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Table 2 Measures of validity of self-report for cervical cancer screening, breast cancer screening, and fecal occult blood testing, using administrative data as the gold standard

From: The validity of self-reported cancer screening history and the role of social disadvantage in Ontario, Canada

 

Sensitivity (%)

Specificity (%)

Positive predictive value (%)

Negative predictive value (%)

Kappa statistic

Cervix group

     

Overall

96.5 (96.3-96.7)

49.5 (48.6-50.5)

82.7 (82.3-83.1)

84.9 (84.0-85.8)

0.526

AGE

     

24-52 years

96.8 (96.6-97.1)

46.6 (45.4-47.8)

84.4 (83.9-84.8)

83.1 (81.9-84.3)

0.508

53-69 years

95.6 (95.2-96.1)

54.0 (52.5-55.5)

78.7 (77.9-79.5)

87.4 (86.2-88.7)

0.542

Birthplace

     

Canadian-born

97.3 (97.1-97.5)

48.5 (47.5-49.6)

82.9 (82.4-83.3)

87.7 (86.7-88.6)

0.531

Foreign-born

92.9 (92.2-93.6)

53.3 (51.3-55.3)

81.9 (80.9-82.8)

76.8 (74.8-78.8)

0.505

Immigrant Status*

     

Immigrated >5 yrs ago

93.4 (92.7-94.1)

52.8 (50.7-54.9)

81.6 (80.6-82.6)

78.0 (75.9-80.1)

0.507

Immigrated ≤5 yrs ago

83.8 (79.4-88.1)

68.1 (59.6-76.7)

86.6 (82.5-90.6)

63.1 (54.6-71.7)

0.507

Ethnicity

     

White

97.1 (96.9-97.3)

48.6 (47.6-49.6)

82.6 (82.2-83.1)

86.8 (85.9-87.7)

0.527

Non-white

90.7 (89.6-91.9)

57.4 (54.5-60.4)

83.2 (81.8-84.6)

72.7 (69.6-75.7)

0.512

Education Status

     

High school or higher

96.8 (96.6-97.1)

47.9 (46.9-49.0)

83.8 (83.3-84.2)

84.5 (83.5-85.5)

0.520

Less than high school

93.3 (92.4-94.2)

56.6 (54.5-58.8)

74.1 (72.6-75.5)

86.4 (84.6-88.2)

0.522

Employment

     

Employed

97.1 (96.9-97.4)

47.1 (45.9-48.3)

84.2 (83.7-84.6)

85.1 (83.9-86.2)

0.518

Not employed

94.8 (94.3-95.3)

53.5 (52.0-55.0)

79.1 (78.3-79.9)

84.7 (83.4-86.1)

0.528

Mother Tongue

     

English

97.4 (97.1-97.6)

48.0 (47.0-49.1)

82.8 (82.3-83.2)

87.6 (86.7-88.6)

0.526

Non-English

93.4 (92.8-94.0)

54.3 (52.4-56.1)

82.3 (81.4-83.2)

78.3 (76.4-80.2)

0.522

Household Income

     

More than $30,000

97.6 (97.3-97.8)

45.9 (44.4-47.5)

85.3 (84.7-85.9)

85.4 (84.0-86.9)

0.517

$30,000 or less

95.6 (95.3-96.0)

51.1 (49.9-52.3)

80.5 (79.8-81.1)

84.8 (83.6-85.9)

0.522

Self-Perceived Health

     

Excellent

97.1 (96.8-97.4)

47.7 (45.7-49.7)

85.0 (84.2-85.8)

84.0 (82.1-86.0)

0.523

Very good

97.1 (96.8-97.4)

47.1 (45.5-48.6)

83.7 (83.0-84.3)

85.4 (83.9-86.9)

0.516

Good

95.5 (95.0-96.0)

51.4 (49.7-53.2)

81.3 (80.5-82.2)

