Agreement between self-reported and administrative race and ethnicity data among Medicaid enrollees in Minnesota

Health Services Research

Volumn 42, Issue 6 P2, 2007, Pages 2373-2388

  McAlpine, Donna D ^a   Beebe, Timothy J ^b   Davern, Michael ^a   Call, Kathleen T ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

^b Mayo Clinic   (United States)

Author keywords

Administrative data; Measurement; Medicaid; Race and ethnicity

Indexed keywords

ADULT; AFRICAN AMERICAN; AGED; AMERICAN INDIAN; ARTICLE; ASIAN; CAUCASIAN; DATA ANALYSIS; DEMOGRAPHY; ETHNICITY; FEMALE; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HEALTH STATUS; HEALTH SURVEY; HISPANIC; HUMAN; LOGISTIC REGRESSION ANALYSIS; MALE; MEDICAID; PACIFIC ISLANDER; RACE; SELF REPORT; UNITED STATES;

ADOLESCENT; ADULT; AGED; CONTINENTAL POPULATION GROUPS; ETHNIC GROUPS; FEMALE; HEALTH STATUS; HUMANS; INSURANCE CLAIM REVIEW; MALE; MEDICAID; MIDDLE AGED; MINNESOTA; SOCIOECONOMIC FACTORS;

EID: 35948935920     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2007.00771.x     Document Type: Article

References (36)

