Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study

Background The UK is embarking on a national cardiovascular risk assessment programme called NHS Health Checks; in order to be effective, high and equitable uptake is paramount. Methods A cross-sectional study, using data extracted from electronic medical records of persons aged 35-74 years estimate...

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Veröffentlicht in:Journal of public health (Oxford, England) England), 2011-09, Vol.33 (3), p.422-429
Hauptverfasser: Dalton, Andrew R.H., Bottle, Alex, Okoro, Cyprian, Majeed, Azeem, Millett, Christopher
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container_end_page 429
container_issue 3
container_start_page 422
container_title Journal of public health (Oxford, England)
container_volume 33
creator Dalton, Andrew R.H.
Bottle, Alex
Okoro, Cyprian
Majeed, Azeem
Millett, Christopher
description Background The UK is embarking on a national cardiovascular risk assessment programme called NHS Health Checks; in order to be effective, high and equitable uptake is paramount. Methods A cross-sectional study, using data extracted from electronic medical records of persons aged 35-74 years estimated to be at a high risk of developing cardiovascular disease, to examine the uptake of the Health Checks using logistic regression and statin prescribing. Results A total of 44.8% of high risk patients invited for a Health Check attended. Uptake was lower among younger men but higher among patients from south Asian (AOR = 1.71 [1.29-2.27] compared with white) or mixed ethnic backgrounds (AOR = 2.42 [1.50-3.89]), and patients registered with smaller practices (AOR = 2.53 [1.09-5.84]
doi_str_mv 10.1093/pubmed/fdr034
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Methods A cross-sectional study, using data extracted from electronic medical records of persons aged 35-74 years estimated to be at a high risk of developing cardiovascular disease, to examine the uptake of the Health Checks using logistic regression and statin prescribing. Results A total of 44.8% of high risk patients invited for a Health Check attended. Uptake was lower among younger men but higher among patients from south Asian (AOR = 1.71 [1.29-2.27] compared with white) or mixed ethnic backgrounds (AOR = 2.42 [1.50-3.89]), and patients registered with smaller practices (AOR = 2.53 [1.09-5.84] &lt;3000 patients compared with 3000-5999). The percentage of patients confirmed to be at high risk of CVD prescribed a statin increased from 24.7 to 44.8%. Conclusions Uptake of cardiovascular risk assessment and prescribing of statins in high risk patients was considerably lower than projected in the first year of NHS Health Checks programme. Targeting efforts to increase uptake and adherence to interventions in high risk populations and reinvesting resources into population wide strategies to reduce obesity, smoking and salt intake may prove more cost-effective in reducing the burden of cardiovascular disease in the UK.</description><identifier>ISSN: 1741-3842</identifier><identifier>EISSN: 1741-3850</identifier><identifier>DOI: 10.1093/pubmed/fdr034</identifier><identifier>PMID: 21546385</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Aged ; Attitude to Health - ethnology ; Cardiovascular diseases ; Cardiovascular Diseases - ethnology ; Cardiovascular Diseases - prevention &amp; control ; Cross-Sectional Studies ; Cultural Diversity ; Female ; General Practice - methods ; Health checks ; Health Services ; High risk ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use ; Male ; Middle Aged ; National Health Programs - organization &amp; administration ; National health services ; Patient Compliance - statistics &amp; numerical data ; Primary Prevention - methods ; Risk Assessment - methods ; Socioeconomic Factors ; Statins ; United Kingdom - epidemiology ; Uptake</subject><ispartof>Journal of public health (Oxford, England), 2011-09, Vol.33 (3), p.422-429</ispartof><rights>Faculty of Public Health 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-74ee459b6125838dc214adca8493cc989d87977ea25f8255000ded497f1053353</citedby><cites>FETCH-LOGICAL-c393t-74ee459b6125838dc214adca8493cc989d87977ea25f8255000ded497f1053353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/45158069$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/45158069$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,30977,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21546385$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dalton, Andrew R.H.</creatorcontrib><creatorcontrib>Bottle, Alex</creatorcontrib><creatorcontrib>Okoro, Cyprian</creatorcontrib><creatorcontrib>Majeed, Azeem</creatorcontrib><creatorcontrib>Millett, Christopher</creatorcontrib><title>Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study</title><title>Journal of public health (Oxford, England)</title><addtitle>J Public Health (Oxf)</addtitle><description>Background The UK is embarking on a national cardiovascular risk assessment programme called NHS Health Checks; in order to be effective, high and equitable uptake is paramount. Methods A cross-sectional study, using data extracted from electronic medical records of persons aged 35-74 years estimated to be at a high risk of developing cardiovascular disease, to examine the uptake of the Health Checks using logistic regression and statin prescribing. Results A total of 44.8% of high risk patients invited for a Health Check attended. Uptake was lower among younger men but higher among patients from south Asian (AOR = 1.71 [1.29-2.27] compared with white) or mixed ethnic backgrounds (AOR = 2.42 [1.50-3.89]), and patients registered with smaller practices (AOR = 2.53 [1.09-5.84] &lt;3000 patients compared with 3000-5999). The percentage of patients confirmed to be at high risk of CVD prescribed a statin increased from 24.7 to 44.8%. Conclusions Uptake of cardiovascular risk assessment and prescribing of statins in high risk patients was considerably lower than projected in the first year of NHS Health Checks programme. Targeting efforts to increase uptake and adherence to interventions in high risk populations and reinvesting resources into population wide strategies to reduce obesity, smoking and salt intake may prove more cost-effective in reducing the burden of cardiovascular disease in the UK.