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Table 4 Factors associated with lipid testing among adults with low cardiovascular risk (<10 %) and no CVD risk factors

From: Relationship between cardiovascular risk and lipid testing in one health care system: a retrospective cohort study

 

Men

Women

 

Total sample

Tested more than recommended

Unadjusted

Adjusted

Total sample

Tested more than recommended

Unadjusted

Adjusted

 

N

n (%)

RR (95 % CI)

RR (95 % CI)

N

n (%)

RR (95 % CI)

RR (95 % CI)

Overall

4977

1266 (25.4)

  

15185

9341 (61.5)

  

Age

 25–34

891

319 (35.8)

Referent

Referent

2017

508 (25.2)

Referent

Referent

 35–44

2040

372 (18.2)

0.51 (0.45, 0.58)

0.54 (0.46, 0.63)

3730

1843 (49.4)

1.96 (1.81, 2.13)

2.04 (1.86, 2.24)

 45–54

1853

508 (27.4)

0.77 (0.68, 0.86)

0.80 (0.70, 0.92)

4708

3301 (70.1)

2.78 (2.58, 3.01)

2.84 (2.60, 3.11)

 55–64

192

66 (34.4)

0.97 (0.78, 1.20)

0.87 (0.68, 1.12)

3869

3004 (77.6)

3.08 (2.85, 3.33)

3.16 (2.89, 3.45)

 65–79

1*

1* (100.0)

--

--

861

685 (79.6)

3.16 (2.91, 3.43)

3.01 (2.64, 3.43)

Race

 White

2779

679 (24.4)

Referent

Referent

11012

6926 (62.9)

Referent

Referent

 Asian

469

181 (38.6)

1.58 (1.38, 1.80)

1.63 (1.43, 1.86)

1915

1356 (70.8)

1.13 (1.09, 1.16)

1.20 (1.16, 1.24)

 Black

164

50 (30.5)

1.25 (0.98, 1.59)

1.30 (1.03, 1.65)

383

231 (60.3)

0.96 (0.88, 1.04)

1.09 (1.01, 1.18)

 Other

81

17 (21.0)

0.86 (0.56, 1.32)

0.86 (0.55, 1.32)

301

171 (56.8)

0.90 (0.82, 1.00)

1.01 (0.92, 1.11)

RUB

 0 = No diagnoses

512

89 (17.4)

0.80 (0.64, 1.02)

0.93 (0.70, 1.23)

786

419 (53.3)

0.89 (0.82, 0.96)

0.89 (0.83, 0.96)

 1 = Low

722

156 (21.6)

Referent

Referent

1879

1127 (60.0)

Referent

Referent

 2

1212

301 (24.8)

1.15 (0.97, 1.36)

1.09 (0.89, 1.33)

2756

1622 (59.9)

0.98 (0.93, 1.03)

0.97 (0.93, 1.02)

 3

2312

651 (28.2)

1.30 (1.12, 1.52)

1.21 (1.00, 1.45)

8382

5375 (64.1)

1.07 (1.03, 1.11)

1.01 (0.97, 1.05)

 4 or 5 = High

219

69 (31.5)

1.46 (1.15, 1.85)

1.38 (1.05, 1.82)

1382

798 (57.7)

0.96 (0.91, 1.02)

0.98 (0.93, 1.04)

Primary care visits (annual avg)

 <1

1614

298 (18.5)

Referent

Referent

2546

1481 (58.2)

Referent

Referent

 1 to <2

2159

568 (26.3)

1.42 (1.26, 1.61)

1.32 (1.14, 1.53)

5950

3721 (62.5)

1.08 (1.03, 1.12)

1.06 (1.02, 1.10)

 2 to <3

789

254 (32.2)

1.74 (1.51, 2.01)

1.55 (1.30, 1.84)

3738

2387 (63.9)

1.10 (1.05, 1.14)

1.10 (1.05, 1.14)

 ≥3

415

146 (35.2)

1.91 (1.61, 2.25)

1.59 (1.30, 1.95)

2951

1752 (59.4)

1.02 (0.98, 1.07)

1.06 (1.02, 1.11)

Residence

 Rural

79

19 (24.1)

0.94 (0.64, 1.40)

1.11 (0.74, 1.65)

325

198 (60.9)

0.99 (0.91, 1.08)

1.04 (0.96, 1.13)

 Urban

4898

1247 (25.5)

Referent

Referent

14860

9143 (61.5)

Referent

Referent

Health plan

 Medicare

60

18 (30.0)

1.17 (0.79, 1.73)

1.11 (0.73, 1.69)

966

755 (78.2)

1.29 (1.25, 1.34)

1.06 (0.96, 1.17)

 Medicaid/Basic Hlth

83

19 (22.9)

0.89 (0.60, 1.33)

0.97 (0.66, 1.44)

326

168 (51.5)

0.85 (0.77, 0.95)

0.92 (0.84, 1.01)

 Commercial

4610

1180 (25.6)

Referent

Referent

13194

7969 (60.4)

Referent

Referent

 Private pay

224

49 (21.9)

0.85 (0.66, 1.10)

0.76 (0.54, 1.07)

699

449 (64.2)

1.06 (1.00, 1.13)

1.02 (0.97, 1.08)

Neighborhood income, median

 <$40,000

1138

287 (25.2)

Referent

Referent

2974

1439 (48.4)

Referent

Referent

 $40,000–<$60,000

2349

588 (25.0)

0.99 (0.88, 1.12)

1.00 (0.86, 1.16)

6953

4340 (62.4)

1.29 (1.24, 1.34)

1.20 (1.15, 1.25)

 $60,000–<$80,000

1088

263 (24.2)

0.96 (0.83, 1.11)

1.03 (0.86, 1.23)

3705

2444 (66.0)

1.36 (1.30, 1.42)

1.22 (1.17, 1.28)

 ≥$80,000

390

124 (31.8)

1.26 (1.06, 1.50)

1.24 (0.98, 1.56)

1512

1091 (72.2)

1.49 (1.42, 1.57)

1.29 (1.23, 1.37)

Neighborhood education, % with some college

 <50 %

471

135 (28.7)

Referent

Referent

1376

786 (57.1)

Referent

Referent

 50 % to <60 %

722

180 (24.9)

0.87 (0.72, 1.05)

0.92 (0.74, 1.15)

2251

1285 (57.1)

1.00 (0.94, 1.06)

0.95 (0.90, 1.01)

 60 % to <70 %

1290

321 (24.9)

0.87 (0.73, 1.03)

0.96 (0.78, 1.17)

3772

2251 (59.7)

1.04 (0.99, 1.10)

0.95 (0.90, 1.00)

 70 % to <80 %

1276

318 (24.9)

0.87 (0.73, 1.03)

0.90 (0.73, 1.11)

3938

2497 (63.4)

1.11 (1.05, 1.17)

0.96 (0.91, 1.01)

 ≥80 %

1205

308 (25.6)

0.89 (0.75, 1.06)

0.90 (0.72, 1.13)

3806

2494 (65.5)

1.15 (1.09, 1.21)

0.93 (0.88, 0.98)

  1. CVD risk factors include obesity (BMI > 30 kg/m2), tobacco use, diabetes and treated hypertension. RR relative risk, RUB Resource Utilization Band. Participant “*” was included with the 55–64 age group for regression model