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Background: North Korean refugees (NKRs) are often exposed to traumatic events in North Korea and during their defection. Furthermore, they face sociocultural barriers in adapting to the new society to which they have defected. Objective: To integrate previous findings on this mentally vulnerable population, we systematically reviewed articles on the mental health of NKRs in South Korea. Method: We searched for empirical studies conducted in the last 10 years in six online databases (international journals: Embase, PubMed, Scopus, Web of Science; Korean journals: DBPIA, KMbase) through June 2017. Only quantitative studies using new empirical data on the mental health of NKRs were included. We summarized the 56 studies ultimately selected in terms of NKRs’ mental health status and three domains of associated factors: pre- and post-settlement factors and personal factors. Results: NKRs had a high prevalence and severity of psychiatric symptoms, particularly post-traumatic stress disorder and depression. We identified nine risk factors consistently found in previous studies, including traumatic experience, longer stay periods in third country, forced repatriation, acculturative stress, low income, older age, poor physical health, and female and male sex, as well as four protective factors, including educational level in North Korea, social support, family relationship quality, and resilience. Conclusions: We suggest that future studies focus on the causal interactions between different risk and protective factors and mental health outcomes among NKRs from a longitudinal perspective. Furthermore, comprehensive policies for NKRs’ psychological adaptation are needed, particularly the development of evidence-based mental health interventions.
Background: North Korean refugees (NKRs) are often exposed to traumatic events in North Korea and during their defection. Furthermore, they face sociocultural barriers in adapting to the new society to which they have defected. Objective: To integrate previous findings on this mentally vulnerable population, we systematically reviewed articles on the mental health of NKRs in South Korea. Method: We searched for empirical studies conducted in the last 10 years in six online databases (international journals: Embase, PubMed, Scopus, Web of Science; Korean journals: DBPIA, KMbase) through June 2017. Only quantitative studies using new empirical data on the mental health of NKRs were included. We summarized the 56 studies ultimately selected in terms of NKRs’ mental health status and three domains of associated factors: pre- and post-settlement factors and personal factors. Results: NKRs had a high prevalence and severity of psychiatric symptoms, particularly post-traumatic stress disorder and depression. We identified nine risk factors consistently found in previous studies, including traumatic experience, longer stay periods in third country, forced repatriation, acculturative stress, low income, older age, poor physical health, and female and male sex, as well as four protective factors, including educational level in North Korea, social support, family relationship quality, and resilience. Conclusions: We suggest that future studies focus on the causal interactions between different risk and protective factors and mental health outcomes among NKRs from a longitudinal perspective. Furthermore, comprehensive policies for NKRs’ psychological adaptation are needed, particularly the development of evidence-based mental health interventions.
The purpose of this study is to examine the influence of occupant's path selection on the shape of the pictogram and the opening/closing of the door. This study was carried out through a simulation experiment using computer virtual reality. Exit light pictogram for exit door and exit light pictogram for passage were arranged for each scenario in type T corridor and type + corridor. The computer graphic was used to carry out the simulation. In addition, we analyzed the response of human behavior according to the two directions (left and right) of exit light pictogram for exit door and the effect of opening direction of doorway. In addition, the change of decision-making according to the presence or absence of exit light pictogram for passage was confirmed. The results of the direction selection response were as follows. First, in the case of the T-shaped corridor, if the exit light was not installed on the door, it was influenced by the opening direction of the door. Second, when the exit light is attached to the door, the selectivity in the direction that matches the exit light pictogram direction is high. As a result, it was confirmed that the pictogram direction of the exit light influenced the evacuation route selection of the occupants.
This study aimed to analyze the evacuation awareness and the behavior of workers in the event of a fire in a warehouse. A survey and statistical analyses were conducted to identify and explore the factors affecting evacuation awareness. The main findings of this study are as follows. First, significant differences in evacuation awareness were found in relation to gender, current employment status at logistics facilities, full-time employment status, fire safety training experience, and false auditory fire alarm experiences. Second, an exploratory factor analysis was conducted to identify six factors. Furthermore, significant correlations were were identified between these factors. Third, multiple regression analysis (R2 = .481) was used to examine the impact of the factors on evacuation awareness, indicating that spatial cognition and concerns were factors with a significant impact, as well as the visibility of excavation guidance lights, fear of fire, and full-time employment status. These results serve as essential data for identifying the factors that influence the evacuation awareness and behavior of warehouse workers.
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