J Korean Acad Community Health Nurs.  2012 Sep;23(3):231-243. 10.12799/jkachn.2012.23.3.231.

Health Status and Health-Promoting Lifestyle Profile II of North Korean Immigrants

• Kang Y
• Ha Y
• Eun Y

• KMID: 2292790
• DOI: http://doi.org/10.12799/jkachn.2012.23.3.231

Abstract

PURPOSE
The purpose of this study was to identify the relationships between health status including objective health status and subjective health perception and Health-Promoting Lifestyle Profile II in North Korean immigrants.
METHODS
During August 2011 to November 2011, a convenience sample of 96 subjects aged 19 to 65 years were recruited from two centers and one public health center in Gyeongnam. The subjects were interviewed face to face by trained people with a survey questionnaire.
RESULTS
Approximately 40% of North Korean immigrants rated their health status as 'poor', and the prevalence of health problems in them was 81.3%. The average level of health-promoting lifestyle profile II was 1.78+/-0.35. Females with normal weight or overweight, and have stayed for over 1 year in South Korea were related to the lower score of health-promoting lifestyle profile II.
CONCLUSION
Considering North Korean immigrants' health background and health behaviors, customized health care program focusing on musculoskeletal disorder and psychological problems are required, and at the same time health behavior change program to achieve lifetime wellness should be developed.

Keyword

Immigrant; Health status; Health behavior

MeSH Terms

Aged
Delivery of Health Care
Emigrants and Immigrants
Female
Health Behavior
Humans
Life Style
Overweight
Prevalence
Public Health
Republic of Korea

Reference

1. Black C, Ford-Gilboe M. Adolescent mothers: Resilience, family health work and health-promoting practices. J Adv Nurs. 2004. 48(4):351–360.

2. Cho YA, Jeon WT. A qualitative study of North Korea women defectors' adaptation to South Korea life. Korean J Woman Psychol. 2005. 10(1):17–35.

3. Gadd M, Sundquist J, Johansson SE, Wandell P. Do immigrants have an increased prevalence of unhealthy behaviors and risk factors for coronary heart disease? Eur J Cardiovasc Prev Rehabil. 2005. 12(6):535–541.

4. Goel MS, McCarthy EP, Phillips RS, Wee CC. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004. 292(23):2860–2867.

5. Han I. Depressive traits of North Korean defectors. Ment Health Soc Work. 2001. 11(6):78–94.

6. Hwang WJ. Cardiovascular disease in Korean blue-collar workers: Actual risk, risk perception, and risk reduction behavior. 2010. San Francisco, USA: Unpublished doctoral dissertation.

7. Idler E, Benyami Y. Self-rated health and mortality: A review of twenty-seven community studies. J Health Soc Behav. 1997. 38(1):21–37.

8. Jennions MD, Moller AP. A survey of the statistical power of research in behavioral ecology and animal behavior. Behav Ecol. 2003. 14(3):438–445.

9. Jeon JH. The effect of health belief on health behavior in North Korean defectors. 2010. Seoul: Korea National Open University;Unpublished master's thesis.

10. Jeon WT, Yu SE, Um JS. A seven-year panel study on North Korean defectors perception and satisfaction on life in South Korea. J Korean Neuropsychiatr Assoc. 2010. 49(1):90–103.

11. Kang CG. North Korean refugees supporting policy based on barrier factor analysis. Tongilmunjeyeongu-Guktotongirwon. 2010. 53:261–290.

12. Kemp C, Rasbridge LA. Refugee and immigrant health: A handbook for health professional. 2004. Cambridge: Cambridge University Press.

13. Kim BC. North Korean defectors panel study(Economic adaptation · mental health · physical health). 2010. Seoul: North Korean Refugees Foundation.

14. Kim HK, Shin HG. Psychological symptoms before and after the settlement in the South Korea society of North Korean refugees according to gender and age. Korean J Psychol Gen. 2010. 29(4):707–724.

15. Kim MR. The effect of the adjustment stress and the social support on the depressive symptoms of the North Korean defectors. Korean J Soc Welf. 2005. 57(1):193–217.

16. Kim NH, Sohng KY. Health-promoting lifestyle patterns and health perception in elders using welfare service centers. J Korean Acad Fundam Nurs. 2009. 16(4):481–489.

17. Kim SG. In North Korean Refugees Foundation & International Organization for Migrants. Physical health of North Korean refugees in South Korea(NORNS). International conference on the health of North Korean migrants. 2011. Seoul: North Korean Refugees Foundation;59–70.

18. Kim YH, Jeon WT, Cho YA. A study on the prevalence and the influencing factors of the mental health problems among recent migrant North Koreans: A focus on 2007 entrants. Unification Policy Stud. 2010. 19(2):141–174.

19. Kim YI. Effect factors on Health Promotion Lifestyle of shift work nurses. Korean J Occup Health Nurs. 2011. 20(3):356–364.

20. Kim YK. The effect of subjective health cognition and self-esteem on depression of Seteomin in a region. J Korean Soc Emerg Med Technol. 2009. 13(3):59–69.

21. Koochek A, Mirmiran P, Azizi T, Padyab M, Johansson S, Karlstrom B, et al. Is migration to Sweden associated with increased prevalence of risk factors for cardiovascular disease? Eur J Cardiovasc Prev Rehabil. 2008. 15(1):78–82.

22. Lee CY, Park SA, Kim BI, Yang KH, Yu JS, Jung US, et al. Epidemiology and health promotion. 2007. Seoul: Sumunsa.

23. Ministry of Unification. Statistic data: Policy of North Korean defectors. 2011. 12. 28. Retrieved December 28, 2011. from http://www.unikorea.go.kr/CmsWeb/viewPage.req?idx=PG0000000365.

24. North Korean Refugees Foundation. International conference on the health of North Korean migrants. 2011. Seoul: Author.

25. Steffen PR, Smith TB, Larson M, Butler L. Acculturation to Western society as a risk factor for high blood pressure: A meta-analytic review. Psychosom Med. 2006. 68:386–397.

26. Tajik M, Galvao HM, Eduardo Siqueira C. Health survey instrument development through a community-based participatory research approach: Health promoting lifestyle profile (HPLP-II) and Brazilian immigrants in Greater Boston. J Immigr Minor Health. 2010. 12:390–397.

27. Walker SN, Sechrist KR, Pender NJ. Health-promoting lifestyle profile II. 1996. Retrieved June 10, 2011. from University of Nebraska Medical Center, College of nursing Web site: http://www.unmc.edu/nursing/Health_Promoting_Lifestyle_Profile_II.htm.

28. Wieland M, Weis J, Palmer T, Goodson M, Loth S, Omer F, et al. Physical activity and nutrition among immigrant and refugee women: A community-based participatory research approach. Womens Health Issues. 2012. 22(2):e225–e232.

29. Yoon IJ, Kim S. Health and medical care of North Korean defectors in South Korea. Health Soc Sci. 2005. 17:149–182.