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@article{Woringer:2017:10.1186/s12913-017-2346-5,
author = {Woringer, M and cecil, E and watt, H and chang, K and hamid, F and khunti, K and dubois, E and evason, J and Majeed, A and soljak, M},
doi = {10.1186/s12913-017-2346-5},
journal = {BMC Health Services Research},
title = {Evaluation of community provision of a preventive cardiovascular programme - the National Health Service Health Check in reaching the under-served groups by primary care in England: cross sectional observational study},
url = {http://dx.doi.org/10.1186/s12913-017-2346-5},
volume = {17},
year = {2017}
}

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TY  - JOUR
AB  - Background:Cardiovascular disease (CVD) is the leading cause of premature mortality and a major contributor of health inequalities in England. Compared to more affluent and white counterparts, deprived people and ethnic minorities tend to die younger due to preventable CVD associated with lifestyle. In addition, deprived, ethnic minorities and younger people are less likely to be served by CVD prevention services. This study assessed the effectiveness of community-based outreach providers in delivering England’s National Health Services (NHS) Health Check programme, a CVD preventive programme to under-served groups.Methods:Between January 2008 and October 2013, community outreach providers delivered a preventive CVD programme to 50,573 individuals, in their local communities, in a single consultation without prescheduled appointments. Community outreach providers operated on evenings and weekends as well as during regular business hours in venues accessible to the general public. After exclusion criteria, we analysed and compared socio-demographic data of 43,177 Health Check attendees with the general population across 38 local authorities (LAs). We assessed variation between local authorities in terms of age, sex, deprivation and ethnicity structures using two sample t-tests and within local authority variation in terms of ethnicity and deprivation using Chi squared tests and two sample t-tests respectively.Results:Using Index of Multiple Deprivation, the mean deprivation score of the population reached by community outreach providers was 6.01 higher (p < 0.05) than the general population. Screened populations in 29 of 38 LAs were significantly more deprived (p < 0.05). No statistically significant difference among ethnic minority groups was observed between LAs. Nonetheless some LAs – namely Leicester, Thurrock, Sutton, South Tyneside, Portsmouth and Gateshead were very successful in recruiting ethnic minority groups. The mean proportion of men s
AU  - Woringer,M
AU  - cecil,E
AU  - watt,H
AU  - chang,K
AU  - hamid,F
AU  - khunti,K
AU  - dubois,E
AU  - evason,J
AU  - Majeed,A
AU  - soljak,M
DO  - 10.1186/s12913-017-2346-5
PY  - 2017///
SN  - 1472-6963
TI  - Evaluation of community provision of a preventive cardiovascular programme - the National Health Service Health Check in reaching the under-served groups by primary care in England: cross sectional observational study
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-017-2346-5
UR  - http://hdl.handle.net/10044/1/48859
VL  - 17
ER  -

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Hilary Watt CStat FHEA MSc MA(Oxon) BA

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