South Korea Research Articles

Shiri and the transformation of division films in South Korea’s Post-Cold War era

ABSTRACT With the advent of South Korea’s first liberal regime in 1998, division films transitioned from propaganda to commercial cinema, epitomized by the blockbuster Shiri (1999). Blending melodrama and action, Shiri reflects the evolving inter-Korean relations of the post-Cold War era, particularly under the Sunshine Policy. This article analyzes how Shiri uses genre conventions to depict the complex realities of North–South tensions, while also exploring the film’s cultural impact as a symbol of changing political dynamics. Through a mixed-genre approach, the study argues that Shiri marks a significant shift in South Korean cinema, balancing historical realism with melodramatic fantasy. The film's success highlights a new era of freedom in South Korean media, where the portrayal of national division could be both commercially viable and ideologically nuanced.

Contextual factors in selecting added versus naturally occurring sugars on fruit and vegetable beverages: emphasising the role of social context

PurposeThis study examines the consumption of fruit and vegetable (FV) beverages, distinguishing between sugar content, whether from added sugar (AS) or naturally occurring sugar (NOS). While FV beverages are widely perceived as a healthier alternative to other beverages, concerns about their sugar content persist, particularly for AS-sweetened beverages. This study examines the situational contexts (e.g. physical context, social context and temporal conditions) and food pairing contexts (vice versus virtue foods) that influence the selection of AS- over NOS-sweetened FV beverages. Furthermore, it also examines how situational factors and food pairing contexts interact to shape individuals’ FV beverage selection behaviour.Design/methodology/approachThis study used food diary data from March 2019 to May 2022 in South Korea, concentrating on the consumption of ready-to-drink FV beverages with food.FindingsThe results reveal specific situational contexts that increase the likelihood of choosing AS-sweetened FV beverages. In addition, AS-sweetened ones are more likely to be paired with vice foods, whereas NOS-sweetened ones are more likely to be paired with virtue foods. Furthermore, the study shows a significant interaction effect of the social context with paired food menus on FV beverage selection behaviour.Originality/valueThe consumer-centred approach of the study provides valuable insights into the decision-making processes behind FV beverage consumption. It validates that AS- and NOS-sweetened FV beverages are consumed in different situational contexts and with distinct food menus, enabling individuals to make healthier choices in their own consumption context.

Age and the Distribution of Crime in Botswana, Africa: Comparisons with the USA, Taiwan, South Korea, Namibia, and HG Invariance Norm

Age and the Distribution of Crime in Botswana, Africa: Comparisons with the USA, Taiwan, South Korea, Namibia, and HG Invariance Norm

First report of pecan mosaic-associated virus in Atractylodes lancea in South Korea

First report of pecan mosaic-associated virus in Atractylodes lancea in South Korea

Comprehensive Study of Antibiotic Resistance in Enterococcus spp.: Comparison of Influents and Effluents of Wastewater Treatment Plants

Background/Objectives: The spread of antibiotic resistance, particularly through Enterococcus spp., in wastewater treatment plants (WWTPs) poses significant public health risks. Given that research on antibiotic-resistant enterococci and their antibiotic-resistance genes in aquatic environments is limited, we evaluated the role of Enterococcus spp. in WWTPs by comparing the antibiotic resistance rates, gene prevalence, biofilm formation, and residual antibiotics in the influent and effluent using culture-based methods. Methods: In 2022, influent and effluent samples were collected from 11 WWTPs in South Korea. Overall, 804 Enterococcus strains were isolated, and their resistance to 16 antibiotics was assessed using the microdilution method. Results: High resistance to tetracycline, ciprofloxacin, kanamycin, and erythromycin was observed. However, no significant differences in the overall resistance rates and biofilm formation were observed between the influent and effluent. Rates of resistance to ampicillin, ciprofloxacin, and gentamicin, as well as the prevalence of the tetM and qnrS genes, increased in the effluent, whereas resistance rates to chloramphenicol, florfenicol, erythromycin, and tylosin tartrate, along with the prevalence of the optrA gene, decreased. E. faecium, E. hirae, and E. faecalis were the dominant species, with E. faecalis exhibiting the highest resistance. Conclusions: Our results suggest that WWTPs do not effectively reduce the rates of resistant Enterococcus spp., indicating the need for continuous monitoring and improvement of the treatment process to mitigate the environmental release of antibiotic-resistant bacteria.

