Arizona State University, Watts College of Public Service and Community Solutions, School of Social Work, Phoenix, AZ, USA.
University of Southern California, Suzanne Dworak-Peck School of Social Work, Los Angeles, CA, USA.
Soc Psychiatry Psychiatr Epidemiol. 2021 Mar;56(3):485-495. doi: 10.1007/s00127-020-01977-8. Epub 2020 Nov 19.
To examine the pathways from pre-migration sexual violence to suicide-related risk via the lack of important social networks among North Korean refugee women living in South Korea.
As part of a larger study, cross-sectional social network data from 273 North Korean refugee women aged 19 or older (M = 41 years; range = 19-69) were collected by self-reported surveys from April to May 2014 in South Korea. Snowball sampling was used for participant recruitment. We analyzed whether lack of network diversity and lack of kin ties mediated the association between pre-migration sexual violence and suicide-related risk in two multivariable mediation analyses.
The prevalence of past-year suicide-related risk was 34.4% in our study sample, and 31.1% of the participants reported at least one type of pre-migration sexual violence. Pre-migration sexual violence was associated with increased suicide-related risk. Lack of network diversity (b = 0.03, 95% CI 0.01-0.07) and lack of kin ties (b = 0.03, 95% CI 0.01-0.08) partially mediated this association.
Assessment of pre-migration sexual violence victimization needs to begin at an early stage of resettlement. Study findings highlight the urgent need to create suicide prevention programs that incorporate social network interventions, especially for North Korean refugee women who have experienced sexual violence during migration.
探讨生活在韩国的朝鲜难民女性中，由于缺乏重要的社会网络，从婚前性暴力到自杀相关风险的途径。
作为一项更大研究的一部分，2014 年 4 月至 5 月，通过自我报告调查，从 273 名年龄在 19 岁及以上（M=41 岁；范围 19-69 岁）的朝鲜难民女性中收集了与社会网络相关的数据。采用滚雪球抽样法招募参与者。我们分析了在两个多变量中介分析中，网络多样性缺乏和亲属关系缺乏是否在婚前性暴力与自杀相关风险之间的关联中起中介作用。
在我们的研究样本中，过去一年自杀相关风险的患病率为 34.4%，31.1%的参与者报告至少有一种婚前性暴力。婚前性暴力与自杀相关风险的增加有关。网络多样性缺乏（b=0.03，95%CI 0.01-0.07）和亲属关系缺乏（b=0.03，95%CI 0.01-0.08）部分中介了这种关联。
需要在重新安置的早期阶段开始评估婚前性暴力的受害情况。研究结果强调迫切需要制定自杀预防计划，将社会网络干预措施纳入其中，特别是针对在移民过程中经历过性暴力的朝鲜难民女性。
