Table 3:
Performance of Screening Criteria among U.S. Adults without Diagnosed Diabetes by Self-Reported Race and Ethnicity
| Screening Criteria and Population group | Sensitivity, % (95% CI) | Specificity, % (95% CI) | Positive predictive value, % (95% CI) | Negative predictive value, % (95% CI) |
|---|---|---|---|---|
| 2015 USPSTF Criteria a | ||||
| Total population | 52.9 (49.7-56.0) | 76.4 (73.3-79.2) | 66.3 (63.0-69.4) | 64.8 (61.0-68.5) |
| Asian | 38.0 (29.1-47.8) | 86.0 (79.9-90.5) | 71.6 (64.0-78.2) | 60.0 (53.5-66.2) |
| Black | 57.0 (50.8-62.9) | 73.5 (67.4-78.8) | 68.9 (62.5-74.6) | 62.4 (56.8-67.6) |
| Hispanic | 50.9 (44.6-57.2) | 75.3 (70.0-80.0) | 61.7 (55.5-67.6) | 66.3 (61.0-71.2) |
| White | 55.1 (51.1-59.0) | 75.8 (70.4-80.5) | 66.4 (61.1-71.3) | 66.0 (60.9-70.8) |
| P-valueb | <0.01 | 0.03 | 0.37 | 0.40 |
| 2021 USPSTF Criteria c | ||||
| Total population | 58.6 (55.5-61.6) | 69.3 (65.7-72.7) | 62.7 (59.3-65.9) | 65.6 (61.7-69.3) |
| Asian | 43.5 (34.1-53.3) | 82.3 (76.7-86.7) | 69.4 (62.8-75.3) | 61.1 (53.8-67.9) |
| Black | 63.6 (57.8-68.9) | 68.4 (62.6-73.8) | 67.5 (62.2-72.4) | 64.6 (59.2-69.7) |
| Hispanic | 62.0 (55.0-68.5) | 64.2 (58.8-69.3) | 57.5 (51.9-62.9) | 68.4 (61.8-74.3) |
| White | 59.1 (55.4-62.7) | 69.3 (63.3-74.6) | 62.5 (57.2-67.6) | 66.1 (61.1-70.8) |
| P-valueb | 0.02 | 0.02 | 0.08 | 0.57 |
USPSTF = USPSTF = United States Preventive Services Task Force
a
The 2015 USPSTF screening criteria were age 40-70 years and BMI ≥25kg/m2.
b
P-values for racial and ethnic differences in performance characteristics of the USPSTF screening criteria were determined using Chi-square tests. Boldface indicates statistical significance.
c
The 2021 USPSTF screening criteria are age 35-70 years and BMI ≥25kg/m2.