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Table 4 Characteristics of patients referred (Yes) not referred (No)to lifestyle service*

From: NHS health checks: a cross- sectional observational study on equity of uptake and outcomes

Referred to lifestyle services within eight weeks following NHS Health Checks

Maximum N (n = 13,725)

Complete cases (n = 12,606)

No

Yes

Crude OR a

No

Yes

Crude OR a

Adjusted OR b

95% CI c

p-value d

Age e, n (%)

N

13,038

687

13,733

11,973

633

12,606

    

 ≤ 49 years

4608 (35.3)

299 (43.0)

 

4118 (34.4)

273 (43.1)

    

<  0.001

 50–59 years

3829 (29.4)

235 (33.8)

0.95

3508 (29.3)

215 (34.0)

0.92

0.79

0.61

1.02

 

 60–69 years

3318 (25.4)

118 (17.0)

0.55

3137 (26.2)

104 (16.4)

0.50

0.33

0.25

0.44

 

 ≥ 70 years

1283 (9.8)

43 (6.2)

0.52

1210 (10.1)

41 (6.5)

0.51

0.24

0.16

0.36

 

Gender, n (%)

N

13,038

695

13,733

11,973

633

12,606

    

 Female

6814 (52.3)

459 (66.0)

 

6303 (52.6)

418 (66.0)

    

<  0.001

 Male

6224 (47.7)

236 (34.0)

0.56

5670 (47.4)

215 (34.0)

0.57

0.45

0.34

0.59

 

National Index of Multiple Deprivation, n (%)

N

13,017

687

13,704

11,973

633

12,606

    

 Quintile 1 (least deprived)

1857 (14.3)

48 (7.0)

 

1803 (15.1)

47 (7.4)

    

0.015

 Quintile 2

2949 (22.7)

116 (16.9)

1.52

2832 (23.7)

111 (17.5)

1.50

1.45

1.07

1.97

 

 Quintile 3

2043 (15.7)

92 (13.4)

1.74

1928 (16.1)

89 (14.1)

1.77

1.67

0.99

2.79

 

 Quintile 4

3453 (26.5)

191 (27.8)

2.14

3130 (26.1)

170 (26.9)

2.08

1.87

1.13

3.12

 

 Quintile 5 (most deprived)

2715 (20.9)

240 (34.9)

3.42

2280 (19.0)

216 (34.1)

3.63

3.22

1.63

6.36

 

Ethnicity, n (%)

N

13,038

695

13,733

11,973

633

12,606

    

 White

11,008 (84.4)

604 (86.9)

 

10,368 (86.6)

561 (88.6)

    

0.078

 Mixed

359 (2.8)

24 (3.5)

1.22

283 (2.4)

21 (3.3)

1.37

1.09

0.63

1.88

 

 Asian or British Asian

502 (3.9)

22 (3.2)

0.80

387 (3.2)

14 (2.2)

0.67

0.47

0.19

1.14

 

 Other Black

484 (3.7)

30 (4.3)

1.13

347 (2.9)

24 (3.8)

1.28

0.91

0.44

1.87

 

 Other ethnic groups

216 (1.7)

8 (1.2)

0.68

197 (1.6)

7 (1.1)

0.66

0.58

0.23

1.49

 

 Not stated

469 (3.6)

7 (1.0)

0.27

391 (3.3)

6 (0.9)

0.28

0.31

0.12

0.76

 

QRisk, n (%)

N

11,989

637

12,626

11,973

633

12,606

    

 Low

7353 (61.3)

423 (66.4)

 

7342(61.3)

422 (66.7)

    

<  0.001

 Medium

3131 (26.1)

142 (22.3)

0.79

3129 (26.1)

141 (22.3)

0.78

1.68

1.38

2.05

 

 High

1505 (12.6)

72 (11.3)

0.83

1502 (12.5)

70 (11.1)

0.81

2.77

1.91

4.02

 
  1. Notes
  2. *Referred (Yes), or not referred (No, to a lifestyle service within three months following an NHS Heath Check
  3. OR presented for being referred to a lifestyle service after controlling for age, gender IMD, ethnicity and Q-risk score.
  4. a Odds ratios reported from logistic regressions clustered by practice (37 clusters), dependent variable: referred to lifestyle service within three months of attending NHS Health Check
  5. b Adjusted odds ratios reported from logistic regression clustered by practice (37 clusters) for model with age, gender, IMD, ethnicity and QRisk; dependent variable: referred to lifestyle service within three months of attending NHS Health Check
  6. c 95% confidence intervals reported for adjusted odds ratios (model with age, gender, IMD and ethnicity)
  7. d p-values reported for Wald tests in model with age, gender, IMD and ethnicity
  8. e. The NHS Health Check program is not intended for under 40s, however a small number of patients were reported as < 40
  9. Bold data represent absolute totals.