Assistant Professor in Evidence Based Healthcare, Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK; Clinical Sciences Building, Nottingham City Hospital, Nottingham, UK.
Research Fellow in Health Economics, Centre for Reviews and Dissemination, University of York, York, UK.
Perspect Public Health. 2020 Jan;140(1):27-37. doi: 10.1177/1757913919834584. Epub 2019 May 9.
A major component of the National Health Service (NHS) Health Check in England is to provide lifestyle advice to eligible participants. The aims of the study were to explore the variations (in terms of uptake) in the NHS Health Check in Leicester and to determine its association with a healthy lifestyle.
This cross-sectional study used data from the Leicester Health and Wellbeing Survey (2015).
The odds of having an NHS Health Check were found to be higher in Black and minority ethnic groups and in people of other religions. The odds were lower in people without a religion, residing in the fourth index of multiple deprivation quintile and in ex-smokers. No associations were found between having an NHS Health Check and describing a healthy lifestyle, following a healthy lifestyle, thinking of making lifestyle changes in the next 6 months, cutting down on/stopping smoking among current smokers, or amount of alcohol current drinkers would like to drink.
In Leicester, a few variations in having an NHS Health Check were found among different socio-economic, demographic and behavioural groups. No association was found between the NHS Health Check and a healthy lifestyle. Thus, the improvement work should focus on reducing these variations in having the NHS Health Check and bringing its benefits on promoting a healthy lifestyle.
英国国民健康服务体系（NHS）健康检查的一个主要内容是为符合条件的参与者提供生活方式建议。本研究旨在探索莱斯特（Leicester）NHS 健康检查的变化（即参与率），并确定其与健康生活方式之间的关联。
本横断面研究使用了 2015 年莱斯特健康与幸福感调查的数据。
与无宗教信仰者、居住在第四层多重剥夺五分位数的人群和已戒烟者相比，黑人及少数族裔和其他宗教信仰者更有可能接受 NHS 健康检查。接受 NHS 健康检查与描述健康生活方式、遵循健康生活方式、考虑在未来 6 个月内改变生活方式、减少/停止当前吸烟者吸烟、或当前饮酒者希望饮酒量之间均无关联。
在莱斯特，不同社会经济、人口统计学和行为群体之间接受 NHS 健康检查的情况存在一些差异。NHS 健康检查与健康生活方式之间无关联。因此，改进工作应重点减少接受 NHS 健康检查的这些差异，并使其促进健康生活方式的益处得以实现。
