Technical Papers
Jan 2, 2023

Perceived Vulnerability to Disease, Resilience, and Mental Health Outcome of Korean Immigrants amid the COVID-19 Pandemic: A Machine Learning Approach

Publication: Natural Hazards Review
Volume 24, Issue 2

Abstract

This study examined the predictive ability of perceived vulnerability to disease (PVD), fear of COVID-19, and coping mechanisms on the Korean immigrants’ psychological distress level amid the pandemic. Through purposive sampling, both foreign-born and US-born Korean immigrants residing in the US above the age of 18 years were invited to an online survey. Between May and June 2020, data collection took place, which yielded the final sample of 790 participants from 42 states. An artificial neural network (ANN) was used to verify variables that predict the level of psychological distress on the participants. The model with one hidden layer holding six hidden neurons showed the best performance. The error rate was approximately 27%, and the results from the sensitivity analysis, the receiver operating characteristics (ROC) curve, showed that the area under the curve (AUC) was 0.801. The most powerful predicting variables in the neural network were resilience, PVD, and social support. Implications for practice and policy are discussed.

Get full access to this article

View all available purchase options and get full access to this article.

Data Availability Statement

Some data, models, or code that support the findings of this study are available from the corresponding author upon reasonable request. Items include survey questions, code book, SPSS syntax, and results of descriptive statistics on main study variables.

Acknowledgments

This COVID-19 Working Group effort was supported by the National Science Foundation-funded Social Science Extreme Events Research (SSEER) network and the CONVERGE facility at the Natural Hazards Center at the University of Colorado Boulder (NSF Award No. 1841338). Any opinions, findings, and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the NSF, SSEER, or CONVERGE.

