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. Author manuscript; available in PMC: 2017 Aug 1.
Published in final edited form as: J Immigr Minor Health. 2016 Aug;18(4):749–763. doi: 10.1007/s10903-015-0293-y

Table 1.

Description of study measures

Dependent variables
Mood disorders were defined based on the DSM-IV and assessed by using a state-of-the-art
diagnostic interview [2729]; minor deviations from the DSM-IV exclusion criteria are noted
below. The outcome variables were measured at Waves 1 and 2 as dummy-coded variables, with
individuals not having (0) or having (1) a condition at the given time.
Major depression
disorder (MDD)
MDD during the last 12 months was defined as depressed mood or loss of
pleasure and interest for at least most of the day for at least a 2-week period,
with endorsement of 4 out of 7 additional symptoms, excluding illness-
induced and substance-induced cases, cases due to bereavement, diagnoses
of manic or hypomanic disorder, and self-report of lifetime occurrence of
schizophrenia/psychotic illness (a proxy for schizoaffective disorder).
Dysthymia Dysthymia was defined as 2 years of depressed mood for more days than
not, with no longer than 2 months without depressive symptoms and
excluding manic or hypomanic episodes, self-reported
schizophrenia/psychotic illness (lifetime occurrences), and MDD in the last
12 months.
Independent variables (substantive factors)a
Immigrant background
  Nativity US-born (primary reference group) versus born outside of 50 US states
(“foreign-born,” except Puerto Rico-natives)
  Racial-ethnic
origin
Self-report of the respondents’ race and ethnicity using country of origin or
racial-ethnic descent (59 response categories). Given that some groups had
small cell sizes, we used the following 6 racial-ethnic origin categories:
African, European, Asian/Pacific Islander, Mexican, Puerto Rican, and
other Hispanic/Latino.
Acculturationb
  English
language
preference
Seven questions on language preference asked respondents about which
language: they generally read and speak; they spoke as a child; they usually
speak at home; they usually think in; they usually speak with friends; of the
TV and radio programs they usually listen to; and, of the movies and TV
and radio programs they prefer to watch and listen to. Response categories
for the 7 questions used a 5-point scale and were: only non-English
language (e.g., Spanish, Chinese, or another non-English language); more
non-English language than English; both equally; more English than non-
English language; and, only English. Factor analysis was used to generate a
single factor on language preference (Cronbach’s alpha = 0.970). Higher
values indicated greater acculturation (e.g., more use of English).
  Years in US Difference between year of entry and year of birth for foreign-born and
individual’s age value for US-born respondents
  Racial-ethnic
social
preference
Respondents were asked how often, in the past year, they have felt that they
were not able to control the important things in their life; felt confident
about their ability to handle personal problems; felt things were going their
way; and, felt difficulties piling up so high that they could not overcome
them. The response categories for each question were: never, sometimes,
fairly often, and very often. The perceived stress scale was intended to
assess the cognitively mediated emotional response to objective stressful
events. Factor analysis was used to construct two perceived stress
measures: stress related to personal life (Cronbach’s alpha = 0.70) and
stress related to a lack of control in life (Cronbach’s alpha = 0.64).
  Racial-ethnic
orientation
Respondents were asked how strongly they agreed or disagreed that: they
have a strong sense of self as a member of their racial-ethnic group; they
identify with other people from their racial-ethnic group; racial-ethnic
heritage is important in their life; and, they are proud of their racial-ethnic
heritage. The scale’s Cronbach’s alpha was 0.829. Higher values on the
measure indicated less identification with one’s own racial-ethnic group,
reflecting greater acculturation and assimilation.
Stressb
  Stressful life
events
Stressful life events was the total number of the following 12 events that
respondents reported experiencing in the 12 months prior to the interview:
any family member or close friend died; any family or close friend had
serious illness or injury; moved/anyone new came to live with you; fired or
laid off from a job; unemployed and looking for a job for more than a
month; trouble with their boss or a coworker; changed job, job
responsibilities, or work hours; marital separation or divorce or breakup of a
steady relationship; had problems with neighbor, friend, or relative;
financial crisis, declaration of bankruptcy, or being unable to pay their bills;
respondent or family member had serious trouble with the police or law;
and, respondent or family member being crime victim.
  Perceived
stress
Respondents were asked how often, in the past year, they have felt that they
were not able to control the important things in their life; felt confident
about their ability to handle personal problems; felt things were going their
way; and, felt difficulties piling up so high that they could not overcome
them. The response categories for each question were: never, sometimes,
fairly often, and very often. The perceived stress scale was intended to
assess the cognitively mediated emotional response to objective stressful
events. Factor analysis was used to construct two perceived stress
measures: stress related to personal life (Cronbach’s alpha = 0.70) and
stress related to a lack of control in life (Cronbach’s alpha = 0.64).
  Perceived
racial-ethnic
discrimination
Respondents were asked about how often they experienced discrimination
related to their race or ethnicity in a variety of situations during the last 12
months. These include experiencing discrimination in their ability to obtain
health care or health insurance; in how they are treated when they got health
care; in public, (on the street, in stores, or in restaurants); in any other
situation (jobs, school or training program, in courts or with police, or
obtaining housing); being called a racist name because of their race-
ethnicity; and, being made fun of, picked on, pushed, shoved, hit or
threatened with harm because of their race-ethnicity. All respondents were
asked these questions regardless of race or ethnicity, though the question
phrasing was more specific to type of race or ethnicity for respondents who
were Hispanic or of Asian/Pacific Islander descent. Factor analysis was
used to generate two factors indicating perceived discrimination related to
health care services (Cronbach’s alpha = 0.75) and perceived discrimination
in other aspects of life (e.g., in jobs, schooling, housing, in businesses, or by
police; Cronbach’s alpha = 0.75).
Social integrationb
  Social
Network
Index
Social Network Index indicated the total number of different types of people
respondents see or talk to on the phone or via internet at least once every
two weeks. The responses were used to create continuous (summed)
indicators for the number of close ties (e.g., grown children, own parents, or
close friends) and the number of instrumental ties (e.g., students, teachers,
or co-workers, or people in organizations at which they volunteer)
respondents have in their social network. Higher values indicated a larger
network.
  Level of social
support
Interpersonal Support Evaluation List (ISEL12) had 6 questions on how true
it is respondents could find someone to help them or join them in a variety
of situations, including: help with daily chores if sick, seek advice about
handling problems with family, go to a movie, deal with personal problems,
have lunch, and get ride if stranded 10 miles from home. Factor analysis
was used to create a scale of level of social support (Cronbach’s alpha =
0.79). Higher values indicate higher levels of social support.
a

Additional variables included sociodemographic and health-related correlates: age, gender, marital status, number of children in the household, education, employment status, US region, community type, household income, health insurance, tobacco use, and religiosity

b

Data collected for all respondents regardless of nativity; assessed at Wave 2 only