| 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 × race** |  |  |  |  |
 Non-Hispanic white × male | Ref | Ref | Ref | Ref |
 Non-Hispanic white × female | 3.01 (2.84, 3.19) | 2.59 (2.44, 2.77) | 2.29 (2.16, 2.44) | 2.06 (1.93, 2.20) |
 Non-Hispanic black × male | 1.80 (1.76, 1.84) | 1.76 (1.72, 1.80) | 1.57 (1.53, 1.60) | 1.54 (1.51, 1.58) |
 Non-Hispanic black × female | 5.97 (5.05, 7.06) | 5.38 (4.45, 6.51) | 4.41 (3.66, 4.31) | 3.93 (3.18, 4.87) |
 Hispanic × male | 1.31 (1.27, 1.34) | 1.25 (1.21, 1.29) | 1.15 (1.12, 1.18) | 1.08 (1.05, 1.11) |
 Hispanic × female | 3.72 (2.68, 5.16) | 2.56 (1.79, 3.66) | 2.26 (1.60, 3.18) | 1.83 (1.26, 2.64) |
 Other race × male | 1.15 (1.10, 1.21) | 1.13 (1.08, 1.19) | 1.02 (0.98, 1.06) | 1.00 (0.95, 1.04) |
 Other race × female | 3.34 (2.45, 4.56) | 2.98 (2.11, 4.22) | 2.85 (2.04, 3.97) | 2.58 (1.77, 3.76) |
Location of residence | Â | Â | Â | Â |
 Urban |  | Ref |  | Ref |
 Rural |  | 1.28 (1.26, 1.30) |  | 1.23 (1.22, 1.25) |
 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, 0.99) |
Smoking status | Â | Â | Â | Â |
 Smoker versus non-smoker (ref.) |  | 1.10 (1.08, 1.12) |  | 1.01 (0.99, 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 syndr |  | 1.09 (1.07, 1.11) |  | 0.93 (0.92, 0.95) |
 Atheroscl. cerebro. dis |  | 1.14 (1.12, 1.19) |  | 1.05 (1.03, 1.07) |
 Coronary heart dis |  | 0.59 (0.58, 0.60) |  | 0.56 (0.55, 0.57) |
 Peripheral artery dis |  | 0.93 (0.92, 0.93) |  | 0.89 (0.88, 0.90) |
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 (0.99, 1.02) |  | 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 (1.03, 1.07) |
 Depression |  | 1.17 (1.15, 1.19) |  | 1.08 (1.07, 1.10) |
 Inter cluster correlation | 0.56 (0.56, 0.56) | 0.56 (0.56, 0.56) | 0.56 (0.56, 0.56) | 0.56 (0.56, 0.56) |