- Volume 14 Issue 2
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Comparisons of food security, dietary behaviors and nutrient intakes between adult North Korean Refugees in South Korea and South Koreans
- Kim, Ji Yoon (Department of Food and Nutrition, Inha University) ;
- Lee, Soo-Kyung (Department of Food and Nutrition, Inha University) ;
- Kim, Sin Gon (Department of Internal Medicine, College of Medicine, Korea University)
- Received : 2019.07.23
- Accepted : 2019.12.09
- Published : 2020.04.01
BACKGROUND/OBJECTIVES: North Korean refugees (NKRs) in South Korea are a unique population as they must adapt in a new country with similar cultural traits but different social, political, and economic systems, but little research has been conducted on diet and nutrition in this population. This study examined food security, dietary behaviors, and nutrient intakes among adult NKRs living in South Korea and compared them to those of South Koreans. SUBJECTS/METHODS: The subjects were 139 adult NKRs (25 men, 114 women) living in the Seoul metropolitan area, and 417 age- and sex- matched South Korean controls (SKCs; 75 men, 342 women) selected from the Korea National Health and Nutrition Examination Survey (KNHANES). Food security and dietary behaviors (meal skipping, eating-out, meals with family, nutrition education and counseling, and nutrition label knowledge and utilization) were obtained using self-administered questionnaires. Nutrient intakes were assessed by 24-hr recall. The statistical analysis was performed using IBM SPSS ver. 23.0. RESULTS: In South Korea, food security had improved over the previous 12 months, but remained significantly poorer for NKR women than SKC women. Meal skipping was three times more frequent than for SKCs and eating-out was rare. Average energy intake was 1,509 kcal for NKR men and 1,344 kcal for NKR women, which was lower than those of SKCs (2,412 kcal and 1,789 kcal, respectively). Significantly more NKRs (men 24.0%, women 21.9%) showed simultaneously deficient intake in energy, calcium, iron, vitamin A, and riboflavin than SKCs (men 2.7% (P = 0.003), women 7.0% (P < 0.001)). NKR women had a significantly higher index of nutrient quality (INQ) for some nutrients than SK women. CONCLUSIONS: This study reports significant differences in food security, dietary behaviors, and nutrient intakes between NKRs and SKCs. Generally, NKRs reported lower intakes despite improved food security, but relatively good INQs across nutrients. Further research is needed to understand processes of food choice and consumption among NKRs to provide appropriate support aimed at improving diets.
- Satia JA. Dietary acculturation and the nutrition transition: an overview. Appl Physiol Nutr Metab 2010;35:219-23. https://doi.org/10.1139/H10-007
- Lee SK, Sobal J, Frongillo EA Jr. Acculturation, food consumption, and diet-related factors among Korean Americans. J Nutr Educ 1999;31:321-30. https://doi.org/10.1016/S0022-3182(99)70485-1
- Bermudez OI, Falcon LM, Tucker KL. Intake and food sources of macronutrients among older Hispanic adults: association with ethnicity, acculturation, and length of residence in the United States. J Am Diet Assoc 2000;100:665-73. https://doi.org/10.1016/S0002-8223(00)00195-4
- Lee SK, Sobal J, Frongillo EA Jr. Acculturation and dietary practices among Korean Americans. J Am Diet Assoc 1999;99:1084-9. https://doi.org/10.1016/S0002-8223(99)00258-8
- Pan YL, Dixon Z, Himburg S, Huffman F. Asian students change their eating patterns after living in the United States. J Am Diet Assoc 1999;99:54-7. https://doi.org/10.1016/S0002-8223(99)00016-4
- Lee SK. Acculturation, meal frequency, eating-out, and body weight in Korean Americans. Nutr Res Pract 2008;2:269-74. https://doi.org/10.4162/nrp.2008.2.4.269
- Ayala GX, Baquero B, Klinger S. A systematic review of the relationship between acculturation and diet among Latinos in the United States: implications for future research. J Am Diet Assoc 2008;108:1330-44. https://doi.org/10.1016/j.jada.2008.05.009
- Kudo Y, Falciglia GA, Couch SC. Evolution of meal patterns and food choices of Japanese-American females born in the United States. Eur J Clin Nutr 2000;54:665-70. https://doi.org/10.1038/sj.ejcn.1601072
- Berry JW, Kim U, Minde T, Mok D. Comparative studies of acculturative stress. Int Migr Rev 1987;21:491-511. https://doi.org/10.1177/019791838702100303
- Lee AR. Changes of the dietary habits of North Koreans before and after the 1990s [doctoral thesis]. Seoul: Ewha Womans University; 2009.
- Duk YJ. Globalization and recent changes to daily life in the Republic of Korea. In: Lewis JB, Sesay A, editors. Korea and Globalization: Politics, Economics and Culture. London: Routledge; 2002. p.10.
