Comparing the nutritional status of children and adolescents from North Korean defector families and South Korean families

Kim, So-Yeong; Choi, Seong-Woo; Park, Jong; Ryu, So Yeon; Han, Mi-Ah; Park, Sunyoung

doi:10.1136/bmjopen-2021-052059

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…At the community level, barriers cited included inhibition social norms, in accordance with intrapersonal and interpersonal levels. Contingency strategy, supported by enabling factor (i.e., policy level), is necessary to meet the stunting primordial prevention; for instance, in India, [30], [32], [34], [35], [36], [37], [38] South Africa, [15], [17], [17], [18], [19] North Korea, [46], [47], [48], [49], and Brazil, [50], [51], [52], a large-scale stunting prevention program involving adolescent girls was initiated to reduce a relative 16-20% reduction in stunting incidence. The combination of pre-marital accompaniment program and adolescent girls stunting primordial prevention program has proven to be effective in both urban and rural areas.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study on Barriers to Stunting Primordial Prevention during the PentaCOME Project

Wijaya,

Kartinawati,

Pradnyawati

et al. 2023

Open Access Maced J Med Sci

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Introduction: The government of Gianyar district in Indonesia has successfully decreased the stunting prevalence from 12.1% in 2018, became 11.1% in 2019, and ended up with 5.1% in 2021, which was less than the stunting prevalence in Bali province (10.9% in 2021) and much lower than the national wide (24.4%). The PentaCOME (Pentahelix Community-Based Medical Education) project, the collaboration of the Warmadewa University, the Indonesian Ministry of Education, Culture, Research, and Higher Education, as well as PT. Sido Muncul, is intended to continuously lower stunting prevalence via “Stunting Primordial Prevention Through Future Brides and Grooms Accompaniment” initiative in Payangan District. The present study sought to determine barriers to implementing such initiative. Methods: This is a qualitative study. The data were derived from in-depth interviews and focus group discussions (FGDs). The key informants were purposefully selected to represent pentahelix model (i.e., academician, business, community, government, and media). Twenty key informants were interviewed during 1 September 2022 – 15 October 2022 period: three key informants were from academician, two from business, nine from community, three from government, and three from media. Two FGDs were conducted and attended by the representatives of academician, community, government, and media. The business representatives failed to attend both FGDs. The data were transcribed and coded independently by two coders. The codes were then categorised into the social ecological model. Results: At the intrapersonal level, informants described not knowing about ELSIMIL application (ELSIMIL stands for electronic “Siap Nikah dan Hamil” in Indonesian, which means electronic “Ready to Marry and Get Pregnant”). At the interpersonal level, we detected social pressure to get pregnant prior to marriage among Balinese (“no pregnancy, no marriage” motto). At the institutional level, key informants found the Future Brides and Grooms Accompaniment and ELSIMIL application campaign to be insufficient. At the community level, the family support team community has been engaged actively, however, they could not function adequately due to “no pregnancy, no marriage” motto. At the policy level, the traditional village assembly (commonly known as “Majelis Desa Adat” in Indonesian), which has not issued regulation regarding the future brides and grooms accompaniment, and lack of cross-sector collaboration were reported as barriers to this initiative. Conclusions: A well-developed promotion could improve the knowledge about ELSIMIL application among future brides and grooms. Advocacy to the traditional village assembly might slowly diminish “no pregnancy, no marriage” motto among Balinese hence enhance primordial prevention toward stunting. Cross-sector collaboration (known as pentahelix collaboration) needs to be empowered to achieve the “zero stunting for golden generation” goal accordingly. Key words: stunting, primordial prevention, ELSIMIL, PentaCOME, Bali

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study on Barriers to Stunting Primordial Prevention during the PentaCOME Project

Wijaya,

Kartinawati,

Pradnyawati

et al. 2023

Open Access Maced J Med Sci

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“…남한입국 시 하나원 검진자료를 활용한 연구에서 북한이탈가정 아동들은 저체중 10.4%, 만성영양장애 29.4%였고 (Pak, 2004), 남한 또래들보다 키는 최대 16.3 cm 작았고, 몸무게는 15.3 kg 덜 나갔다 (Pak, 2010). 가장 최근에 시행된 북한이탈가정 아동 연구에서는 급성영양장애 3.6%, 만성영양장애 7.9%, 저체중 7.0%이며, 비만 상태는 9.5%이었다 (Kim et al, 2021).…”

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

Kim¹,

Gu²,

Choi³

2023

J Korean Soc Matern Child Health

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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.

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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

Choi,

Kim

2024

J Health Info Stat

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Objectives: This study evaluated changes in the prevalence of malnutrition and obesity of children from North Korean refugee (NKR) families who settled 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, underweight, and wasting does not change, but the prevalence of obesity continues to increase.

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Comparing the nutritional status of children and adolescents from North Korean defector families and South Korean families

Cited by 3 publications

References 12 publications

A Qualitative Study on Barriers to Stunting Primordial Prevention during the PentaCOME Project

A Qualitative Study on Barriers to Stunting Primordial Prevention during the PentaCOME Project

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

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

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