title: A study of mental health literacy among North Korean refugees in South Korea.
abstract: OBJECTIVE
  This study aimed to investigate North Korean refugees' knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge.
  
  
  METHODS
  Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable.
  
  
  RESULTS
  The North Korean refugees' mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not.
  
  
  CONCLUSIONS
  This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees' knowledge of mental illnesses. In addition, the evaluations of North Korean refugees' mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.
authors: Department of Healthcare Management, Eulji University, Seongnam, Korea.
authors: Jin-Won
authors: JW
authors: Noh
authors: Department of Humanities and Sociology/Medical Research Institute, Catholic University School of Medicine, Seoul, Korea.
authors: Young Dae
authors: YD
authors: Kwon
authors: Department of North Korean Studies, Korea University, Sejong, Korea.
authors: Sieun
authors: S
authors: Yu
authors: Department of Healthcare Management, Eulji University, Seongnam, Korea.
authors: Hyunchun
authors: H
authors: Park
authors: Department of Psychiatry & Stress Research Institute, Inje University School of Medicine, Seoul, Korea.
authors: Jong-Min
authors: JM
authors: Woo
mesh_terms: D000328:Adult; D000368:Aged; D056911:Democratic People's Republic of Korea; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D000067010:Literacy; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D012036:Refugees / Q000523:psychology*; D056910:Republic of Korea; D011795:Surveys and Questionnaires
keywords: Democratic People’s Republic of Korea; Knowledge; Mental health; Mental illness; Refugees
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