J Korean Acad Community Health Nurs.  2018 Dec;29(4):488-498. 10.12799/jkachn.2018.29.4.488.

Influence of Trauma Experiences and Social Adjustment on Health-related Quality of Life in North Korean Defectors

• Jo EJ
• Cho HM
• Choi EJ

• KMID: 2430182
• DOI: http://doi.org/10.12799/jkachn.2018.29.4.488

Abstract

PURPOSE
This study was conducted to identify the influence of trauma experiences and social adjustment on health-related quality of life in North Korean defectors.
METHODS
The subjects were 117 North Korean defectors living in B and Y city. The data were collected from September 1 to September 20, 2014, and analyzed by the SPSS/WIN 18.0 program.
RESULTS
Significant differences were found in the health-related quality of life with respect to the subjects' education, marriage status, types of dwelling, family types, duration of residence in South Korea, jobs in South Korea and in North Korea, families left in North Korea or other surrounding countries, and subjective health status. Health-related quality of life is negatively related to trauma experiences during escape from North Korea and during their life in South Korea. Health-related quality of life positively is related to social adjustment. The meaningful variables which influenced the subjects'health-related quality include social adjustment, job in South Korea, job in North Korea, current family structure, and trauma experiences in South Korea. Total explanatory power of these factors for health-related quality in North Korean Defectors is 43.0% and social adjustment is the most influential factor.
CONCLUSION
Therefore, in order to enhance health-related quality of life in North Korean defectors, it is necessary for them to increase social adjustment and decrease trauma experiences. In addition, methods are needed to provide job opportunities, better education and family services for North Korean defectors.

Keyword

Psychological trauma; Social adjustment; Quality of life; Democratic people's Republic of Korea

MeSH Terms

Democratic People's Republic of Korea
Diagnostic Self Evaluation
Education
Humans
Korea
Marriage
Psychological Trauma
Quality of Life*
Social Adjustment*
United Nations

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