korean families
    So-Yeong Kim, Seong-Woo Choi, Jong Park, So-Yeon Ryu, Mi-Ah Han, Sun-Young Park
    BMJ Open.2021; 11(10): e052059.     CrossRef
  • 5,829 View
  • 49 Download
  • 2 Crossref
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