References

Ahmadzadeh, M., A. Ghamarani, M. Samadi, A. Shamsi, and A. Azizollah. 2013. “The investigation of validity and reliability of a scale of perceived vulnerability to disease in Iran.” Br. J. Social Sci. 1 (4): 43–51. https://doi.org/10.13140/2.1.1370.1122.
Ahorsu, D. K., C.-Y. Lin, V. Imani, M. Saffari, M. D. Griffiths, and A. H. Pakpour. 2020. “The fear of COVID-19 scale: Development and initial validation.” Int. J. Mental Health Addict. 20 (Mar): 1–9. https://doi.org/10.1007/s11469-020-00270-8.
Allahyri, E. 2019. “Predicting elderly depression: An artificial neural network model.” Iran. J. Psychiatry Behav. Sci. 13 (4): e98497. https://doi.org/10.5812/ijpbs.98497.
Black, L., J. Van Agteren, M. Isaiello, M. Carey, and R. Faggotter. 2018. “Mental health interventions to build resilience.” Aust. J. Emergency Manage. 33 (4): 18–19.
Bonanno, G. A., C. R. Brewin, K. Kaniasty, and A. M. L. Greca. 2010. “Weighing the costs of disaster: Consequences, risks, and resilience in individuals, families, and communities.” Psychol. Sci. Public Interest 11 (1): 1–49. https://doi.org/10.1177/1529100610387086.
Bonanno, G. A., S. M. Y. Ho, J. C. K. Chan, R. S. Y. Kwong, C. K. Y. Cheung, C. P. Y. Wong, and V. C. W. Wong. 2008. “Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: A latent class approach.” Health Psychol. 27 (5): 659–667. https://doi.org/10.1037/0278-6133.27.5.659.
Boston Korean Diaspora Project. n.d. “History of Korean immigration to America, from 1903 to present.” Accessed July 11, 2020. http://sites.bu.edu/koreandiaspora/issues/history-of-korean-immigration-to-america-from-1903-to-present/#_ftn9.
Boulesteix, A. L., and M. Schmid. 2014. “Machine learning versus statistical modeling.” Biom. J. 56 (4): 588–593. https://doi.org/10.1002/bimj.201300226.
Boyraz, G., D. N. Legros, and A. Tigershtrom. 2020. “COVID-19 and traumatic stress: The role of perceived vulnerability, COVID-19-related worries, and social isolation.” J. Anxiety Disord. 76 (Dec): 102307. https://doi.org/10.1016/j.janxdis.2020.102307.
Brondolo, E., N. Brady ver Halen, M. Pencille, D. Beatty, and R. J. Contrada. 2009. “Coping with racism: A selective review of the literature and a theoretical and methodological critique.” J. Behav. Med. 32 (1): 64–88. https://doi.org/10.1007/s10865-008-9193-0.
Campbell-Sills, L., and M. B. Stein. 2007. “Psychometric analysis and refinement of the Connor–Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience.” J. Traumatic Stress 20 (6): 1019–1028. https://doi.org/10.1002/jts.20271.
CDC (Centers for Disease Control). 2020. “How to wear masks.” Accessed August 24, 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wear-cloth-face-coverings.html.
Chen, J. A., W.-J. Chung, S. K. Young, M. C. Tuttle, M. B. Collins, S. L. Darghouth, R. Longley, R. Levy, M. Razafsha, and J. C. Kerner. 2020. “COVID-19 and telepsychiatry: Early outpatient experiences and implications for the future.” Gen. Hosp. Psychiatry 66 (Sep): 89–95. https://doi.org/10.1016/j.genhosppsych.2020.07.002.
Choi, E. P. H., B. P. H. Hui, and E. Y. F. Wan. 2020a. “Depression and anxiety in Hong Kong during COVID-19.” Int. J. Environ. Res. Public Health 17 (10): 3740. https://doi.org/10.3390/ijerph17103740.
Choi, J., A. Miller, and J. Wilbur. 2009. “Acculturation and depressive symptoms in Korean immigrant women.” J. Immigrant Minority Health 11 (1): 13–19. https://doi.org/10.1007/s10903-007-9080-8.
Choi, S., J. Y. Hong, Y. J. Kim, and H. Park. 2020b. “Predicting psychological distress amid the COVID-19 pandemic by machine learning: Discrimination and coping mechanisms of Korean immigrants in the US.” Int. J. Environ. Res. Public Health 17 (17): 6057. https://doi.org/10.3390/ijerph17176057.
Choi, S., S. Weng, H. Park, and Y. Kim. 2020c. “Effects of Asian immigrants’ group membership in the association between perceived racial discrimination and psychological well-being: The interplay of immigrants’ generational status, age, and ethnic subgroup.” J. Ethnic Cult. Divers. Social Work 29 (1–3): 114–135. https://doi.org/10.1080/15313204.2020.1712569.
Colasante, T., L. Lin, K. De France, and T. Hollenstein. 2022. “Any time and place? Digital emotional support for digital natives.” Am. Psychologist 77 (2): 186–195. https://doi.org/10.1037/amp0000708.
De Veaux, R. D., and L. H. Ungar. 1994. “Multicollinearity: A tale of two nonparametric regressions.” In Selecting models from data, edited by P. Cheeseman and R. W. Oldford. New York: Springer.
Diers, M. 2020. “Strengthening resilience in school—A narrative examination of how teachers promote resilience by providing social support.” Int. Dialogues Educ. J. 7 (1): 128–137. https://doi.org/10.53308/ide.v7i1.8.
Dray, J., et al. 2017. “Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents.” J. Adolescence 57 (Jun): 74–89. https://doi.org/10.1016/j.adolescence.2017.03.009.