Global trends in importance of 24-hour movement behaviors to pediatric health: Implications for South Korea

Global trends in importance of 24-hour movement behaviors to pediatric health: Implications for South Korea

School administrators’ and teachers’ pedagogical responses to demographic change based on their meaning-making of multicultural students in South Korea

ABSTRACT Public schools in South Korea have faced unprecedented changes because of demographic shifts, particularly the influx and growth of three types of ‘multicultural students’: children of married migrant women, foreign workers, and North Korean refugees. In this situation, teachers are challenged to implement educational policies and a standardised national curriculum for those unfamiliar with the Korean language, culture, and education system. This study, conducted between Fall 2022 and Summer 2023, involved interviews with 16 elementary and secondary school administrators and teachers from urban and rural regions. It revealed that teachers’ perceptions and biases about multicultural students significantly influenced their educational practices, resulting from interpretive processes and problematic framing. The data indicate that teachers’ meaning-making and pedagogical responses to multicultural students are insufficient for systematically addressing the structural inequalities and social injustices faced by these students. Ultimately, these teachers’ responses and practices fell short of providing equitable education that South Korea’s multicultural education policies aim for. The study concluded that comprehensive teacher training in cultural competence and bias awareness is essential for bridging the gap between policy and practice. It recommends the development of reflective practices, continuous professional development, and the creation of supportive school environments to enhance multicultural education’s effectiveness.

Is a rising cesarean delivery rate explained by late birth trend? A decomposition analysis of health insurance claims data (2013–2022) from South Korea

AbstractObjectiveTo analyze the factors influencing the increase in the cesarean delivery (CD) rate in South Korea and test the hypothesis on advanced maternal age driving the trend.MethodThe present study is a population‐based retrospective observational study utilizing administrative data from the Korean National Health Insurance Service. We analyzed a total 3 416 517 births from 2013 to 2022 covered by the national health insurance. The CD rate and contribution of demographic variables to changes in CD rates were calculated using Das Gupta's decomposition method.ResultsThe CD rate increased from 37.8% in 2013 to 61.6% in 2022. The decomposition analysis revealed that changes in maternal age structure contributed only 8.7% to the increase in the CD rate. When parity was added to maternal age, the explained proportion increased to 17.8%. When other factors were added to the model, such as multiple births, residential area, and income level, it did not contribute significantly to the increase in the CD rates, accounting for 19.0%, 18.6%, and 18.0%, respectively.ConclusionsAccording to our analysis, less than one‐fifth of the increase in CD rate was explained by the change in maternal age. The rising CD rate in Korea should not be considered an unavoidable consequence of demographic change. Much more diverse factors, including increased risk of medical lawsuits, changes in childbirth culture, and other health system determinants, may be driving the trend.

Characteristics of imported and domestic malaria cases in Gyeonggi Province, Republic of Korea

Characteristics of imported and domestic malaria cases in Gyeonggi Province, Republic of Korea

Transformation of the currency regulation regime and foreign economic relations of Russia in the context of expanding anti-Russian sanctions

The article discusses the features of currency regulation and foreign economic relations of the Russian Federation (hereinafter referred to as RF, Russia) in the context of the introduction and growth of anti-Russian sanctions by the United States of America, European Union countries and other unfriendly countries, issues related to ensuring the sustainability of the Russian economy and its ability to withstand negative internal and external influences, issues of financial security, which is an important component of the country’s economic security, issues of the current state of the state’s banking system and the Russian economy as a whole. The article also discusses the possible expansion of international economic relations between Russia, China, North Korea and other countries. The purpose of the article is to identify directions for the transformation of the currency regulation regime and foreign economic relations of the RF in the context of the expansion of anti-Russian sanctions. The subject of the study is the currency and foreign economic relations of the RF with friendly and unfriendly countries in the current conditions of growing anti-Russian sanctions and the conduct of a special military operation in Ukraine. In conclusion, the article highlights key changes associated with changes in Russia’s foreign exchange and foreign economic activeities, promising opportunities for further expansion of international economic relations with China, the Democratic People’s Republic of Korea and other friendly countries.