83.9 (82.2-85.5)

0.525

Fair

94.9 (93.9-95.9)

54.3 (51.5-57.1)

76.8 (75.1-78.5)

86.9 (84.5-89.3)

0.529

Poor

93.8 (91.9-95.6)

55.5 (50.9-60.1)

74.3 (71.3-77.4)

86.6 (82.7-90.5)

0.518

Breast group

     

Overall

96.6 (96.3-97.0)

64.3 (63.1-65.5)

82.1 (81.4-82.8)

91.8 (91.0-92.6)

0.649

Birthplace

     

Canadian-born

96.8 (96.4-97.2)

64.9 (63.4-66.3)

82.5 (81.8-83.3)

92.1 (91.2-93.1)

0.657

Foreign-born

96.1 (95.3-96.9)

62.7 (60.2-65.1)

80.7 (79.2-82.1)

90.9 (89.1-92.7)

0.625

Immigrant Status*

     

Immigrated >5 yrs ago

96.2 (95.4-97.0)

62.7 (60.2-65.3)

80.9 (79.4-82.3)

91.0 (89.2-92.8)

0.628

Immigrated ≤5 yrs ago

89.5 (75.7-100.0)

69.6 (50.8-88.4)

70.8 (52.6-89.0)

88.9 (74.4-100.0)

0.578

Ethnicity

     

White

96.7 (96.3-97.1)

64.3 (63.1-65.6)

82.3 (81.5-83.0)

92.0 (91.1-92.8)

0.651

Non-white

94.6 (92.7-96.5)

62.1 (57.0-67.2)

79.7 (76.6-82.8)

88.0 (83.9-92.1)

0.599

Education status

     

More than high school

96.9 (96.5-97.2)

63.4 (62.0-64.9)

83.1 (82.4-83.9)

91.6 (90.5-92.6)

0.649

High school or less

95.8 (94.9-96.6)

66.4 (64.2-68.7)

78.6 (77.0-80.1)

92.4 (90.9-93.9)

0.642

Employment

     

Employed

96.6 (96.0-97.1)

63.6 (61.8-65.4)

81.5 (80.5-82.6)

91.8 (90.5-93.1)

0.641

Not employed

96.6 (96.2-97.1)

64.9 (63.2-66.5)

82.5 (81.6-83.5)

91.8 (90.7-92.9)

0.655

Mother Tongue

     

English

96.7 (96.3-97.1)

64.5 (63.1-66.0)

82.5 (81.8-83.3)

91.9 (91.0-92.9)

0.654

Non-English

96.2 (95.4-97.0)

63.7 (61.2-66.1)

80.7 (79.2-82.1)

91.4 (89.7-93.1)

0.634

Household Income

     

More than $30,000

97.4 (96.9-97.9)

60.4 (58.1-62.7)

83.1 (81.9-84.2)

92.1 (90.5-93.6)

0.632

$30,000 or less

96.1 (95.6-96.6)

66.3 (64.7-67.8)

81.2 (80.3-82.2)

91.8 (90.8-92.9)

0.655

Self-Perceived Health

     

Excellent

97.1 (96.3-97.8)

65.9 (63.0-68.9)

84.6 (83.1-86.1)

92.2 (90.2-94.2)

0.677

Very good

96.8 (96.3-97.4)

63.3 (61.1-65.5)

84.3 (83.2-85.4)

90.8 (89.2-92.4)

0.651

Good

96.4 (95.7-97.1)

63.9 (61.6-66.1)

81.3 (80.0-82.6)

91.6 (90.1-93.2)

0.640

Fair

96.4 (95.3-97.5)

64.9 (61.8-68.0)

77.4 (75.2-79.5)

93.6 (91.7-95.5)

0.632

Poor

93.8 (91.2-96.3)

65.6 (61.0-70.2)

70.4 (66.3-74.6)

92.3 (89.3-95.4)

0.582

FOBT group

     

