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Objectives: The purpose of this research is to provide basic data for understanding alcohol drinking behavior and related factors of the refugees from North Korea in order to find the way of improving their health status and quality of life as well as achieving health equality. Methods: The subjects were 153 who settled down in S city from North Korea. Data were collected by a home visiting nurse and a counselor directly using the assessment tools which were applied to the customized home visiting health care services. Results: The most of subjects was very poor in economical status and relatively unstable in family structure. Their drinking rate based on a month was 32.0% that was lower than National Health Interview Survey conducted in 2010. Among lifetime drinkers, 20.6%(13) started alcohol drinking after immigration into South Korea. In multiple logistic regression analysis, probability of alcohol drinking increased in subjects who were below 44 years old, evaluated their health status was good or very good, and lived in South Korea for 10years or over. Conclusions: A consistent and comprehensive health promotion program should be developed for preventing alcohol drinking and binge drinking of the refugees’ from North Korea. Age, subjective health status, and South Korea inclusion period should be considered in developing program.