Table 4.
Characteristics of patients referred (Yes) not referred (No)to lifestyle service*
| 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 | |
Notes
*Referred (Yes), or not referred (No, to a lifestyle service within three months following an NHS Heath Check
OR presented for being referred to a lifestyle service after controlling for age, gender IMD, ethnicity and Q-risk score.
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
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
c 95% confidence intervals reported for adjusted odds ratios (model with age, gender, IMD and ethnicity)
d p-values reported for Wald tests in model with age, gender, IMD and ethnicity
e. The NHS Health Check program is not intended for under 40s, however a small number of patients were reported as < 40
Bold data represent absolute totals.