Acculturation and the center for epidemiological studies-depression scale for Hispanic women

Brian McCabe, Amber L. Vermeesch, Rosemary F. Hall, Nilda Peragallo, Victoria Mitrani

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Culturally valid measures of depression for Spanish-speaking Hispanic women are important for developing and implementing effective interventions to reduce health disparities. The Center for Epidemiological Studies-Depression Scale (CES-D) is a widely used measure of depression. Differential item functioning has been studied using language preference as a proxy for acculturation, but it is unknown if the results were due to acculturation or the language of administration. Objective: The aim of this study was to evaluate the relationship of acculturation, defined with a dimensional measure, to Spanish CES-D item responses. Methods: Spanish-speaking Hispanic women (n = 504) were recruited for a randomized controlled trial of Salud, Educación, Prevención y Autocuidado (Health, Education, Prevention, and Self-Care). Acculturation, an important dimension of variation within the diverse U.S. Hispanic community, was defined by high or low scores on the Americanism subscale of the Bidimensional Acculturation Scale. Differential item functioning for each of the 20 CES-D items between more acculturated and less acculturated women was tested using ordinal logistic regression. Results: No items on the Depressed Affect, Somatic Activity, or Positive Affect subscales showed meaningful differential item functioning, but 1 item ("People were unfriendly") on the Interpersonal subscale had small results (R = 1.1%). Discussion: The majority of CES-D items performed similarly for Spanish-speaking Hispanic women with high and low acculturation. Less acculturated women responded more positively to "People were unfriendly," despite having an equivalent level of depression, than did more acculturated women. Possibilities for improving this item are proposed.

Original languageEnglish
Pages (from-to)270-275
Number of pages6
JournalNursing Research
Volume60
Issue number4
DOIs
StatePublished - Jul 1 2011

Fingerprint

Acculturation
Hispanic Americans
Epidemiologic Studies
Depression
Language
Proxy
Self Care
Health Education
Randomized Controlled Trials
Logistic Models
Health

Keywords

  • acculturation
  • CES-D
  • depression
  • Hispanic
  • women

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Acculturation and the center for epidemiological studies-depression scale for Hispanic women. / McCabe, Brian; Vermeesch, Amber L.; Hall, Rosemary F.; Peragallo, Nilda; Mitrani, Victoria.

In: Nursing Research, Vol. 60, No. 4, 01.07.2011, p. 270-275.

Research output: Contribution to journalArticle

McCabe, Brian ; Vermeesch, Amber L. ; Hall, Rosemary F. ; Peragallo, Nilda ; Mitrani, Victoria. / Acculturation and the center for epidemiological studies-depression scale for Hispanic women. In: Nursing Research. 2011 ; Vol. 60, No. 4. pp. 270-275.
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