J Korean Soc Matern Child Health.  2023 Apr;27(2):102-109. 10.21896/jksmch.2023.27.2.102.

Changes in the Nutritional Status of Children from North Korean Refugee Families Following Resettlement in South Korea

Affiliations
  • 1Department of Preventive Medicine, Chosun University Medical School, Gwangju, Korea

Abstract

Purpose
This study evaluated changes in growth and nutritional status using the first basic and the second repeated surveys on children from North Korean refugee families who settled in South Korea.
Methods
A total of 337 children were included in the survey. Using a structured questionnaire, the data collected included sex, date of birth, country of birth, date of entry to South Korea, and birth parents’nationality. The prevalence of stunting, underweight, wasting, and obesity were evaluated using the 2017 Korean National Growth Chart for Children and Adolescents.
Results
The prevalence of stunting decreased from 7.9% in the first survey to 6.9% in the second survey; that of underweight decreased from 6.0% to 4.7%; and that of wasting decreased from 6.3% to 3.5%; however, these changes were not statistically significant. The prevalence of obesity significantly increased from 8.0% to 13.2% in the first and second surveys, respectively (p=0.037). There was no significant difference in the prevalence of malnutrition according to the length of stay in South Korea or the children’s country of birth. However, the prevalence of obesity was significantly higher in children with longer lengths of stay and in those born in South Korea.
Conclusion
Although children from North Korean refugee families have settled in South Korea for a long time, the rate of malnutrition is still high, and the prevalence of obesity continuously increases.

Keyword

Democratic People's Republic of Korea; Refugees; Child; Nutritional status

Figure

  • Fig. 1. Changes in the nutritional status of children from North Korea families between the 1st and 2nd wave.


Reference

Chang N., Kang EY., Lee JM., Lee MK. Anthropometric measurements and dietary patterns of North Korean migrant children in China. J Nutr Health. 2000. 33:324–31.
Choi SK., Park SM., Joung HJ. Still life with less: North Korean young adult defectors in South Korea show continued poor nutrition and physique. Nutr Res Pract. 2010. 4:136–41. https://doi.org/10.4162/nrp.2010.4.2.136 .
Article
Choi SW. Growth and nutritional status of children in North Korean refugee families. J Korean Soc Matern Child Health. 2020. 24:96–101. https://doi.org/10.21896/jksmch.2020.24.2.96 .
Article
Democratic People's Republic of Korea. Democratic People's Republic of Korea Voluntary National Review on the Implementation of the 2030Agenda for the Sustainable Development [Internet]. New York: The United Nations;2021. [cited 2022 May 5] Available from: https://sustainabledevelopment.un.org/content/documents/282482021_VNR_Report_DPRK.pdf .
Food and Agriculture Organization. Crop prospects and food situation quarterly global report No. 1. Rome (Italy): Food and Agriculture Organization;2020.
Kim HJ., Han MA., Park J., Ryu SY., Choi SW. 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. 2015. 25:22–30. https://doi.org/10.4332/KJHPA.2015.25.1.22 .
Article
Kim JH., Yun SH., Hwang SS., Shim JO., Chae HW., Lee YJ, et al. The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects. Korean J Pediatr. 2018. 61:135–49. https://doi.org/10.3345/kjp.2018.61.5.135 .
Article
Kim SY., Choi SW. Double burden of malnutrition and obesity in children and adolescents from North Korean refugee families. PLoS One. 2020. 15:e0241963. https://doi.org/10.1371/journal.pone.0241963 .
Article
Kim SY., Choi SW., Park J., Ryu SY., Han MA., Park SY. Comparing the nutritional status of children and adolescents from North Korean defector families and South Korean families. BMJ Open. 2021. 11:e052059. http://dx.doi.org/10.1136/bmjopen-2021-052059 .
Article
Kim YN. Study on the support policy of unprotected North Korean refugee youth in South Korea. J Human Rights Law-Relat Educ. 2014. 7:21–39.
Kim YY. An evaluation of the health status of children from North Korea. Health Nurs. 2005. 17:55–63.
Korea Hana Foundation. Settlement survey of North Korean refugees in South Korea [Internet]. Seoul (Korea): Korea Hana Foundation;2019. [cited 2021 Sep 15]. Available from: https://www.koreahana.or.kr/data_room/pro_data.jsp .
Lee IS., Park HR., Kim YS., Park HJ. Physical and psychological health status of North Korean defector children. Child Health Nurs Res. 2011. 17:256–63. https://doi.org/10.4094/jkachn.2011.17.4.256 .
Article
Lee SK., Nam SY. Comparison of food and nutrient consumption status between displaced North Korean children in South Korea and South Korean children. Korean J Community Nutr. 2012. 17:407–18. https://doi.org/10.5720/kjcn.2012.17.4.407 .
Article
Lee SK., Nam SY., Hoffman D. Changes in nutritional status among displaced North Korean children living in South Korea. Ann Hum Biol. 2015. 42:581–4. https://doi.org/10.3109/03014460.2014.993704 .
Article
Marmot M. The health gap: the challenge of an unequal world. London: Bloomsbury;2015.
Ministry of Unification. Entry status of North Korean refugees 2023. Sejong (Korea): Ministry of Unification;2023. [2023 Mar 10]. Available from: https://www.unikorea.go.kr/unikorea/business/statistics .
Noh JW., Kim YE., Park J., Oh IH., Kwon YD. Impact of parental socioeconomic status on childhood and adolescent overweight and underweight in Korea. J Epidemiol. 2014. 24:221–9. https://doi.org/10.2188/jea.JE20130056 .
Article
Pak S. The biological standard of living in the two Koreas. Econ Hum Biol. 2004. 2:511–21. https://doi.org/10.1016/j.ehb.2004.09.001 .
Article
Pak S. The growth status of North Korean refugee children and adolescents from 6 to 19 years of age. Econ Hum Biol. 2010. 8:385–95. https://doi.org/10.1016/j.ehb.2010.05.006 .
Article
Rogers R., Eagle TF., Sheetz A., Woodward A., Leibowitz R., Song M, et al. The relationship between childhood obesity, low socioeconomic status, and race/ethnicity: lessons from Massachusetts. Child Obes. 2015. 11:691–5. https://doi.org/10.1089/chi.2015.0029 .
Article
Schwarzenberg SJ., Georgieff MK. Advocacy for improving nutrition in the first 1000 days to support childhood development and adult health. Pediatrics. 2018. 141:e20173716. https://doi.org/10.1542/peds.2017-3716 .
Article
Tomiyama AJ. Stress and obesity. Annu Rev Psychol. 2019. 70:703–18. https://doi.org/10.1146/annurev-psych-010418-102936 .
Article
Yang MS., Lee DH. Study on life history of an elderly female North Korean defector. J Korea Contents Assoc. 2017. 17:120–39. https://doi.org/10.5392/JKCA.2017.17.10.120 .
Article
Yoo GH., Bang ER., Han EJ. A case study on school achievement and social adaptation of North Korean refugee children & adolescents. J Korean Home Manag Assoc. 2004. 22:185–96.
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