</description><subject>Adult</subject><subject>Aged</subject><subject>Attitude to Health - ethnology</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - ethnology</subject><subject>Cardiovascular Diseases - prevention &amp; control</subject><subject>Cross-Sectional Studies</subject><subject>Cultural Diversity</subject><subject>Female</subject><subject>General Practice - methods</subject><subject>Health checks</subject><subject>Health Services</subject><subject>High risk</subject><subject>Humans</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>National Health Programs - organization &amp; administration</subject><subject>National health services</subject><subject>Patient Compliance - statistics &amp; numerical data</subject><subject>Primary Prevention - methods</subject><subject>Risk Assessment - methods</subject><subject>Socioeconomic Factors</subject><subject>Statins</subject><subject>United Kingdom - epidemiology</subject><subject>Uptake</subject><issn>1741-3842</issn><issn>1741-3850</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkb1PwzAQxS0E4qMwsiIviIWAPxObDVVAkRAM0Dly7QtNSZpiO0j97zGEIjamOz399HT3HkLHlFxQovnlqp-14C4r5wkXW2ifFoJmXEmy_bsLtocOQlgQwjQjchftMSpFnqB9tJiuonkD3FU4zgE_Tp7xBEwT53g8B_sW8Mp3r960LeB6iQ12sPL1B7hzbPsm9t40zRq7pPgAOECM9fL1ClvfhZAFsLHulqbBIfZufYh2KtMEOPqZIzS9vXkZT7KHp7v78fVDZrnmMSsEgJB6llMmFVfOMiqMs0YJza3VSjtV6KIAw2SlmJSEEAdO6KKiRHIu-QidDb7p9PceQizbOlhoGrOErg-lpqLQROXiX1KlGGWe8ERmA_n9mYeqTDG0xq9LSsqvHsqhh3LoIfEnP86DvKE3wSfgdAAWIXb-rxvjpCiFpFKRXPNPw8OQ6g</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Dalton, Andrew R.H.</creator><creator>Bottle, Alex</creator><creator>Okoro, Cyprian</creator><creator>Majeed, Azeem</creator><creator>Millett, Christopher</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope></search><sort><creationdate>20110901</creationdate><title>Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study</title><author>Dalton, Andrew R.H. ; Bottle, Alex ; Okoro, Cyprian ; Majeed, Azeem ; Millett, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-74ee459b6125838dc214adca8493cc989d87977ea25f8255000ded497f1053353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Attitude to Health - ethnology</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - ethnology</topic><topic>Cardiovascular Diseases - prevention &amp; control</topic><topic>Cross-Sectional Studies</topic><topic>Cultural Diversity</topic><topic>Female</topic><topic>General Practice - methods</topic><topic>Health checks</topic><topic>Health Services</topic><topic>High risk</topic><topic>Humans</topic><topic>Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>National Health Programs - organization &amp; administration</topic><topic>National health services</topic><topic>Patient Compliance - statistics &amp; numerical data</topic><topic>Primary Prevention - methods</topic><topic>Risk Assessment - methods</topic><topic>Socioeconomic Factors</topic><topic>Statins</topic><topic>United Kingdom - epidemiology</topic><topic>Uptake</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dalton, Andrew R.H.</creatorcontrib><creatorcontrib>Bottle, Alex</creatorcontrib><creatorcontrib>Okoro, Cyprian</creatorcontrib><creatorcontrib>Majeed, Azeem</creatorcontrib><creatorcontrib>Millett, Christopher</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><jtitle>Journal of public health (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dalton, Andrew R.H.</au><au>Bottle, Alex</au><au>Okoro, Cyprian</au><au>Majeed, Azeem</au><au>Millett, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study</atitle><jtitle>Journal of public health (Oxford, England)</jtitle><addtitle>J Public Health (Oxf)</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>33</volume><issue>3</issue><spage>422</spage><epage>429</epage><pages>422-429</pages><issn>1741-3842</issn><eissn>1741-3850</eissn><abstract>Background The UK is embarking on a national cardiovascular risk assessment programme called NHS Health Checks; 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source Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Adult
Aged
Attitude to Health - ethnology
Cardiovascular diseases
Cardiovascular Diseases - ethnology
Cardiovascular Diseases - prevention & control
Cross-Sectional Studies
Cultural Diversity
Female
General Practice - methods
Health checks
Health Services
High risk
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
Male
Middle Aged
National Health Programs - organization & administration
National health services
Patient Compliance - statistics & numerical data
Primary Prevention - methods
Risk Assessment - methods
Socioeconomic Factors
Statins
United Kingdom - epidemiology
Uptake
title Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study
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