Table 3.
Prevalence (%) of Selected Predictors of Low-Density Lipoprotein Cholesterol Goal Achievement According to Ethnicity and Risk Category
| Ethnicity | Prevalence (%) | ||||
|---|---|---|---|---|---|
| 0 to 1 Risk Factor | 2+ Risk Factors | CHD+CHD RE | Total | ||
| Female gender | NHW | 57.8 | 43.9 | 35.8 | 41.8 |
| AA | 73.5 | 57.0 | 49.2 | 54.9 | |
| P-value* | .01 | .02 | <.001 | <.001 | |
| Body mass index≥30 kg/m2 | NHW | 34.9 | 43.6 | 53.4 | 47.4 |
| AA | 44.1 | 54.7 | 63.8 | 58.6 | |
| P-value* | .13 | .05 | .002 | <.001 | |
| Triglycerides≥2.26 mmol/L | NHW | 19.2 | 26.8 | 28.0 | 26.1 |
| AA | 13.2 | 8.1 | 14.2 | 12.7 | |
| P-value* | .23 | <.001 | <.001 | <.001 | |
| Diabetes mellitus | NHW | 0 | 0 | 50.9 | 27.8 |
| AA | 0 | 0 | 75.6 | 47.1 | |
| P-value* | – | – | <.001 | <.001 | |
| Receipt of diet recommendations | NHW | 79.3 | 81.5 | 81.5 | 81.1 |
| AA | 86.8 | 80.2 | 79.9 | 81.1 | |
| P-value* | .15 | .76 | .54 | .99 | |
| Compliant with diet therapy† | NHW | 69.2 | 72.4 | 67.8 | 69.3 |
| AA | 72.1 | 76.7 | 68.1 | 70.6 | |
| P-value* | .62 | .38 | .92 | .60 | |
| Lipid drug therapy | NHW | 75.7 | 86.4 | 92.2 | 87.7 |
| AA | 70.6 | 87.2 | 86.6 | 84.1 | |
| P-value* | .35 | .83 | .002 | .03 | |
| High-efficacy statin therapy‡ | NHW | 54.8 | 62.1 | 67.3 | 63.7 |
| AA | 45.6 | 54.7 | 62.2 | 57.8 | |
| P-value* | .21 | .02 | .14 | .007 | |
| Treatment by a subspecialist | NHW | 5.1 | 8.3 | 25.7 | 17.3 |
| AA | 1.5 | 5.8 | 9.1 | 7.1 | |
| P-value* | .18 | .43 | <.001 | <.001 | |
P-values for risk categories derived from logistic regression models for each risk category. P-values in the “Total” column are for the ethnicity term in models containing terms for ethnicity, risk category and, where significant, ethnicity by risk category interaction.
Received diet instruction and compliant according to physician judgment.
Atorvastatin and simvastatin (rosuvastatin was not yet cleared for marketing at the time this survey was completed) were operationally defined as high-efficacy statins. Lovastatin, fluvastatin and pravastatin are considered lower-efficacy statins.
CHD RE, coronary heart disease risk equivalents; NHW, non-Hispanic white; AA, African American.