Resurgence of Pertussis in the Gyeongnam Region of South Korea in 2023 and 2024

Background/Objectives: Pertussis continues to pose a substantial global health challenge despite widespread vaccination programs. This study aimed to analyze the epidemiological characteristics of recent pertussis cases in the Gyeongnam region of South Korea. Methods: We analyzed 419 pertussis cases in the Gyeongnam region of South Korea between October 2023 and April 2024, using data collected from epidemiological investigation reports, medical records, and interviews with health officials and school staff. Results: Our analysis revealed a distinct age distribution pattern with minimal cases in infants (0.2% under 1 year) and young children (7.9% in ages 1–6 years), while school-aged children showed the highest incidence (31.8% in ages 7–9 years, 36.0% in ages 10–12 years). The outbreak pattern demonstrated a progressive shift from preschool and elementary school students to middle and high school students. The time from symptoms onset to diagnosis varied significantly across age groups, with a median of 3.0 days (1.0–6.0) overall; notably, this was longer in high school students at 5.0 days (2.3–8.0) (p = 0.023). While 92.4% (365/395) of cases were fully vaccinated, substantial delays were observed in third and fourth dose administration (18.2% and 25.8%, respectively), with considerable timing variability for the fifth and sixth doses. Conclusions: Our findings highlight the changing epidemiology of pertussis in South Korea, characterized by an age shift toward older children. These results emphasize the need for enhanced surveillance focusing on school-aged populations and the reassessment of vaccination strategies, particularly regarding booster dose timings and adherence.

Exploring young children’s self and others: integrating visual diaries and the digital emotional expression application in art education

ABSTRACT This study explores the integration of technology-based and hands-on art practices in an early childhood art education program tailored to preschoolers in South Korea. The participants of this study included 20 young children aged five or six years old, who engaged in the program for a two-year period. By employing qualitative research methods, the results reveal the young learners’ enhanced expression of their emotion, including feelings, desires, and moods with the aid of visual diaries in conjunction with a digital emotional expression application supported by teacher intervention. Further, the young learners were stimulated to engage in self-discovery, self-awareness, and understanding of others. Ultimately, young children’s visual diaries enhanced educators’ and parents’ comprehension of their emotions. Moreover, showcasing these visual diaries and collaborative artwork promoted numerous opportunities for engagement and resonance with the local community. The fusion of visual diaries and the digital emotional expression application is viewed as a practice of emotional meaning making, wherein art and technology agency is distributed.

Prevalence, Characteristics, and Distribution of Human Papillomavirus According to Age and HIV Status in Women of Eastern Cape Province, South Africa

Human papillomavirus (HPV) is a sexually transmitted infection associated with the development of cervical cancer. This study investigated cervical HPV prevalence, characteristics, and distribution according to age and human immunodeficiency virus (HIV) status among women attending a public community health facility in the Eastern Cape Province of South Africa. A total of 325 participants (aged 18 to 60) visiting a community health facility for any reason were recruited. Cervical HPV infection was detected using the Seegene Anyplex™ II HPV28 assay (Seegene Inc., Seoul, South Korea). Overall HPV prevalence was 65.2% (95% CI: 59.9–70.2%), with the highest prevalence of 80.9% (95% CI: 67.2–89.8%) observed in the 18–25-year-old age group and the lowest prevalence of 46.3% (95% CI: 35.8–57.1%) in the 46–60-year-old age group. HR-HPV infection was found to decrease with increasing age (p < 0.001) in the overall population and according to HIV status. In contrast, LR-HPV infection was found to significantly decrease with age among HIV-negative women (p = 0.001) but not for the overall population and HIV-positive women. A proportion of 12.9% were infected with one or more HPV types covered by the Cervarix® HPV vaccine (HPV-16 and/or -18), 18.8% (by those covered by Gardasil®4 (HPV-6, -11, -16 and/or -18), and 42.2% by those covered by Gardasil®9 (HPV-6, -11, -16, -18, -31, -33, -45, -52 and/or -58). The alpha-9 HPV species was the most dominant species (40.6%), followed by the alpha-7 species (29.8%). High overall HPV, HR-HPV, and alpha-9 species prevalence were observed among the women attending the public health facility. These findings contribute to the limited HPV distribution data among the Eastern Cape women, which could be used to improve HPV-related policy and assess the effectiveness of the HPV vaccination.

