Table 3.
Agreement Between CESD-8 and CIDI-SF Depression Status: Overall and Across Subgroups
| CIDI-SF screening status | Depression syndrome weighted % | Agreement between CIDI-SF and CESD-8 | |||||
|---|---|---|---|---|---|---|---|
| Characteristics | Screened in N (weighted %) |
Screened out N (weighted %) |
Kappa unadjusted | 95% CI | Kappa adjusteda | 95% CI | |
| CIDI-SF Scaleb | |||||||
| Mean score (SE) | 5.94 (0.06) | ||||||
| Participants with score ≥ 5 | 1,399 (81.5) | 7.7 | |||||
| CESD-8 Scalec | |||||||
| Mean score (SE) | 4.12 (0.11) | 1.07 (0.02) | |||||
| Participants with score ≥ 3 | 1,161 (65.1) | 2,774 (14.8) | 19.5 | 0.30 | 0.28, 0.32 | 0.32 | 0.29, 0.35 |
| Participants with score ≥ 4 | 1,014 (57.4) | 1,727 (9.0) | 13.5 | 0.37 | 0.35, 0.39 | 0.40 | 0.36, 0.43 |
| Participants with score ≥ 5 | 885 (49.9) | 1,100 (5.7) | 9.9 | 0.43 | 0.40, 0.45 | 0.44 | 0.40, 0.48 |
| CESD-8 Scale—by agec | |||||||
| ≤55 years old | |||||||
| Mean score (SE) | 4.36 (0.28) | 1.06 (0.07) | |||||
| Participants with score ≥ 3 | 208 (66.5) | 343 (14.6) | 21.9 | 0.37 | 0.32, 0.41 | 0.43 | 0.33, 0.53 |
| Participants with score ≥ 4 | 187 (63.8) | 231 (8.5) | 16.3 | 0.43 | 0.38, 0.48 | 0.54 | 0.45, 0.64 |
| Participants with score ≥ 5 | 166 (58.2) | 144 (6.0) | 13.4 | 0.48 | 0.43, 0.53 | 0.56 | 0.46, 0.65 |
| 56–64 years old | |||||||
| Mean score (SE) | 4.31 (0.19) | 1.02 (0.03) | |||||
| Participants with score ≥ 3 | 510 (68.2) | 960 (13.9) | 20.0 | 0.35 | 0.33, 0.38 | 0.39 | 0.35, 0.44 |
| Participants with score ≥ 4 | 450 (60.5) | 610 (8.5) | 14.3 | 0.42 | 0.39, 0.45 | 0.46 | 0.40, 0.51 |
| Participants with score ≥ 5 | 398 (53.1) | 412 (5.7) | 11.0 | 0.46 | 0.43, 0.50 | 0.49 | 0.43, 0.55 |
| ≥65 years old | |||||||
| Mean score (SE) | 3.82 (0.12) | 1.10 (0.03) | |||||
| Participants with score ≥ 3 | 443 (61.0) | 1,471 (15.6) | 18.9 | 0.23 | 0.21, 0.25 | 0.23 | 0.20, 0.26 |
| Participants with score ≥ 4 | 377 (52.0) | 886 (9.4) | 12.6 | 0.30 | 0.27, 0.33 | 0.30 | 0.26, 0.34 |
| Participants with score ≥ 5 | 321 (43.8) | 544 (5.8) | 8.6 | 0.36 | 0.33, 0.39 | 0.35 | 0.31, 0.40 |
| CESD-8 Scale—by sexc | |||||||
| Female | |||||||
| Mean score (SE) | 4.08 (0.11) | 1.18 (0.02) | |||||
| Participants with score ≥ 3 | 808 (64.8) | 1,812 (16.9) | 22.4 | 0.30 | 0.28, 0.33 | 0.33 | 0.30, 0.36 |
| Participants with score ≥ 4 | 701 (56.7) | 1,149 (10.4) | 15.7 | 0.37 | 0.34, 0.39 | 0.40 | 0.36, 0.43 |
| Participants with score ≥ 5 | 615 (49.6) | 742 (6.8) | 11.7 | 0.42 | 0.39, 0.44 | 0.43 | 0.40, 0.47 |
| Male | |||||||
| Mean score (SE) | 4.19 (0.23) | 0.94 (0.03) | |||||
| Participants with score ≥ 3 | 353 (65.8) | 961 (12.3) | 16.2 | 0.28 | 0.25, 0.31 | 0.30 | 0.25, 0.36 |
| Participants with score ≥ 4 | 313 (58.9) | 577 (7.4) | 11.1 | 0.37 | 0.34, 0.41 | 0.40 | 0.33, 0.46 |
| Participants with score ≥ 5 | 270 (50.5) | 357 (4.5) | 7.8 | 0.44 | 0.40, 0.48 | 0.45 | 0.38, 0.53 |
| CESD-8 Scale—by racec | |||||||
| White/Caucasian | |||||||
| Mean score (SE) | 3.97 (0.12) | 0.98 (0.02) | |||||
| Participants with score ≥ 3 | 783 (62.8) | 1,734 (13.4) | 18.1 | 0.31 | 0.29, 0.33 | 0.33 | 0.30, 0.36 |
| Participants with score ≥ 4 | 671 (54.7) | 1,025 (7.9) | 12.3 | 0.38 | 0.36, 0.41 | 0.40 | 0.37, 0.44 |
| Participants with score ≥ 5 | 588 (47.4) | 630 (4.9) | 8.9 | 0.44 | 0.41, 0.47 | 0.45 | 0.41, 0.49 |
| Black/African Americans | |||||||
| Mean score (SE) | 4.80 (0.26) | 1.48 (0.05) | |||||
| Participants with score ≥ 3 | 236 (77.6) | 727 (21.4) | 26.4 | 0.25 | 0.22, 0.29 | 0.29 | 0.23, 0.35 |
| Participants with score ≥ 4 | 215 (73.1) | 477 (14.2) | 19.4 | 0.33 | 0.29, 0.37 | 0.38 | 0.30, 0.46 |
| Participants with score ≥ 5 | 183 (61.8) | 328 (9.5) | 14.1 | 0.38 | 0.33, 0.42 | 0.42 | 0.33, 0.51 |
| Other | |||||||
| Mean score (SE) | 4.89 (0.32) | 1.49 (0.08) | |||||
| Participants with score ≥ 3 | 136 (76.2) | 303 (21.5) | 27.3 | 0.33 | 0.28, 0.38 | 0.32 | 0.23, 0.41 |
| Participants with score ≥ 4 | 122 (69.1) | 218 (14.7) | 20.4 | 0.39 | 0.33, 0.44 | 0.39 | 0.29, 0.49 |
| Participants with score ≥ 5 | 108 (62.8) | 136 (10.7) | 16.1 | 0.45 | 0.39, 0.51 | 0.43 | 0.33, 0.54 |
Note: CESD-8 = 8-item Center for Epidemiologic Studies Depression Scale; CIDI-SF = Composite International Diagnostic Interview—short form; CI = confidence interval; SE = standard error.
aAdjusted for the HRS survey design and sample weights.
bDepression syndrome based on CIDI-SF criteria.
cDepression syndrome based on CESD-8 criteria.