- Korea Centers for Disease Control & Prevention. 2016 Health Behavior and Chronic Disease Statistics. Cheongju: Korea Centers for Disease Control & Prevention; 2017.
- Korea Centers for Disease Control & Prevention. Korea Health Statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1). Cheongju: Korea Centers for Disease Control & Prevention; 2017.
- Institute for Unification Education. 2017 Understanding North Korea. Seoul: Institute for Unification Education; 2017.
- Lee JH. Comparison of nutritional status of children in North Korea: analysis of North Korean children's nutrition survey report from 1998 to 2012. KDI Rev the North Korean Econ 2014;16:19-30.
- Park SY. An assessment of the long-term effects of food crisis on children's growth and development in North Korea. Korean Cult Anthropol 2000;33:207-40.
- United Nations in DPR Korea. 2017 DPR Korea: Needs and Priorities. Pyongyang: United Nations in DPR Korea; 2017.
- Lee YH, Lee WJ, Kim YJ, Cho MJ, Kim JH, Lee YJ, Kim HY, Choi DS, Kim SG, Robinson C. North Korean refugee health in South Korea (NORNS) study: study design and methods. BMC Public Health 2012;12:172-7. https://doi.org/10.1186/1471-2458-12-172
- Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3), 2012. Cheongju: Korea Centers for Disease Control & Prevention; 2013.
- Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-1), 2013. Cheongju: Korea Centers for Disease Control & Prevention; 2014.
- Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-2), 2014. Cheongju: Korea Centers for Disease Control & Prevention; 2015.
- Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3), 2015. Cheongju: Korea Centers for Disease Control & Prevention; 2016.
- Ministry of Health and Welfare, Korean Nutrition Society. Dietary Reference Intakes for Koreans 2015. Sejong: Ministry of Health and Welfare; 2016.
- Hansen RG, Wyse BW, Sorenson AW. Nutrition Quality Index of Food. Westport (CT): AVI Publishing Co.; 1979.
- Jeong H, Lee SK, Kim SG. Changes in body weight and food security of adult North Korean refugees living in South Korea. Nutr Res Pract 2017;11:307-18. https://doi.org/10.4162/nrp.2017.11.4.307
- Lee KI, Hwang YJ, Ban HJ, Lim SJ, Jin HJ, Lee HS. Impact of the growth of single-person households on the food market and policy tasks. Korea Rural Economic Institute; 2015 Oct. Report No. TRKO201600001479.
- Heo YK, Sim KH. Dietary attitude of single households in metropolitan areas. Korean J Food Nutr 2016;29:735-45. https://doi.org/10.9799/ksfan.2016.29.5.735
- Nam SY. Differences in dietary, nutritional and health status between single-person households and non-single-person households in Korean adults by sex and age group [doctoral thesis]. Incheon: Inha University; 2016.
- Ma H, Huan J, Fuller F, Rozelle S. Getting rich and eating out: consumption of food away from home in urban China. Can J Agric Econ 2006;54:101-19. https://doi.org/10.1111/j.1744-7976.2006.00040.x
- Yoon HR. The study of dining-out behavior and preference on Korean foods by age groups. Korean J Food Cult 2005;20:608-14.
- Jang IS, Shin HS, Kwon ES, Baek MJ, Yoon SA, Wang YM, Kang MJ, Oh GH, Sung DS. 2016 Investigation on North Korean Refugee Settlement Status. Seoul: Korea HANA Foundation; 2016.
- Moon SI, Song YM, Lee GO. An empirical study on the relation between participation in leisure activities and social adaptability of North Korean refugees. J Tourism Sci 2015;29:19-28.
- Hwang JY, Lee H, Ko A, Han CJ, Chung HW, Chang N. Dietary changes in Vietnamese marriage immigrant women: the KoGES follow-up study. Nutr Res Pract 2014;8:319-26. https://doi.org/10.4162/nrp.2014.8.3.319
- Yang EJ, Khil JM. Food intake and nutritional status of female marriage immigrants residing in Gwangju, Korea. J Nutr Health 2016;49:358-66. https://doi.org/10.4163/jnh.2016.49.5.358
- Lachat C, Nago E, Verstraeten R, Roberfroid D, Van Camp J, Kolsteren P. Eating out of home and its association with dietary intake: a systematic review of the evidence. Obes Rev 2012;13:329-46. https://doi.org/10.1111/j.1467-789X.2011.00953.x
- Sanou D, O'Reilly E, Ngnie-Teta I, Batal M, Mondain N, Andrew C, Newbold BK, Bourgeault IL. Acculturation and nutritional health of immigrants in Canada: a scoping review. J Immigr Minor Health 2014;16:24-34. https://doi.org/10.1007/s10903-013-9823-7
- Patil CL, Hadley C, Nahayo PD. Unpacking dietary acculturation among new Americans: results from formative research with African refugees. J Immigr Minor Health 2009;11:342-58. https://doi.org/10.1007/s10903-008-9120-z