일본군위안부 피해자의 건강실태와 정책과제

• 영문명: Health Status for the Victims of Japanese Military Sexual Slavery and Policy Implications
• 발행기관: 한국여성정책연구원(구 한국여성개발원)
• 저자명: 김동식(Dong sik Kim) 황정임(Jung Im Hawnag) 장숙랑(Soong nang Jang) 동제연(Che yon Tong)
• 간행물 정보: 『한국여성정책연구원 연구보고서』2014 연구보고서(수시과제) 7, 1~268쪽, 전체 267쪽
• 주제분류: 사회과학 > 여성학
• 파일형태: PDF
• 발행일자: 2014.12.31

국문 초록

1. 연구목적 □ 방문건강검진팀을 구성하여 수도권에 거주하는 일본군위안부 피해자에게 찾아가는 의료서비스를 제공함으로써 현 시점의 신체적ㆍ정신적 건강실태를 파악하고, 낙상 위험관련 거주환경을 진단함으로써 신규 건강관리 사업발굴 및 기존 건강지원 정책의 개선 방안을 모색하고자 함. ○ 비만과 고혈압, 골다공증 등의 신체적 측면과 폐검사, 근력검사, 균형검사 등의 기능적 측면을 사례별로 평가 ○ 외상후 스트레스 장애(PTSD) 여부 및 증상유형을 파악 ○ 생애사적 관점에서 주관적 건강실태와 삶의 질을 평가하기 위해서 위안부 사건 전ㆍ후 및 사건 후 오랜 시간이 지난 시점에서의 상태를 조사함으로써 변화 양상을 확인, 건강생활실천 관련 실태 확인 ○ 정서적 안정지원 사업 관련 정책 이용과 건강관련 수요 파악 2. 연구 내용 및 방법 가. 연구 내용 □ 문헌 검토 □ 방문건강검진팀 운영 및 건강자료 구축 ○ 노인의학, 재활의학, 노인간호 및 보건학 등 보건의료 관련 전문가로 구성된 방문건강검진팀 구성 및 운영 ○ 방문건강검진에 대한 수요 파악 후, 신체검진, PTSD 조사, 건강설문조사, 심층면접 조사 문항 개발, 검진실시 및 건강자료 구축 □ 신체적ㆍ정신적 건강실태 및 낙상위험 거주환경 진단

영문 초록

The purpose of this study is to examine the health status for victims of Japanese military sexual slavery living in Seoul and Gyeonggi Province, Korea through the health examination team, which is composed of not only several physicians and registered nurses, but public health and social work specialists. The health examination is also divided into five parts, such as physical examinations, PTSD survey, home environment risk factors for falls, health survey and in-depth interview. Through these processes, this study contributes to parse out the health assessment of the victims of Japanese military sexual slavery and, as the result, to find some policy implications. The health examination was conducted via three times home visits from May 17 to August 14, 2014. The main findings were as the following. First, we found that more than third quaters of the victims participating the physical examination were not within a healthy body fat range and about 60% were underweight or overweight/obese according to body mass index (BMI). Almost 90% also had not only visceral fat and osteoporosis, but also visual impairment. Further, about half of the victims had hypertension and 70% had trouble keeping their balance. Muscle tests showed that all victims suffered from muscle tightness and weakness. In addition, most victims were also had limited range of motion (ROM). Second, using posttraumatic stress diagnostic scale, we confirmed that seven of twelves traumatic stresses were appeared in all victims, albeit they experienced such traumatic and stressful events in their 10s. PTSD consists of the following three symptom clusters, such as reexperience, avoidance and hyperarousal. Lots of the victims are currently suffering from the most PTSDs, especially for reexperience. Third, through the health survey, we also found that they had poorer health at the period of her sexual slavery than the current period, which their average age was 88 years old. Interestingly, these curves also appeared similar in that they reported life satisfaction according to their life course. Health-related quality of life was even less than the general women populations within the same ages. Over half of the victims had urinary incontinence, which was significantly associated with quality of life. Approximately half had experienced falls down and, as the result, they are afraid of falling down again. Reality, the risk factors of falling were investigated when visiting their house, particularly those living in multi-family house had the higher risk environment of falls. Based on the above findings, this study suggested that not only physical and mental health systems but also emotional and psychological support systems for the victims should be expanded. It is in particular that case management systems for them should also be regularly performed by the registered nurses. These improvements could be important for their living loner, healthier, and happier lives.

목차

발간사

연구요약

Ⅰ. 서론

Ⅱ. 선행연구 및 지원정책 고찰

Ⅲ. 신체기능 결과분석

Ⅳ. 외상후 스트레스 장애

Ⅴ. 주관적 건강평가와 삶의 질

Ⅵ. 정책이용 및 수요 분석결과

Ⅶ. 결론 및 정책과제

참고문헌

부록

Abstract