Exploring equity in uptake of the NHS Health Check and a nested physical activity intervention trial.


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Authors
Attwood, S 
Morton, K 
Abstract

BACKGROUND: Socio-demographic factors characterizing disadvantage may influence uptake of preventative health interventions such as the NHS Health Check and research trials informing their content. METHODS: A cross-sectional study examining socio-demographic characteristics of participants and non-participants to the NHS Health Check and a nested trial of very brief physical activity interventions within this context. Age, gender, Index of Multiple Deprivation (IMD) and ethnicity were extracted from patient records of four General Practices (GP) in England. RESULTS: In multivariate analyses controlling for GP surgery, the odds of participation in the Health Check were higher for older patients (OR 1.05, 95% CI 1.04-1.07) and lower from areas of greater deprivation (IMD Quintiles 4 versus 1, OR 0.37, 95% CI 0.18-0.76, 5 versus 1 OR 0.42, 95% CI 0.20-0.88). Older patients were more likely to participate in the physical activity trial (OR 1.04, 95% CI 1.02-1.06). CONCLUSIONS: Younger patients and those living in areas of greater deprivation may be at risk of non-participation in the NHS Health Check, while younger age also predicted non-participation in a nested research trial. The role that GP-surgery-specific factors play in influencing participation across different socio-demographic groups requires further exploration.

Description
Keywords
physical activity, public health, socioeconomic factors, Age Factors, Cross-Sectional Studies, Exercise, Female, Health Promotion, Healthcare Disparities, Humans, Male, Middle Aged, Poverty, Sex Factors, Socioeconomic Factors, State Medicine, United Kingdom
Journal Title
J Public Health (Oxf)
Conference Name
Journal ISSN
1741-3842
1741-3850
Volume Title
Publisher
Oxford University Press (OUP)
Sponsorship
Economic and Social Research Council (ES/G007462/1)
Medical Research Council (MC_UU_12015/7)
Medical Research Council (MR/K023187/1)
Wellcome Trust (087636/Z/08/Z)
CCF (None)
The work was undertaken by the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number RP-PG-0608-10079)