| LDL ≥ 100 | LDL ≥ 70 | ||
---|---|---|---|---|
Base model | Full model | Base model | Full model | |
Variable | n = 673,841 | n = 636,985 | n = 673,841 | n = 636,985 |
 Annual visit (0 to 9) | 0.93 (0.93, 0.93) | 0.94 (0.94, 0.94) | 0.87 (0.87, 0.87) | 0.89 (0.89, 0.89) |
Sex × location** |  |  |  |  |
 Male × urban | Ref | Ref | Ref | Ref |
 Male × rural | 1.18(1.16, 1.19) | 1.28 (1.26, 1.30) | 1.17 (1.15, 1.18) | 1.23 (1.22, 1.25) |
 Female × urban | 3.12 (2.93, 3.33) | 2.66 (2.48, 2.85) | 2.41 (2.26, 2.58) | 2.12 (2.00, 2.28) |
 Female × rural | 3.33(3.02, 3.67) | 3.26 (2.94, 3.62) | 2.56(2.31, 2.84) | 2.53 (2.27, 2.84) |
Race-ethnicity | Â | Â | Â | Â |
 Non-Hispanic white |  | Ref |  | Ref |
 Non-Hispanic black |  | 1.76 (1.72, 1.80) |  | 1.54 (1.51, 1.58) |
 Hispanic |  | 1.25 (1.21, 1.29) |  | 1.08 (1.05, 1.11) |
 Other race |  | 1.13 (1.08, 1.19) |  | 1.00 (0.96, 1.04) |
 Age (per year) |  | 0.99 (0.99, 1.00) |  | 0.99 (0.99, 0.99) |
Marital status | Â | Â | Â | Â |
 Married versus unmarried (ref.) |  | 0.86 (0.84, 0.87) |  | 0.94 (0.93, 0.96) |
 Disability (> 50% service-related) |  | 0.98 (0.96, 1.00) |  | 0.98 (0.96, 1.00) |
Smoking status | Â | Â | Â | Â |
 Smoker versus non-smoker (ref.) |  | 1.10 (1.08, 1.12) |  | 1.01 (1.00, 1.03) |
 Number primary care visits (per year) |  | 0.99 (0.99, 0.99) |  | 0.99 (0.99, 0.99) |
A1C | Â | Â | Â | Â |
 A1C > 8% (64 mmol/mol) versus A1C ≤ 8% (64 mmol/mol) (ref) |  | 1.33 (1.32, 1.35) |  | 1.20 (1.19, 1.22) |
ASCVD | Â | Â | Â | Â |
 Acute coronary syndrome |  | 1.09 (1.07, 1.11) |  | 0.93 (0.92, 0.95) |
 Atherosclerotic cerebrovascular disease |  | 1.14 (1.12, 1.16) |  | 1.05 (1.03, 1.07) |
 Coronary heart dis |  | 0.58 (0.58, 0.59) |  | 0.56 (0.55, 0.57) |
 Peripheral artery dis |  | 0.93 (0.91, 0.94) |  | 0.89 (0.88, 0.91) |
Statins prescribed | Â | Â | Â | Â |
 No statin |  | Ref |  | Ref |
 Low/moderate-intensity statin |  | 0.34 (0.32, 0.36) |  | 0.41 (0.38, 0.43) |
 High-intensity statin |  | 0.29 (0.27, 0.31) |  | 0.29 (0.27, 0.31) |
Dual VA-CMS status | Â | Â | Â | Â |
 > 80% VA utilization |  | Ref |  | Ref |
 50–80% VA utilization |  | 1.00 (0.98, 1.01) |  | 0.98 (0.96, 0.99) |
  < 50% VA utilization |  | 0.99 (0.98, 1.00) |  | 0.93 (0.92, 0.94) |
History of comorbidity | Â | Â | Â | Â |
 Psychiatric disorder |  | 1.16 (1.14, 1.18) |  | 1.06 (1.04, 1.07) |
 Depression |  | 1.17 (1.15, 1.19) |  | 1.08 (1.07, 1.10) |
 Inter cluster correlation | 0.57 (0.57, 0.57) | 0.56 (0.56, 0.57) | 0.56 (0.56, 0.56) | 0.56 (0.56, 0.56) |