Exploring potential impact of Chinese ethnicity on the measurement of depression among adolescents using the Center for Epidemiologic Studies Depression Scale
department or school: Medicine, Faculty of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
degree campus: UBCV
creator: Song, Claire
issued: 2019-06-17T16:09:33Z
issued: 2019
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: BACKGROUND: Depression is one of the main public health challenges among Canadian adolescents. However, research suggests that Chinese adolescents in Canada may experience or express depressive symptoms differently compared to White adolescents, and this may influence the way Chinese adolescents answer items in the Center for Epidemiologic Studies Depression Scale (CES-D). Additionally, research suggests that gender and the strength of ethnic identity may influence the rate of depression among Chinese adolescents only, and how they report depressive symptoms. OBJECTIVE: This study aims to evaluate the measurement equivalence of the CES-D among Chinese and White adolescents living in Canada, and to conduct further investigation of the impact of strength of ethnic identity on responses to CES-D items among Chinese adolescents. METHOD: Data were collected from 961 high school students aged 13–17 years participating in the British Columbia Adolescent Substance Use Survey. The Ordinal Logistic Regression method was used to test for Differential Item Functioning (DIF) on items in the CES-D across Chinese and White adolescents. RESULTS: The initial set of DIF analyses identified non-uniform DIF in CES-D Item 7 between Chinese and White adolescents (χ² = 41.972, R²= 0.046). After controlling for gender and strength of ethnic identity, the results remained the same. In the second set of analyses, CES-D Item 8 demonstrated the statistically significant differential functioning in Chinese participants across different levels of ethnic identity, uniform DIF among Chinese adolescents (χ² = 10.779, R²= 0.044). Controlling for gender did not alter the results. CONCLUSION: The result of this study suggests that there may be a systematic difference in experience or expression of depression among Chinese adolescents. Specifically, CES-D Item 7 did not appear to discriminate the level of depression among Chinese adolescents. Additional research is needed to understand the complex proc…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/70658
note: EXPLORING POTENTIAL IMPACT OF CHINESE ETHNICITY ON THE MEASUREMENT OF DEPRESSION AMONG ADOLESCENTS USING THE CENTER FOR EPIDEMIOLOGIC STUDIES DEPRESSION SCALE by Claire Song B.Sc.P.N., Brandon University, 2016 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Population and Public Health) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) June 2019 © Claire Song, 2019 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, a thesis/dissertation entitled: EXPLORING POTENTIAL IMPACT OF CHINESE ETHNICITY ON THE MEASUREMENT OF DEPRESSION AMONG ADOLESCENTS USING THE CENTER FOR EPIDEMIOLOGIC STUDIES DEPRESSION SCALE submitted by Claire Song in partial fulfillment of the requirements for the degree of Master of Science in Population and Public Health Examining Committee: Dr. Chris Richardson, School of Population and Public Health Supervisor Dr. Bruno Zumbo, Measurement, Evaluation, and Research Methodology Supervisory Committee Member Dr. Anne Gadermann, School of Population and Public Health Supervisory Committee Member Dr. Arminee Kazanjian, School of Population and Public Health Additional Examiner Additional Supervisory Committee Members: Supervisory Committee Member Supervisory Committee Member iii Abstract BACKGROUND: Depression is one of the main public health challenges among Canadian adolescents. However, research suggests that Chinese adolescents in Canada may experience or express depressive symptoms differently compared to White adolescents, and this may influence the way Chinese adolescents answer items in the Center for Epidemiologic Studies Depression Scale (CES-D). Additionally, research suggests that gender and the strength of ethnic identity may influence the rate of depression among Chinese adolescents only, and how they report depressive symptoms. OBJECTIVE: This study aims …
has type: Thesis/Dissertation
date issued: 2019-09
is shown at: 10.14288/1.0379468
language: eng
degree discipline: Population and Public Health
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/70658