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Food security experiences of displaced North Korean households

  • Received : 2013.06.18
  • Accepted : 2014.01.06
  • Published : 2014.04.01

Abstract

BACKGROUND/OBJECTIVES: Food shortage situation in North Korea has gained much interest, however food insecurity caused by the food shortage in North Korean households has not been much investigated. This study examined food security experiences and food consumption pattern of displaced North Korean households currently living in South Korea. SUBJECTS/METHODS: Food security experience among 51 North Korean households living in South Korea was examined using the Household Food Insecurity Access Scale (HFIAS) in three time points: immediately before childbirth, immediately before leaving North Korea, and immediately before entering South Korea. Meal/snack consumption frequencies and food diversity were also examined. RESULTS: Food security situation was the worst at the time of immediately before leaving North Korea with the average HFIAS score of 10.05. The households that were food insecure, they tended to be "severely" insecure. Although majority of the subjects reported having three or more meals a day, food diversity in their diet was very low with the average food diversity score of 2.17 immediately before childbirth and 1.74 immediately before leaving North Korea. Their diet appeared to heavily rely on grain and vegetable. CONCLUSIONS: This study is one of few that specifically examined food security of North Korean households with a pre-developed scale, and that demonstrated food security situation at different time points in quantified terms. Replicating this study with different groups of North Korean households for different time points would allow more complete understanding of impacts of food shortage. Food diversity score could provide a good way to examine changes of food consumption occurring to North Koreans in the process of adaptation. More attention to the changes occurring during adaption to South Korea should be given to understand the process and impact and to prepare public nutrition policy for the re-unified Korea.