1. Arday, S. L., D. R. Arday, S. Monroe J. Zhang. 2000 HCFA's Racial and Ethnic Data: Current Accuracy and Recent Improvements Health Care Financing Review 21 (4): 107 16.
2. Baumeister, L., K. Marchi, M. Pearl, R. Williams P. Braveman. 2000 The Validity of Information on 'Race' and 'Hispanic Ethnicity' in California Birth Certificate Data Health Services Research 35 (4): 869 83.
3. Beal, A. C., S. C. Chou, R. H. Palmer, M. A. Testa, C. Newman S. Ezhuthachan. 2006 The Changing Face of Race: Risk Factors for Neonatal Hyperbilirubinemia Pediatrics 117 (5): 1618 25.
4. Beebe, T. J. 2003. Measuring Race and Ethnicity in Health Insurance Surveys. Minneapolis, MN: State Health Access Data Center.
5. Beebe, T., H. Britt, T. K. Call, V. Cha, C. Kreider, J. Lundblad, D. D. McAlpine, J. McRae, B. Moore, S. Osman W. Suarez. 2003. Disparities and Barriers to Utilization among Minnesota Health Care Program Enrollees. Minneapolis, MN: Shadac, Division of Health Services Research and Policy.
6. Berkanovic, E. 1974 An Appraisal of Medicaid Records as a Data Source Medical Care 12 (7): 590 5.
7. Boehmer, U., N. R. Kressin, D. R. Berlowitz, C. L. Christiansen, L. E. Kazis J. A. Jones. 2002 Self-Reported vs Administrative Race/Ethnicity Data and Study Results American Journal of Public Health 92 (9): 1471 2.
8. Buescher, P. A., Z. Gizlice K. A. Jones-Vessey. 2005 Discrepancies between Published Data on Racial Classification and Self-Reported Race: Evidence from the 2002 North Carolina Live Birth Records Public Health Reports 120: 393 8.
9. Centers for Medicare and Medicaid Services. 2000. "A Profile of Medicaid: U.S. Department of Health and Human Services: Washington, DC" [accessed on April 28, 2005]. Available at
10. Centers for Medicare and Medicaid Services. 2005. "MSIS State Anomalies/Issues: All States: Department of Health and Human Services" [accessed on September 1, 2006]. Available at
11. Cohen, J. 1960 A Coefficient of Agreement for Nominal Scales. Educational and Psychological Measurement Educational and Psychological Measurement 20: 37 46.
12. Dasanayake, A. P., Y. Li, S. Wadhawan, K. Kirk, J. Bronstein N. K. Childers. 2002 Disparities in Dental Service Utilization among Alabama Medicaid Children Community Dentistry and Oral Epidemiology 30 (5): 369 76.
13. Dillman, D. A. 2000. The Tailored Design Method. New York: John Wiley & Sons Inc.
14. Federspiel, C. F., W. A. Ray W. Schaffner. 1976 Medicaid Records as a Valid Data Source: The Tennessee Experience Medical Care 14 (2): 166 72.
15. Fowler, F. J. 1995. Improving Survey Questions: Design and Evaluation. Thousand Oaks, CA: Sage Publications.
16. Friedman, D. J., B. B. Cohen, A. R. Averbach J. M. Norton. 2000 Race/Ethnicity and OMB Directive 15: Implications for State Public Health Practice American Journal of Public Health 90 (11): 1714 9.
17. Gomez, S. L., J. L. Kelsey, S. L. Glaser, M. M. Lee S. Sidney. 2005 Inconsistencies between Self-Reported Ethnicity and Ethnicity Recorded in a Health Maintenance Organization Annals of Epidemiology 15 (1): 71 79.
18. Jensvold, N. G., T. A. Lieu, F. W. Chi, A. M. Capra C. A. Sisk. 2003 Strategies for Surveying Families of Medicaid-Insured Children by Telephone Journal of Health Care for the Poor and Underserved 14 (1): 17 22.
19. Kahn, J. G., X. Zhang, L. T. Cross, H. Palacio, G. S. Birkhead S. F. Morin. 2002 Access to and Use of HIV Antiretroviral Therapy: Variation by Race/Ethnicity in Two Public Insurance Programs in the U.S Public Health Reports 117 (3): 252,62; discussion 231 2.
20. Kelly, J. J., S. Y. Chu, T. Diaz, L. S. Leary J. W. Buehler. 1996 Race/Ethnicity Misclassification of Persons Reported with AIDS. The AIDS Mortality Project Group and the Supplement to HIV/AIDS Surveillance Project Group Ethnicity and Health 1 (1): 87 94.
21. Kressin, N. R., B. H. Chang, A. Hendricks L. E. Kazis. 2003 Agreement between Administrative Data and Patients' Self-Reports of Race/Ethnicity American Journal of Public Health 93 (10): 1734 9.
22. Litaker, D. S. M. Koroukian. 2004 Racial Differences in Lipid-Lowering Agent Use in Medicaid Patients with Cardiovascular Disease Medical Care 42 (10): 1009 18.
23. Mays, V. M., N. A. Ponce, D. L. Washington S. D. Cochran. 2003 Classification of Race and Ethnicity: Implications for Public Health Annual Review of Public Health 24: 83 110.
24. Moscou, S., M. R. Anderson, J. B. Kaplan L. Valencia. 2003 Validity of Racial/Ethnic Classifications in Medical Records Data: An Exploratory Study American Journal of Public Health 93 (7): 1084 6.
25. National Research Council. 2004. Eliminating Health Disparities: Measurement and Data Needs. Washington, DC: The National Academics Press.
26. Opolka, J. L., K. L. Rascati, C. M. Brown, J. C. Barner, M. T. Johnsrud P. Gibson. 2003 Ethnic Differences in Use of Antipsychotic Medication among Texas Medicaid Clients with Schizophrenia Journal of Clinical Psychiatry 64 (6): 635 9.
27. Pan, C. X., R. J. Glynn, H. Mogun, I. Choodnovskiy J. Avorn. 1999 Definition of Race and Ethnicity in Older People in Medicare and Medicaid Journal of the American Geriatrics Society 47 (6): 730 3.
28. Porter, C. K., R. P. Duncan H. Hu. 2004. "Discrepancies in Race/Ethnicity between Medicaid Enrollees' Administrative Data and Survey Self-Report." Paper Presented at the 59th Annual Conference of the American Association for Public Opinion Research, Phoenix, Arizona, 2004.
29. Schuman, H. S. Presser. 1981. Questions and Answers in Attitude Surveys: Experiments in Question Form, Wording, and Context. New York: Academic Press.
30. Shaya, F. T., J. Y. Shin, D. Mullins, H. O. Fatodu, A. Gu E. Saunders. 2005 Medicaid Managed Care: Disparities in the Use of Thiazolidinediones Compared with Metformin Journal of the National Medical Association 97 (4): 493 7.
31. Singer, P. S. R. Ennis. 2002. Census 2000 Content Reinterview Survey: Accuracy of Data for Selected Population and Housing Characteristics as Measured by Reinterview, Census 2000 Evaluation B.5. Washington, DC: U.S. Census Bureau.
32. Swallen, K. C., D. W. West, S. L. Stewart, S. L. Glaser P. L. Horn-Ross. 1997 Predictors of Misclassification of Hispanic Ethnicity in a Population-Based Cancer Registry Annals of Epidemiology 7: 200 6.
33. Tai-Seale, M., D. Freund A. LoSasso. 2001 Racial Disparities in Service Use among Medicaid Beneficiaries after Mandatory Enrollment in Managed Care: A Difference-in-Differences Approach Inquiry 38 (1): 49 59.
34. Tucker, C., R. McKay, B. Kojetin, R. Harrison, M. de la Puente, L. Stinson E. Robison. 1996. "Testing Methods of Collecting Racial and Ethnic Information: Results of the Current Population Survey Supplement on Race and Ethnicity." Bureau of Labor Statistics.
35. U.S. Department of Health and Human Services. 2000. Healthy People 2010: Understanding and Improving Health. Washington, DC: U.S. Government Printing Office.
36. Waldo, D. R. 2005 Accuracy and Bias of Race/Ethnicity Codes in the Medicare Enrollment Database Health Care Financing Review 26 (2): 61 72.