Social inclusion and length of stay as determinants of health among North Korean refugees in South Korea.
OBJECTIVE
Although the number of North Koreans seeking asylum in South Korea has increased notably in recent years, studies on the health of North Koreans residing in South Korea are rare. This study examined the roles of social inclusion and the length of stay on refugees' self-rated health.


METHODS
Employing a data set (n = 1,111) created by the South Korean government, we conduct multivariate logistic regression analyses.


RESULTS
We found that degree of familiarity with South Koreans, employed as an indicator of social inclusion, was significantly associated with North Korean refugees' self-rated health status. Further, self-rated health seemed to be poorest when the duration of stay in South Korea reached about 2-4 years. Self-rated health outcomes improved after this time period.


CONCLUSIONS
Social inclusion through close contacts with South Koreans and overcoming an arduous adaptation period, as well as addressing economic deprivation, are important in promoting the health of North Korean refugees in South Korea. These findings should be considered in crafting better resettlement and training programs for this population.
Park
Kunhee
K
School of Public Health, Seoul National University, Seoul, Korea.
Cho
Youngtae
Y
Yoon
In-Jin
IJ
D000069:Acculturation; D000328:Adult; D001294:Attitude to Health; D004522:Educational Status; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007723:Korea / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D012036:Refugees; D012931:Social Environment; D012933:Social Identification; D012944:Social Support; D012959:Socioeconomic Factors; D055815:Young Adult