Table 1.

Concordance, sensitivity, specificity, and report-to-records ratio comparing self-report of colorectal cancer screening within guidelines^* to combined medical record (“gold standard”) by respondent characteristics.

		Estimate (95% confidence interval)
	n	Concordance	Sensitivity	Specificity	Report-to-record ratio
Age
51 – 64	696	0.84 (0.81 – 0.87)	0.92 (0.88 – 0.95)	0.74 (0.69 – 0.80)	1.11 (0.80 – 1.42)
65+	161	0.76 (0.68 – 0.83)	0.87 (0.79 – 0.95)	0.69 (0.58 – 0.80)	1.37 (1.06 – 1.68)
Gender
Male	293	0.80 (0.75 – 0.85)	0.92 (0.87 – 0.97)	0.69 (0.60 – 0.78)	1.25 (0.94 – 1.56)
Female	564	0.84 (0.81 – 0.87)	0.91 (0.86 – 0.95)	0.76 (0.69 – 0.82)	1.09 (0.79 – 1.40)
Race/ethnicity
Non-Hispanic white	509	0.82 (0.79 – 0.86)	0.93 (0.89 – 0.97)	0.72 (0.65 – 0.78)	1.21 (0.90 – 1.52)
African American	226	0.83 (0.78 – 0.89)	0.91 (0.84 – 0.97)	0.73 (0.63 – 0.83)	1.11 (0.80 – 1.42)
Other#	122	0.84 (0.76 – 0.91)	0.88 (0.77 – 0.99)	0.77 (0.63 – 0.90)	1.03 (0.72 – 1.33)
Marital status
Not married	215	0.85 (0.79 – 0.90)	0.93 (0.88 – 0.98)	0.77 (0.68 – 0.86)	1.19 (0.88 – 1.50)
Married/living with partner	636	0.82 (0.79 – 0.85)	0.90 (0.86 – 0.95)	0.71 (0.65 – 0.78)	1.13 (0.82 – 1.44)
Education
High school/GED or less	115	0.83 (0.76 – 0.91)	0.89 (0.80 – 0.98)	0.78 (0.66 – 0.90)	1.13 (0.82 – 1.43)
Some college	267	0.83 (0.78 – 0.88)	0.90 (0.85 – 0.96)	0.76 (0.68 – 0.84)	1.14 (0.83 – 1.45)
College graduate	468	0.82 (0.78 – 0.86)	0.92 (0.87 – 0.96)	0.69 (0.61 – 0.77)	1.15 (0.84 – 1.46)
Family history of colorectal cancer
No	736	0.83 (0.80 – 0.86)	0.92 (0.88 – 0.95)	0.74 (0.68 – 0.79)	1.14 (0.83 – 1.45)
Yes	97	0.78 (0.69 – 0.88)	0.88 (0.75 – 1.00)	0.66 (0.48 – 0.84)	1.13 (0.82 – 1.43)
No. visits to KSC in past 5 years
0 – 5	112	0.79 (0.71 – 0.88)	0.87 (0.77 – 0.97)	0.73 (0.60 – 0.86)	1.17 (0.86 – 1.48)
>5	736	0.83 (0.80 – 0.86)	0.92 (0.88 – 0.95)	0.73 (0.67 – 0.78)	1.14 (0.83 – 1.45)
No. visits outside KSC in past 5 years
0 – 5	725	0.85 (0.82 – 0.88)	0.91 (0.88 – 0.95)	0.77 (0.71 – 0.82)	1.10 (0.79 – 1.41)
>5	123	0.69 (0.59 – 0.79)	0.88 (0.78 – 0.98)	0.56 (0.40 – 0.71)	1.51 (1.20 – 1.82)
Healthcare provider advised a specific CRCS test
No	113	0.88 (0.82 – 0.95)	0.56 (0.45 – 0.66)	0.95 (0.90 – 0.99)	0.83 (0.53 – 1.14)
Yes	744	0.82 (0.79 – 0.85)	0.93 (0.89 – 0.96)	0.66 (0.60 – 0.73)	1.16 (0.85 – 1.46)

^*Adherence to guidelines is defined as any CRCS test within guidelines (annual fecal occult blood test, sigmoidoscopy within past 5 years, and/or colonoscopy within past 5 years). A concordance, sensitivity, or specificity of >0.9 denotes excellent agreement, >0.8 to <0.9 denotes good agreement, >0.7 to <0.8 denotes fair agreement and <0.7 denotes poor agreement (21). Missing values were excluded so totals may not add up to 857. GED = General Equivalency Diploma; KSC = Kelsey Seybold Clinic; CRCS = colorectal cancer screening;

^#Includes Hispanic, Asian/Pacific Islander, Native American and multi-racial groups.