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.
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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.
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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.
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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.
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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.
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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.
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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