Factor variability of the center for epidemiological studies depression scale (CES-D) among urban Latinos

Establishing comparable measurement properties across different populations or in different population subgroups is a crucial yet often neglected step in instrument development. Failure to have comparable factor structures ac ross groups makes any comparison between groups suspect. Previous analyses of the measurement structure of the Center for Epidemiologic Studies Depres sion Scale (CES-D) in diverse racial/ethnic populations have resulted in co nflicting results. In the present analysis, data from three studies of urba n Latinos (N = 1403) were analyzed using structural equation modeling techn iques to (1) fit the original four-factor solution separately in men and wo men; (2) evaluate configural and metric invariance between men and women; a nd (3) evaluate the mediating effects of age and acculturation on the fit o f this model to the data. Results indicated that the four-factor model prop osed by Radloff provided adequate fit to the data for Latina women when age and acculturation were included in the model. The four-factor model did no t fit the data for Latino men; thus tests of configural and metric invarian ce across these two groups failed. We conclude that the CES-D may nor measu re the same constructs in Latino men and women and that further evaluation of the use of this measure in diverse populations is needed. Additionally, prior to comparison with other groups in which the four-factor solution is observed, the effects of age and acculturation should be controlled in Lati nas.