Influence of Health Literacy on Physical Activity and Sedentary Behaviors in Older Patients with Coronary Artery Disease

Background: Coronary artery disease is a chronic condition that requires continuous adherence to healthy behaviors. Adhering to physical activity and reducing prolonged sedentary behavior are important for the physical health of older patients with coronary artery disease (CAD). Health literacy is increasingly recognized as a key factor in secondary prevention for these patients. However, evidence regarding the associations among health literacy, physical activity, and sedentary behaviors for secondary prevention in older patients with coronary artery disease remains limited. Objectives: This study aimed to identify the prevalence of limited health literacy and the influence of health literacy on physical activity and sedentary behaviors in older patients with CAD. Methods: This study was a descriptive cross-sectional study conducted from May to December 2022 in South Korea. A total of 186 patients aged 65 and older diagnosed with coronary artery disease participated. Data on health literacy, physical activity, and sedentary behaviors were collected through self-reported questionnaires and electronic medical records. Results: The prevalence of limited health literacy in older patients was 66.7%. Hierarchical linear regression revealed that health literacy was a significant determinant of physical activity (β = −0.50, P < .001) and sedentary behaviors (β = 0.58, P < .001) after adjusting for confounding variables. Conclusions: Our main findings showed that health literacy can facilitate improvements in physical activity and sedentary behaviors. Health literacy can facilitate health decisions for secondary prevention in older patients with CAD. Thus, healthcare professionals should assess patient health literacy and illness severity when designing secondary prevention programs.

Long-Term Ozone Exposure, COPD, and Asthma Mortality: A Retrospective Cohort Study in the Republic of Korea

Ozone concentrations have increased in recent decades, and several studies have reported that long-term exposure to ozone increases the mortality risk induced by respiratory conditions. However, research on cause-specific mortality related to ozone exposure and respiratory diseases remains scarce. We constructed a retrospective cohort of 5,360,032 adults aged ≥ 65 years from the National Health Insurance Service of Republic of Korea, and death certificates were obtained from Statistics Republic of Korea to determine the cause of death between 2010 and 2019. The daily maximum 8 h average levels of ozone during the warm season annually (May–September) and other air pollutants were determined for the residential district. We analyzed the data using a time-varying Cox proportional hazards model with individual- and district-level covariates, incorporating a competing risk framework to address deaths from causes other than chronic obstructive pulmonary disease (COPD) and asthma. In our single-pollutant model with a 3-year moving average, a 1 ppb increase in ozone exposure was associated with a hazard ratio (HR) of 1.011 (95% confidence interval [CI]: 1.008–1.013) for COPD mortality and an HR of 1.016 (95% CI: 1.011–1.022) for asthma mortality. In our model adjusted for the presence of underlying diseases and district-level variables, the HRs were 1.009 (95% CI: 1.008–1.014) for COPD and 1.017 (95% CI: 1.011–1.023) for asthma, respectively. These associations remained robust in our two-pollutant model, except for NO2 and COPD. A linear concentration–response relationship was identified between ozone concentration, COPD, and asthma mortality. In this large nationwide cohort study, long-term exposure to ozone was associated with an increased risk of death from COPD and asthma in older Korean adults.

The public and private mix in the production of childcare: a case study of 21st century South Korea

Purpose The aim of this study is to demonstrate the usefulness of the “publicness” and “privateness” concepts in examining childcare policy reforms. Understanding them as having multiple facets, this paper challenges the way in which childcare-going-public is often simply assessed based on the coverage of publicly-funded childcare services. Instead, it highlights that the process should be more thoroughly examined by considering who pays for whom to provide childcare, where it takes place, how it is regulated, and what kinds of normative ideals it works towards.Design/methodology/approach The research design is two-fold. Firstly, it coins the concepts of “publicness” and “privateness” based on existing literature on welfare pluralism and public administration. It then unpacks the key facets constituting this conceptual twin within the childcare context, which are utilised to craft four models of childcare production. Secondly, this framework is analytically applied to explore 21st-century South Korea to track the changes and continuities in its childcare production models across four governments.Findings The analysis shows that while South Korea's childcare publicness increased in terms of funding, its privateness was bolstered in regard to the location of childcare, the way that publicly-funded childcare services were regulated and delivered, and the manner in which childcare was partially consolidated as a familial responsibility.Originality/value This paper proposes a new conceptual framework to analyse the complex and multi-layered process of how childcare goes public, which is analytically applied to a cross-governmental comparative study of South Korea.

