Attwood S, Morton K, Sutton S
UKCRC Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge CB2 0QQ, UK.
Behavioural Science Group, Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge CB2 0SR, UK.
J Public Health (Oxf). 2016 Sep;38(3):560-568. doi: 10.1093/pubmed/fdv070. Epub 2015 Jun 1.
Socio-demographic factors characterizing disadvantage may influence uptake of preventative health interventions such as the NHS Health Check and research trials informing their content.
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.
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).
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.
表征不利因素的社会人口统计学因素可能会影响诸如国民保健服务健康检查等预防性健康干预措施的接受情况，以及为这些措施内容提供依据的研究试验。
一项横断面研究，考察国民保健服务健康检查参与者和非参与者的社会人口统计学特征，以及在此背景下进行的一项极简短体育活动干预的嵌套试验。从英格兰四家全科诊所（GP）的患者记录中提取年龄、性别、多重剥夺指数（IMD）和种族信息。
在控制了全科诊所因素的多变量分析中，老年患者参加健康检查的几率更高（比值比1.05，95%置信区间1.04 - 1.07），而来自贫困程度更高地区的患者参加几率更低（IMD五分位数4与1相比，比值比0.37，95%置信区间0.18 - 0.76；5与1相比，比值比0.42，95%置信区间0.20 - 0.88）。老年患者更有可能参加体育活动试验（比值比1.04，95%置信区间1.02 - 1.06）。
年轻患者以及生活在贫困程度更高地区的患者可能有不参加国民保健服务健康检查的风险，而年轻也预示着不参加嵌套的研究试验。全科诊所特定因素在影响不同社会人口统计学群体参与方面所起的作用需要进一步探索。