Duncan, L. A., M. Schaller, and J. H. Park. 2009. “Perceived vulnerability to disease: Development and validation of a 15-item self-report instrument.” Personality Individual Differences 47 (6): 541–546. https://doi.org/10.1016/j.paid.2009.05.001.
Ekelund, S. 2012. “ROC curves—What are they and how are they used?” Point Care 11 (1): 16–21. https://doi.org/10.1097/POC.0b013e318246a642.
Gomez-Salgado, J., M. Andres-Villas, S. Dominquez-Salas, D. Diaz-Milanes, and C. Ruiz-Frutos. 2020. “Related health factors of psychological distress during the COVID-19 pandemic in Spain.” Int. J. Environ. Res. Public Health 17 (11): 3947. https://doi.org/10.3390/ijerph17113947.
Havnen, A., F. Anyan, O. Hjemdal, S. Solem, M. Gurigard Riksfjord, and K. Hagen. 2020. “Resilience moderates negative outcome from stress during the COVID-19 pandemic: A moderated-mediation approach.” Int. J. Environ. Res. Public Health 17 (18): 6461. https://doi.org/10.3390/ijerph17186461.
Haykin, S. 1998. Neural networks: A comprehensive foundation. New York: Macmillan College Publishing.
Hjemdal, O., P. A. Vogel, S. Solem, K. Hagen, and T. C. Stiles. 2011. “The relationship between resilience and levels of anxiety, depression, and obsessive–compulsive symptoms in adolescents.” Clin. Psychol. Psychotherapy 18 (4): 314–321. https://doi.org/10.1002/cpp.719.
IBM. 2012. IBM SPSS neural networks 24. Armonk, NY: IBM.
IJntema, R. C., Y. D. Burger, and W. B. Schaufeli. 2019. “Reviewing the labyrinth of psychological resilience: Establishing criteria for resilience-building programs.” Consulting Psychol. J. 71 (4): 288. https://doi.org/10.1037/cpb0000147.
Kessler, R. C., G. Andrews, L. J. Colpe, E. Hiripi, D. K. Mroczek, S.-L. T. Normand, E. E. Walters, and A. M. Zaslavsky. 2002. “Short screening scales to monitor population prevalences and trends in non-specific psychological distress.” Psychol. Med. 32 (6): 329–339. https://doi.org/10.1017/S0033291702006074.
Khanlou, N., and R. Wray. 2014. “A whole community approach toward child and youth resilience promotion: A review of resilience literature.” Int. J. Mental Health Addict. 12 (1): 64–79. https://doi.org/10.1007/s11469-013-9470-1.
Lee, J.-S. 2019. “Perceived social support functions as a resilience in buffering the impact of trauma exposure on PTSD symptoms via intrusive rumination and entrapment in firefighters.” PLoS One 14 (8): e0220454. https://doi.org/10.1371/journal.pone.0220454.
Li, F., S. Luo, W. Mu, Y. Li, L. Ye, X. Zheng, B. Xu, Y. Ding, P. Ling, and M. Zhou. 2021. “Effects of sources of social support and resilience on the mental health of different age groups during the COVID-19 pandemic.” BMC Psychiatry 21 (1): 1–14. https://doi.org/10.1186/s12888-020-03012-1.
Li, J., W. Liang, B. Yuan, and G. Zeng. 2020. “Internalized stiagatization, social support, and individual mental health problems in the public health crisis.” Int. J. Environ. Res. Public Health 17 (12): 4507. https://doi.org/10.3390/ijerph17124507.
Luchetti, M., J. H. Lee, D. Aschwanden, A. Sesker, J. E. Strickhouser, A. Terracciano, and A. R. Sutin. 2020. “The trajectory of loneliness in response to COVID-19.” Am. Psychologist 75 (7): 897. https://doi.org/10.1037/amp0000690.
Luo, C., Y. Li, A. Chen, and Y. Tang. 2020. “What triggers online help-seeking retransmission during the COVID-19 period? Empirical evidence from Chinese social media.” PLoS One 15 (11): e0241465. https://doi.org/10.1371/journal.pone.0241465.
Mandrekar, J. N. 2010. “Receiver operating characteristic curve in diagnostic test assessment.” J. Thoracic Oncol. 5 (9): 1315–1316. https://doi.org/10.1097/JTO.0b013e3181ec173d.
Margetić, B., T. Peraica, K. Stojanović, and D. Ivanec. 2021. “Predictors of emotional distress during the COVID-19 pandemic; a Croatian study.” Personality Individual Differences 175 (Jun): 110691. https://doi.org/10.1016/j.paid.2021.110691.
Matheson, B., C. Bohon, and J. Lock. 2020. “Family-based treatment via videoconference: Clinical recommendations for treatment providers during COVID-19 and beyond.” Int. J. Eating Disord. 53 (7): 1142–1154. https://doi.org/10.1002/eat.23326.
McGinty, E. E., R. Presskreischer, H. Han, and C. L. Barry. 2020. “Psychological distress and loneliness reported by US adults in 2018 and April 2020.” JAMA 324 (1): 93–94. https://doi.org/10.1001/jama.2020.9740.
Min, J. W., A. Moon, and J. E. Lubben. 2005. “Determinants of psychological distress over time among older Korean immigrants and non-Hispanic white elders: Evidence from a two-wave panel study.” Aging Mental Health 9 (3): 210–222. https://doi.org/10.1080/13607860500090011.
Noh, S., and V. Kaspar. 2003. “Perceived discrimination and depression: Moderating effects of coping, acculturation, and ethnic support.” Am. J. Public Health 93 (2): 232–238. https://doi.org/10.2105/AJPH.93.2.232.
