J Korean Acad Oral Health.  2018 Dec;42(4):109-117. 10.11149/jkaoh.2018.42.4.109.

Evaluation of customized oral health promotion program for North Korean defector

  • 1Department of Dental Hygiene, Shinsung University, Dangjin, Korea.
  • 2Department of Dental Hygiene, Namseoul University, Cheonan, Korea. batty96@nsu.ac.kr


The purpose of this study was to evaluate the customized oral health promotion program for North Korean defectors (NKDs).
Using a pre-survey comprising phases 1-5 of the PRECEDE-PROCEED model, a customized oral health promotion program was created. The participants, a total of 129 NKDs, were allocated to the experimental group (n=64; 43 females and 21 males) or the control group (n=65; 46 females and 19 males). After the interventions, phases 7 to 9 of the PRECEDE-PROCEED model were executed to determine the effect of the program.
The results for phase 7 revealed high satisfaction with the program, with an average of 2.89 out of 3 points. In phase 8, concerning the impact evaluation, it was found that oral health beliefs and oral health knowledge were improved, with statistically significance differences before and after the experiment. Phase 9, concerning the outcome evaluation, showed that there were statistically significant differences in the average within groups before and after education in oral health beliefs (OHB), O'Leary index scores, and CPI. In terms of the difference between the groups, there were statistically significant improvement in OHB, O'Leary index scores, and CPI after the education program.
The oral health promotion program developed in this study has made a positive contribution to improve the oral health status of NKDs.


North Korea defector; Oral health; Oral health promotion program; PRECEDE-PROCEED
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