Do NHS Health Checks reach those with greatest CVD risk? Investigating the effect of age, gender, ethnicity and deprivation on the use of NHS Health Checks in General Practice.
PHE ePoster Library. Beckett G. Sep 12, 2017; 186461; 18
Ms. Gloria Beckett
Ms. Gloria Beckett
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Abstract
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Abstract BackgroundThe NHS Health Check (NHS HC) programme aims to reduce overall CVD incidence and health inequalities in cardiovascular health. In order to determine whether this programme reaches those at greatest risk and therefore addresses CVD health inequalities, we aimed to investigate the programme in an area noted for high levels of deprivation. MethodNHS HC data were obtained from GP practices which included the number of people who were offered and received a NHS HC between 2015/2016. These data were aggregated by age group, gender, ethnicity and deprivation using the Lower Super Output Area. To examine the variation and association of each sub-group, descriptive analysis, χ2 tests and Pearson's correlation were used.ResultsWomen were more likely to attend a NHS HC when offered compared to men. In terms of ethnicity, the Asian population were more likely to be offered and receive a NHS HC once offered compared to the white population. Residents of the most deprived areas were more likely to be offered and receive a NHS HC when offered compared to those in the least deprived areas. ConclusionThe programme is successful in reaching those from Asian and deprived communities who are at greater risk of CVD. However, it is less successful in reaching men who are also at greater risk. Men are equally likely as women to be invited for a NHS HC, but are less likely to accept the offer. Therefore, future service provision may need to focus on improving the uptake for this group.
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