Overall

77.4 (75.7-79.0)

89.8 (89.2-90.3)

62.1 (60.4-63.8)

94.8 (94.4-95.2)

0.612

Gender

     

Female

77.6 (75.4-79.7)

90.7 (90.0-91.5)

66.1 (63.8-68.4)

94.5 (94.0-95.1)

0.640

Male

77.1 (74.6-79.6)

88.7 (87.8-89.5)

57.5 (55.0-60.1)

95.1 (94.5-95.7)

0.579

Birthplace

     

Canadian-born

78.3 (76.4-80.2)

89.7 (89.0-90.3)

61.4 (59.5-63.4)

95.2 (94.7-95.6)

0.613

Foreign-born

74.8 (71.5-78.0)

90.0 (88.9-91.1)

64.0 (60.7-67.3)

93.7 (92.8-94.7)

0.609

Immigrant Status*

     

Immigrated >5 yrs ago

75.3 (72.0-78.7)

90.1 (89.0-91.2)

64.4 (61.0-67.8)

93.9 (93.0-94.8)

0.615

Immigrated ≤5 yrs ago

54.5 (25.1-84.0)

88.6 (78.0-99.1)

60.0 (29.6-90.4)

86.1 (74.8-97.4)

0.445

Ethnicity

     

White

77.4 (75.7-79.1)

89.9 (89.3-90.4)

62.3 (60.5-64.1)

94.8 (94.4-95.3)

0.615

Non-white

73.5 (66.5-80.5)

89.4 (87.1-91.7)

61.0 (53.9-68.1)

93.7 (91.8-95.6)

0.583

Education Status

     

More than high school

77.7 (75.9-79.5)

89.4 (88.7-90.0)

62.9 (61.0-64.8)

94.5 (94.0-95.0)

0.615

High school or less

75.4 (71.8-79.1)

90.8 (89.8-91.8)

59.0 (55.3-62.7)

95.5 (94.7-96.2)

0.594

Employment

     

Employed

76.7 (74.1-79.2)

90.7 (89.9-91.4)

61.2 (58.6-63.7)

95.3 (94.7-95.9)

0.611

Not employed

77.8 (75.7-80.0)

88.9 (88.1-89.7)

62.8 (60.5-65.0)

94.3 (93.7-94.9)

0.611

Mother Tongue

     

English

79.2 (77.3-81.0)

89.4 (88.8-90.1)

61.6 (59.7-63.5)

95.2 (94.8-95.7)

0.617

Non-English

72.1 (68.7-75.5)

90.7 (89.6-91.7)

63.6 (60.1-67.0)

93.5 (92.6-94.4)

0.597

Household Income

     

More than $30,000

78.3 (76.0-80.7)

89.1 (88.2-89.9)

61.6 (59.1-64.0)

94.8 (94.2-95.4)

0.610

$30,000 or less

76.0 (73.5-78.5)

90.2 (89.4-91.0)

61.8 (59.2-64.3)

94.8 (94.2-95.4)

0.607

Self-Perceived Health

     

Excellent

79.4 (75.8-82.9)

89.6 (88.3-90.9)

63.7 (59.9-67.5)

94.9 (94.0-95.9)

0.630

Very good

79.2 (76.7-81.7)

89.3 (88.3-90.2)

65.0 (62.4-67.7)

94.4 (93.7-95.2)

0.633

Good

75.9 (72.8-79.1)

90.7 (89.8-91.7)

62.6 (59.4-65.8)

94.9 (94.1-95.6)

0.615

Fair

73.3 (67.8-78.8)

89.7 (88.2-91.3)

54.3 (49.0-59.6)

95.3 (94.2-96.4)

0.545

Poor

65.7 (54.6-76.8)

87.9 (85.2-90.6)

40.7 (31.6-49.8)

95.3 (93.5-97.1)

0.423

  1. *Among those who were foreign-born.