Transition to the new race/ethnicity data collection standards in the Department of Veterans Affairs

Table 3 Accuracy of Observer-Recorded Race Values Using Self-Reported Race Values as the Gold Standard* (N = 966,152)

Race	Observed	Self-reported**		Accuracy and Agreement Measures (95% CI)
		Yes	No	Sensitivity	Specificity	PPV	NPV	Kappa
Hispanic White	Yes	32,631	10,083	83.0	98.9	76.4	99.3%	0.786
	No	6,699	916,739	(82.6 – 83.3)	(98.9 – 98.9)	(76.0 – 76.8)	(99.3 – 99.3)	(0.783 – 0.790)
Hispanic Black	Yes	657	2,663	26.6	99.7	19.8	99.8	0.225
	No	1,809	961,023	(24.9 – 28.4)	(99.7 – 99.7)	(18.4 – 21.2)	(99.8 – 99.8)	(0.210 – 0.239)
White	Yes	712,524	22,777	97.6	90.3	96.9	92.3	0.885
	No	17,807	213,044	(97.5 – 97.6)	(90.2 – 90.4)	(96.9 – 96.9)	(92.2 – 92.4)	(0.884 – 0.886)
AA	Yes	166,876	10,378	94.0	98.7	94.1	98.6	0.927
	No	10,665	778,233	(93.9 – 94.1)	(98.7 – 98.7)	(94.0 – 94.3)	(98.6 – 98.7)	(0.926 – 0.928)
AIAN	Yes	1,100	1,172	31.8	99.9	48.4	99.8	0.382
	No	2,359	961,521	(30.3 – 33.4)	(99.9 – 99.9)	(46.3 – 50.5)	(99.7 – 99.8)	(0.366 – 0.398)
API	Yes	4,592	699	35.3	99.9	86.8	99.1	0.498
	No	8,433	952,428	(34.4 – 36.1)	(99.9 – 99.9)	(85.8 – 87.7)	(99.1 – 99.1)	(0.489 – 0.506)
Hispanic, Combined	Yes	35,934	10,100	86.0	98.9	78.1	99.4	0.810
	No	5,862	914,256	(85.6 – 86.3)	(98.9 – 98.9)	(77.7 – 78.4)	(99.4 – 99.4)	(0.807 – 0.813)
AIAN & API Combined	Yes	5,767	2,146	35.0	99.8	72.9	98.9	0.467
	No	10,717	968,132	(34.3 – 35.7)	(99.8 – 99.8)	(71.9 – 73.9)	(98.9 – 98.9)	(0.459 – 0.475)
Non-White, non-AA Combined	Yes	42,923	10,674	73.7	98.8	80.1	98.3	0.753
	No	15,357	897,198	(73.3 – 74.0)	(98.8 – 98.9)	(79.7 – 80.4)	(98.3 – 98.3)	(0.750 – 0.756)

* CI indicates confidence interval; PPV, positive predictive value; NPV, negative predictive value; AA, African American; AIAN, American Indian or Alaska Native; API, Asian or Pacific Islander. Veterans with multiracial values, veterans who reported Hispanic ethnicity but no or non-AA minority race, veterans with race values reported by observation or proxy after May 2003 and veterans with missing or unknown race values were excluded.
** In self-reported data, Hispanic ethnicity and White or Black race were used to identify respectively Hispanic White or Hispanic Black in this table. Both Asian and Native Hawaiian or Other Pacific Islander in the self-reported data are used to identify Asian or Pacific Islander.

ISSN: 1478-7954