O’Connor, A., and J. Batalova. 2017. Korean immigrants in the United States. Washington, DC: Migration Policy Institute.
Oh, S. H., S. Y. Lee, and C. Han. 2021. “The effects of social media use on preventive behaviors during infectious disease outbreaks: The mediating role of self-relevant emotions and public risk perception.” Health Communication 36 (8): 972–981. https://doi.org/10.1080/10410236.2020.1724639.
Oppedal, B., E. Røysamb, and D. L. Sam. 2004. “The effect of acculturation and social support on change in mental health among young immigrants.” Int. J. Behav. Dev. 28 (6): 481–494. https://doi.org/10.1080/01650250444000126.
Ozbay, F., D. C. Johnson, E. Dimoulas, C. Morgan III, D. Charney, and S. Southwick. 2007. “Social support and resilience to stress: From neurobiology to clinical practice.” Psychiatry 4 (5): 35.
Park, T., I. Ju, J. E. Ohs, and A. Hinsley. 2021. “Optimistic bias and preventive behavioral engagement in the context of COVID-19.” Res. Social Administrative Pharm. 17 (1): 1859–1866. https://doi.org/10.1016/j.sapharm.2020.06.004.
Riehm, K. E., et al. 2020. “Associations between media exposure and mental distress among US adults at the beginning of the COVID-19 pandemic.” Am. J. Preventive Med. 59 (5): 630–638. https://doi.org/10.1016/j.amepre.2020.06.008.
Ritchie, H., E. Ortiz-Ospina, D. Beltekian, E. Mathieu, J. Hasell, B. Macdonald, C. Giattino, and M. Roser. 2020. “Coronavirus pandemic (COVID-19)-the data.” Our World in Data. Accessed January 28, 2020. https://ourworldindata.org/coronavirus.
Sacco, D. F., S. G. Young, and K. Hugenberg. 2014. “Balancing competing motives: Adaptive trade-offs are necessary to satisfy disease avoidance and interpersonal affiliation goals.” Personality Social Psychol. Bull. 40 (12): 1611–1623. https://doi.org/10.1177/0146167214552790.
Scharloo, M., A. A. Kaptein, J. Weinman, W. Bergman, B. J. Vermeer, and H. G. M. Rooijmans. 2000. “Patients’ illness perceptions and coping as predictors of functional status in psoriasis: A 1-year follow-up.” Br. J. Dermatol. 142 (5): 899–907. https://doi.org/10.1046/j.1365-2133.2000.03469.x.
Schuster, T. L., R. C. Kessler, and R. H. Aseltine. 1990. “Supportive interactions, negative interactions, and depressed mood.” Am. J. Community Psychol. 18 (3): 423–438. https://doi.org/10.1007/BF00938116.
Shelton, A. J., C. D. Wang, and W. Zhu. 2017. “Perceived social support and mental health: Cultural orientations as moderators.” J. College Couns. 20 (3): 194–207. https://doi.org/10.1002/jocc.12062.
Shook, N. J., B. Sevi, J. Lee, B. Oosterhoff, and H. N. Fitzgerald. 2020. “Disease avoidance in the time of COVID-19: The behavioral immune system is associated with concern and preventative health behaviors.” PLoS One 15 (8): e0238015. https://doi.org/10.1371/journal.pone.0238015.
Sierau, S., E. Schneider, Y. Nesterko, and H. Glaesmer. 2019. “Alone, but protected? Effects of social support on mental health of unaccompanied refugee minors.” Eur. Child Adolesc. Psychiatry 28 (6): 769–780. https://doi.org/10.1007/s00787-018-1246-5.
US Census Bureau. 2019. “Asian alone or in any combination by selected groups.” Accessed July 12, 2020. https://data.census.gov/cedsci/table?q=pakistani&g=&lastDisplayedRow=18&table=B02018&tid=ACSDT1Y2018.B02018&vintage=2018&mode.
Vo, D. X., J. J. Locke, A. Johnson, and S. K. Marshall. 2015. “The effectiveness of the mindful awareness and resilience skills for adolescents (MARS-A) intervention on adolescent mental health: A pilot clinical trial.” J. Adolesc. Health 56 (2): S27. https://doi.org/10.1016/j.jadohealth.2014.10.054.
WHO (World Health Organization). 2020. Transmission of SARS-Cov-2: Implications for infection prevention precautions. Geneva: WHO.
Williams, D. R., Y. Yan, J. S. Jackson, and N. B. Anderson. 1997. “Racial differences in physical and mental health: Socio-economic status, stress and discrimination.” J. Health Psychol. 2 (3): 335–351. https://doi.org/10.1177/135910539700200305.
Wlodarczyk, M., and G. Dolinska-Zygmunt. 2019. “Searching for predictors of sense of quality of health: A study using neural networks on a sample of perimenopausal women.” PLoS One 14 (1): e0200129. https://doi.org/10.1371/journal.pone.0200129.
Yasui, M., T. Y. Kim, and Y. Choi. 2018. “Culturally specific parent mental distress, parent–child relations and youth depression among Korean American families.” J. Child Family Stud. 27 (10): 3371–3384. https://doi.org/10.1007/s10826-018-1151-z.
Yıldırım, M., E. Gecer, and O. Akgul. 2021. “The impacts of vulnerability, perceived risk, and fear on preventive behaviours against COVID-19.” Psychol. Health Med. 26 (1): 35–43. https://doi.org/10.1080/13548506.2020.1776891.
Zhong, B. L., W. Luo, H. M. Li, Q. Q. Zhang, X. G. Liu, W. T. Li, and Y. Li. 2020. “Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey.” Int. J. Biol. Sci. 16 (10): 1745–1752. https://doi.org/10.7150/ijbs.45221.

