Shape and letter cancellation test performance was investigated among
large samples of African American, Hispanic, and White non-demented
elders. Ethnic minority elders took significantly longer to complete
both tasks compared to Whites. An index of task efficiency, which
simultaneously measures time and accuracy, suggested that slower time
by minority elders was not related to a measurable effort to achieve
greater accuracy. The frequency of commission errors was greater in our
sample than in previous reports, especially among ethnic minority
elders. Although significant differences were observed between the
ethnic groups when matched for years of education, equating for
literacy level eliminated all performance differences between African
Americans and Whites on both cancellation tasks. (JINS, 2004,
10, 401–411.)