Résumé :
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[BDSP. Notice produite par INIST-CNRS uR0xtt9H. Diffusion soumise à autorisation]. Objectives : We examined agreement of administrative data with self-reported race/ethnicity and identified correlates of agreement. Methods : We used Veterans Affairs administrative data and VA 1999 Large Health survey race/ethnicity data. Results : Relatively low rates of agreement (approximately 60%) between data sources were largely the result of administrative data from patients whose race/ethnicity was unknown, with least agreement for Native American, Asian, and Pacific Islander patients. After exclusion of patients with missing race/ethnicity, agreement improved except for Native Americans. Agreement did not increase substantially after inclusion of data from individuals indicating multiple race/ethnicities. Patients for whom there was better agreement between data sources tended to be less educated, non-solitary living, younger, and White ; to have sufficient food ; and to use more inpatient Department of Veterans Affairs (VA) care. Conclusions : Better reporting of race/ethnicity data will improve agreement between data sources. Previous studies using VA administrative data may have underestimated racial disparities.
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