Information & Authors

Information

Published In

Go to Natural Hazards Review
Natural Hazards Review
Volume 24Issue 2May 2023

History

Received: May 6, 2021
Accepted: Oct 13, 2022
Published online: Jan 2, 2023
Published in print: May 1, 2023
Discussion open until: Jun 2, 2023

Permissions

Request permissions for this article.

Authors

Affiliations

Assistant Professor, School of Social Work, Texas State Univ., San Marcos, TX 78666. ORCID: https://orcid.org/0000-0001-9994-5132. Email: [email protected]
Yong Je Kim, A.M.ASCE [email protected]
Assistant Professor, Dept. of Civil and Environmental Engineering, Lamar Univ., Beaumont, TX 77710 (corresponding author). Email: [email protected]
Boo Hyun Nam, M.ASCE [email protected]
Associate Professor, Dept. of Civil Engineering, Kyung Hee Univ., Yongin-si, Gyeonggi-do 17104, Republic of Korea. Email: [email protected]
Joo Young Hong [email protected]
Teacher of the Deaf, Clarke Schools for Hearing and Speech, 9603 Old St., Augustine Rd., Suite #7, Jacksonville, FL 32257. Email: [email protected]
Assistant Professor, Dept. of Sociology, Anthropology, and Social Work, Univ. of North Florida, Jacksonville, FL 32224. ORCID: https://orcid.org/0000-0002-9800-2033. Email: [email protected]

Metrics & Citations

Metrics

Citations

Download citation

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

View Options

Get Access

Access content

Please select your options to get access

Log in/Register Log in via your institution (Shibboleth)
ASCE Members: Please log in to see member pricing

Purchase

Save for later Information on ASCE Library Cards
ASCE Library Cards let you download journal articles, proceedings papers, and available book chapters across the entire ASCE Library platform. ASCE Library Cards remain active for 24 months or until all downloads are used. Note: This content will be debited as one download at time of checkout.

Terms of Use: ASCE Library Cards are for individual, personal use only. Reselling, republishing, or forwarding the materials to libraries or reading rooms is prohibited.
ASCE Library Card (5 downloads)
$105.00
Add to cart
ASCE Library Card (20 downloads)
$280.00
Add to cart
Buy Single Article
$35.00
Add to cart

Get Access

Access content

Please select your options to get access

Log in/Register Log in via your institution (Shibboleth)
ASCE Members: Please log in to see member pricing

Purchase

Save for later Information on ASCE Library Cards
ASCE Library Cards let you download journal articles, proceedings papers, and available book chapters across the entire ASCE Library platform. ASCE Library Cards remain active for 24 months or until all downloads are used. Note: This content will be debited as one download at time of checkout.

Terms of Use: ASCE Library Cards are for individual, personal use only. Reselling, republishing, or forwarding the materials to libraries or reading rooms is prohibited.
ASCE Library Card (5 downloads)
$105.00
Add to cart
ASCE Library Card (20 downloads)
$280.00
Add to cart
Buy Single Article
$35.00
Add to cart

Media

Figures

Other

Tables

Share

Share

Copy the content Link

Share with email

Email a colleague

Share