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The resulting HEX-ACO-18 short scale showed adequate model fit and scalar measurement invariance across age. Furthermore, the usefulness and versatility of the item and person sampling procedures ACO and LSEM is demonstrated.Hypercholesterolemia is a well-established risk factor for atherosclerotic cardiovascular disease (ASCVD). Low-density lipoprotein cholesterol (LDL-C) has been labeled as "bad" cholesterol and high-density lipoprotein cholesterol (HDL-C) as "good" cholesterol. The prevailing hypothesis is that lowering blood choleste