Observations on China's Educational Discipline Policies: Taking Japan and South Korea's Educational Discipline as a Reference

Educational discipline refers to the process of educational behavior to stop and eliminate students' misbehavior, to help students correct their mistakes for the purpose of punishment as a characteristic of a form of education. The study analyzes the current situation of Educational discipline in China and its shortcomings, categorizes and analyzes the abuse of Educational discipline in China, the lack of use of Educational discipline, and the blurring of the concepts of Educational discipline and corporal punishment, punishment, and so on. At the same time, the study analyzes the policies related to Educational discipline in Japan and South Korea, and puts forward suggestions for the future development of China's Educational discipline policy and the problems that need to be avoided through the clear breakdown of the rules of corporal punishment in Japan and the infringement of the right to Educational discipline in South Korea due to the Human Rights of Students Ordinance.

A Comparative Study of the Design of East Asian Royal Gardens

The current research methods employed in the study of gardens are largely concentrated in the fields of landscape architecture, architecture, and ecology. However, there is a paucity of analytical methods dedicated to the domain of garden design. However, the design content of gardens is within the scope of design studies. It is therefore imperative to develop or refine research methods for the analysis of gardens that are firmly grounded in design principles. The primary contribution of this study is the development of a design analysis framework, centered on the interrelationships between ‘user–garden–environment’, which can be applied to the analysis and investigation of gardens from a ‘people, objects, and environment’ perspective, in alignment with design studies. Influenced by similar geography, environment, culture, customs, etc., the garden design of China, Japan, and South Korea presents a very East Asian design style of forms, elements, features, etc., but also formed the differences of each characteristic. This paper takes China’s Chengde Mountain Resort, Japan’s Shugakuin Imperial Villa, and South Korea’s Changdeokgung, which are listed on the World Heritage List, as examples Based on the design analysis method proposed in this paper, a relevant design comparative study is conducted in three aspects: users of East Asia’s royal gardens, the design object—the gardens—and the external environment, and the similarities and differences between the Chinese, Japanese, and Korean royal gardens are analyzed. This study aims to verify the feasibility of the analytical framework of ‘user–garden–environment’ design by analyzing typical cases of royal gardens in China, Japan, and South Korea. This will enable the creation of multiple values conducive to the development of gardens. Furthermore, the analytical framework of ‘user–garden–environment’ is subjected to a process of deconstruction through the case studies of typical royal gardens in the three East Asian countries. This is done to overcome the limitations of existing research methodologies, provide a novel systematic research methodology for garden research, and facilitate the protection and inheritance of the historical and cultural heritage of gardens in East Asia. Additionally, this approach offers a reference point for related garden research in the context of modern lifestyles.

The Association Between Victimization and Perpetration of Physical Intimate Partner Violence and Unmet Healthcare Needs Among Married Women in South Korea.

This study assessed physical intimate partner violence (IPV) experiences and examined their association with unmet healthcare needs among married women in South Korea. We analyzed data from a nationally representative longitudinal survey of 6,533 women at baseline. Participants were asked yes/no questions about their experiences of physical IPV victimization and perpetration over the past year. The responses were classified into four categories of IPV experience: "none," "victimization only," "perpetration only," and "both victimization and perpetration." At baseline, 0.9% reported being victimized only, and 25.9% reported both victimization and perpetration. The prevalence of unmet healthcare needs over the past year at baseline was 0.8%. Compared to women without any IPV experience, women in the IPV "victimization only" category had greater unmet healthcare needs (OR: 5.49, 95% CI [2.30, 13.12]) after adjusting for sociodemographic variables. Experiencing IPV perpetration only and both IPV victimization and perpetration were not statistically significantly associated with unmet healthcare needs. These results imply that physical IPV victims face difficulties accessing healthcare services which could exacerbate health inequalities over time. Moreover, this study suggests that it is necessary to distinguish IPV victims from those who experience IPV victimization only and those who experience both IPV victimization and perpetration.

Comparing road traffic injuries by types of road users among children and adolescents in South Korea, 2011–2021

IntroductionRoad traffic injuries (RTIs) are the leading cause of mortality among children and adolescents. This study aimed to compare clinical characteristics and identify factors associated with severe RTIs based on...