한국 거주 이후 북한이탈가정 아동의 영양장애율과 비만율의 변화
Changes in the Prevalence of Malnutrition and Obesity of Children from North Korean Refugee Families in South Korea: Three Repeated Surveys from 2017 to 2023
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study evaluated changes in the prevalence of malnutrition and obesity of children from North Korean refugee (NKR) families who set- tled in South Korea (SK). Methods: A baseline survey was conducted on 517 children under the age of 13 whose parents were NKR from 2017 to 2021 through NGOs. The second survey was conducted on 262 at least one year after the baseline survey, and the third survey was conducted on 112 children. Changes in the prevalence of stunting, underweight, wasting, and obesity were evaluated using the 2017 Korean National Growth Chart for Children and Adolescents. For comparison between surveys, the McNemar test was used. Results: The prevalence of stunting was 6.8% in baseline survey, 5.4% in the second survey, and 7.1% in the third survey. The prevalence of underweight was 6.0%, 7.8%, and 7.1%, and the prevalence of wasting was 7.2%, 8.9%, and 8.0%, respectively. These changes were not statistically significant. However, the prevalence of obesity significantly increased to 13.4%, 14.1%, and 17.9%, respectively (p = 0.042). Conclusions: Although children from NKR families have settled in SK for a long time, the prevalence of stunting, under- weight, and wasting does not change, but the prevalence of obesity continues to increase.
Abstract
Objectives: This study evaluated changes in the prevalence of malnutrition and obesity of children from North Korean refugee (NKR) families who set- tled in South Korea (SK). Methods: A baseline survey was conducted on 517 children under the age of 13 whose parents were NKR from 2017 to 2021 through NGOs. The second survey was conducted on 262 at least one year after the baseline survey, and the third survey was conducted on 112 children. Changes in the prevalence of stunting, underweight, wasting, and obesity were evaluated using the 2017 Korean National Growth Chart for Children and Adolescents. For comparison between surveys, the McNemar test was used. Results: The prevalence of stunting was 6.8% in baseline survey, 5.4% in the second survey, and 7.1% in the third survey. The prevalence of underweight was 6.0%, 7.8%, and 7.1%, and the prevalence of wasting was 7.2%, 8.9%, and 8.0%, respectively. These changes were not statistically significant. However, the prevalence of obesity significantly increased to 13.4%, 14.1%, and 17.9%, respectively (p = 0.042). Conclusions: Although children from NKR families have settled in SK for a long time, the prevalence of stunting, under- weight, and wasting does not change, but the prevalence of obesity continues to increase.
참고문헌 (21)
- "Current status of North Korean refugee entry"[URL]
- Choi SW, "Growth and nutritional status of children in North Korean refugee families", J Korean Soc Matern Child Health, 24(2), pp.96~101 (2020)[DOI]
- A study on support for early children of North Korean defector families for reducing the social gap, "Lee YJ", Korea Institute of Child Care and Education, ~ (2021)
- Chang N, "Anthropometric measurements and dietary patterns of North Korean migrant children in China", Korean J Nutr, 33(3), pp.324~331 (2000)
- Kim YY, "An evaluation of the health status of children from North Korea", Health Nurs, 17(2), pp.55~63 (2005)
- Lee IS, "Physical and psychological health status of North Korean defector children", Child Health Nurs Res, 17(4), pp.256~263 (2011)[DOI]
- Kim SY, "Comparing the nutritional status of children and adolescents from North Korean defector families and South Korean families", BMJ Open, 11(10), pp.e052059~ (2021)[DOI]
- Yun S, "Development of the 2017 Korean National Growth Charts for children and adolescents", Public Health Wkly Rep, 11(25), pp.813~820 (2018)
- Pak S, "The biological standard of living in the two Koreas", Econ Hum Biol, 2(3), pp.511~521 (2004)[DOI]
- Choi SK, "Still life with less : North Korean young adult defectors in South Korea show continued poor nutrition and physique", Nutr Res Pract, 4(2), pp.136~141 (2010)[DOI]
- Lee SK, "Changes in nutritional status among displaced North Korean children living in South Korea", Ann Hum Biol, 42(6), pp.581~584 (2015)[DOI]
- Kim SY, "Changes in the nutritional status of children from North Korean refugee families following resettlement in South Korea", J Korean Soc Matern Child Health, 27(2), pp.102~109 (2023)[DOI]
- Schwarzenberg SJ, "Advocacy for improving nutrition in the first 1000 days to support childhood development and adult health", Pediatrics, 141(2), pp.e20173716~ (2018)[DOI]
- Marmot M, "The health gap : The challenge of an unequal world" (2015), Bloomsbury
- Yang MS, "Study on life history of an elderly female North Korean defector", J Korea Contents Assoc, 17(10), pp.120~139 (2017)[DOI]
- Settlement survey of North Korean refugees in South Korea, "Korea Hana Foundation", Ministry of Unification, ~ (2019)
- Rogers R, "The relationship between childhood obesity, low socioeconomic status, and race", ethnicity : Lessons from Massachusetts, 2015, pp.11(6), 691~695
- Noh JW, "Impact of parental socioeconomic status on childhood and adolescent overweight and underweight in Korea", J Epidemiol, 24(3), pp.221~229 (2014)[DOI]
- Lee SK, "Comparison of food and nutrient consumption status between displaced North Korean children in South Korea and South Korean children", Korean J Community Nutr, 17(4), pp.407~418 (2012)[DOI]
- Kim HJ, "Health behavior of North Korean, multicultural and Korean family adolescents in Korea : The Korea Youth Risk Behavior Web-based Survey, 2011-2013", Health Policy Manag, 25(1), pp.22~30 (2015)[DOI]
- Tomiyama AJ, "Stress and obesity", Annu Rev Psychol, 70, pp.703~718 (2019)[DOI]