Keywords

References

  1. Food and Agriculture Organization of the United Nations; World Food Programme (IT). FAO/WFP crop and food security assessment mission to the democratic people's republic of Korea [Internet]. Rome: Food and Agriculture Organization of the United Nations; 2011 [cited 2013 Jun 1]. Available from: http://www.wfp.org/content/dpr-korea-faowfp-crop-and-food-security-assessment-november-2011.
  2. Central Bureau of Statistics (KP). Report on the DPRK nutrition assessment 2002 [Internet]. Pyongyang: Central Bureau of Statistics; 2002 [cited 2013 Jun 1]. Available from: http://www.unicef.org/dprk/nutrition_assessment.pdf.
  3. Central Bureau of Statistics (KP). DPRK 2004 nutrition assessment report of survey results [Internet]. Pyongyang: Central Bureau of Statistics; 2005 [cited 2013 Jun 1]. Available from: http://www.unicef.org/dprk/DPRK_nutrition_assessment_2004_p.1-53.pdf ; http://www.unicef.org/dprk/DPRK_nutrition_assessment_2004_p.54-104. pdf.
  4. Central Bureau of Statistics (KP). Final report of the national nutrition survey 2012 [Internet]. Pyongyang: Central Bureau of Statistics; 2012 [cited 2013 Jun 1]. Available from: http://www.unicef.org/eapro/DPRK_National_Nutrition_Survey_2012.pdf.
  5. Choue RW, Hong JY, Yim JE. The changes of dietary intakes in the defectors from North Korea. Korean J Community Nutr 1997;2:470-6.
  6. Park YS, Rhee KC, Lee KY, Rhee EY, Yi SH, Kim DN, Choi YS. A glance at the health status and food intake of North Koreans. Korean J Community Nutr 1997;2:396-405.
  7. Chang N, Jo D, Hwang J, Kang E. Assessment of health and nutritional status of North Koreans utilizing an exhaustive literature search and survey. Korean J Nutr 1998;31:1338-46.
  8. Park YS, Rhee KC, Lee KY, Rhee EY, Yi SH, Kim DN, Choi YS, Seok D. Dietary living in North Korea according to the defectors. Korean J Community Nutr 1999;4:64-73.
  9. Chang NS, Hwang JY. Food shortage, nutritional deprivation, and reduced body size in North Korean defectors. Korean J Nutr 2000;33:540-7.
  10. Hwang JY, Chang N. Dietary patterns and nutrient intake in North Koreans by utilizing literature search and survey. Korean J Community Nutr 2001;6:371-9.
  11. Chang N, Kang EY, Lee JM, Lee MK. Anthropometric measurements and dietary patterns of North Korean migrant children in China. Korean J Nutr 2000;33:324-31.
  12. Shim JE, Yoon J, Jeong SY, Park M, Lee YS. Status of early childhood and maternal nutrition in South Korea and North Korea. Korean J Community Nutr 2007;12:123-32.
  13. Barker DJ. Fetal and Infant Origins of Adult Disease. London: British Medical Journal Group; 1992.
  14. Barker DJ. Mothers, Babies, and Disease in Later Life. London: British Medical Journal Group; 1994.
  15. Gluckman PD, Hanson MA. Developmental Origins of Health and Disease. Cambridge: Cambridge University Press; 2006.
  16. Ministry of Unification (KR). The statistic of displaced North Korean [Internet]. Seoul: Ministry of Unification; 2013 [cited 2013 Jun 1]. Available from: http://www.unikorea.go.kr/index.do?menuCd=DOM_000000105006006000.
  17. Choi SK, Park SM, Joung H. 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
  18. 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
  19. Coates J, Swindale A, Bilinsky P. Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide. Version 3. Washington, D.C.: Food and Nutrition Technical Assistance Project; 2007.
  20. Swindale A, Bilinsky P. Development of a universally applicable household food insecurity measurement tool: process, current status, and outstanding issues. J Nutr 2006;136:1449S-1452S. https://doi.org/10.1093/jn/136.5.1449S
  21. Becquey E, Martin-Prevel Y, Traissac P, Dembele B, Bambara A, Delpeuch F. The Household Food Insecurity Access Scale and an index-member dietary diversity score contribute valid and complementary information on household food insecurity in an urban West-African setting. J Nutr 2010;140:2233-40. https://doi.org/10.3945/jn.110.125716
  22. Knueppel D, Demment M, Kaiser L. Validation of the household food insecurity access scale in rural Tanzania. Public Health Nutr 2010;13:360-7. https://doi.org/10.1017/S1368980009991121
  23. Regassa N, Stoecker BJ. Household food insecurity and hunger among households in Sidama district, southern Ethiopia. Public Health Nutr 2012;15:1276-83. https://doi.org/10.1017/S1368980011003119
  24. Weiser SD, Frongillo EA, Ragland K, Hogg RS, Riley ED, Bangsberg DR. Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. J Gen Intern Med 2009;24:14-20. https://doi.org/10.1007/s11606-008-0824-5
  25. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul: The Korean Nutrition Society; 2010.
  26. Savy M, Martin-Prevel Y, Traissac P, Eymard-Duvernay S, Delpeuch F. Dietary diversity scores and nutritional status of women change during the seasonal food shortage in rural Burkina Faso. J Nutr 2006;136:2625-32. https://doi.org/10.1093/jn/136.10.2625
  27. Arimond M, Ruel MT. Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. J Nutr 2004;134:2579-85. https://doi.org/10.1093/jn/134.10.2579
  28. Cordeiro LS, Wilde PE, Semu H, Levinson FJ. Household food security is inversely associated with undernutrition among adolescents from Kilosa, Tanzania. J Nutr 2012;142:1741-7. https://doi.org/10.3945/jn.111.155994
  29. Schwekendiek D. The effect of the seasons of the year on malnutrition in North Korea. Homo 2009;60:59-75. https://doi.org/10.1016/j.jchb.2008.03.001
  30. Robinson WC, Lee MK, Hill K, Hsu E, Burnham G. Demographic methods to assess food insecurity: a North Korean case study. Prehosp Disaster Med 2001;16:286-92. https://doi.org/10.1017/S1049023X00043442
  31. World Food Programme; Food and Agriculture Organization; UNICEF (IT). Special report: rapid food security assessment mission to the democratic people's republic of Korea [Internet]. Rome: World Food Programme; 2011 [cited 2013 Jun 1]. Available from: http://documents.wfp.org/stellent/groups/public/documents/ena/wfp233442.pdf.

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