Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic Review
Background: Cardiovascular diseases (CVD) affect around 7.6 million people in the UK, disproportionately affecting the minority ethnic community. In 2009, the UK's National Health Service (NHS) launched a Health Check (NHSHC) scheme to improve early diagnosis of various clini...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2025-01-01
|
| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/26/1/10.31083/RCM25614 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832586538101243904 |
|---|---|
| author | Aleesha Karia Reza Zamani Tanimola Martins Abdal Zafar Ava Zamani |
| author_facet | Aleesha Karia Reza Zamani Tanimola Martins Abdal Zafar Ava Zamani |
| author_sort | Aleesha Karia |
| collection | DOAJ |
| description | Background: Cardiovascular diseases (CVD) affect around 7.6 million people in the UK, disproportionately affecting the minority ethnic community. In 2009, the UK's National Health Service (NHS) launched a Health Check (NHSHC) scheme to improve early diagnosis of various clinical conditions, including CVD, by screening patients for associated risk factors. This systematic review investigated the engagement of minority ethnic groups with these services. Methods: Seven studies identified patient demographics of NHSHC attendees using the Preferred Reporting Items for Systematic And Meta Analysis-Diagnostic Test Accuracy (PRISMA-DTA) guidelines and accessing Ovid (MEDLINE), PubMed and Web of Science databases. Results: The screening was either by invitation or opportunistic at other appointments with their doctor. Engagement with the service was highest among the South Asian patients (21%–68%), but lowest amongst Chinese patients (12%–61%). Further, engagement was lower among those screened following a formal invitation than those seen opportunistically. However, a greater proportion of patients were screened opportunistically than by invitation. Conclusions: Overall, we found that the NHSHC is not being utilised adequately for all patients at high risk of CVD, particularly White and Chinese patients. It highlights the critical role of primary care could play to improve patient engagement with the service. |
| format | Article |
| id | doaj-art-d56baaeb07ac4826b4002f0bb9a17584 |
| institution | Kabale University |
| issn | 1530-6550 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj-art-d56baaeb07ac4826b4002f0bb9a175842025-01-25T10:41:20ZengIMR PressReviews in Cardiovascular Medicine1530-65502025-01-012612561410.31083/RCM25614S1530-6550(24)01642-9Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic ReviewAleesha Karia0Reza Zamani1Tanimola Martins2Abdal Zafar3Ava Zamani4Medical School, Faculty of Health and Life Sciences, University of Exeter, EX1 2LU Exeter, UKMedical School, Faculty of Health and Life Sciences, University of Exeter, EX1 2LU Exeter, UKMedical School, Faculty of Health and Life Sciences, University of Exeter, EX1 2LU Exeter, UKDepartment of Trauma and Orthopaedics, The Royal London Hospital, E1 1FR London, UKDepartment of Medical Oncology, St Bartholomew’s Hospital, EC1A 7BE London, UKBackground: Cardiovascular diseases (CVD) affect around 7.6 million people in the UK, disproportionately affecting the minority ethnic community. In 2009, the UK's National Health Service (NHS) launched a Health Check (NHSHC) scheme to improve early diagnosis of various clinical conditions, including CVD, by screening patients for associated risk factors. This systematic review investigated the engagement of minority ethnic groups with these services. Methods: Seven studies identified patient demographics of NHSHC attendees using the Preferred Reporting Items for Systematic And Meta Analysis-Diagnostic Test Accuracy (PRISMA-DTA) guidelines and accessing Ovid (MEDLINE), PubMed and Web of Science databases. Results: The screening was either by invitation or opportunistic at other appointments with their doctor. Engagement with the service was highest among the South Asian patients (21%–68%), but lowest amongst Chinese patients (12%–61%). Further, engagement was lower among those screened following a formal invitation than those seen opportunistically. However, a greater proportion of patients were screened opportunistically than by invitation. Conclusions: Overall, we found that the NHSHC is not being utilised adequately for all patients at high risk of CVD, particularly White and Chinese patients. It highlights the critical role of primary care could play to improve patient engagement with the service.https://www.imrpress.com/journal/RCM/26/1/10.31083/RCM25614cardiovascular diseasenhs health checkethnic minoritiesprimary careprevention |
| spellingShingle | Aleesha Karia Reza Zamani Tanimola Martins Abdal Zafar Ava Zamani Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic Review Reviews in Cardiovascular Medicine cardiovascular disease nhs health check ethnic minorities primary care prevention |
| title | Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic Review |
| title_full | Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic Review |
| title_fullStr | Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic Review |
| title_full_unstemmed | Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic Review |
| title_short | Evaluating the Effectiveness of Primary Care Health Checks at Assessing Cardiovascular Risks among Ethnic Minorities in the UK: A Systematic Review |
| title_sort | evaluating the effectiveness of primary care health checks at assessing cardiovascular risks among ethnic minorities in the uk a systematic review |
| topic | cardiovascular disease nhs health check ethnic minorities primary care prevention |
| url | https://www.imrpress.com/journal/RCM/26/1/10.31083/RCM25614 |
| work_keys_str_mv | AT aleeshakaria evaluatingtheeffectivenessofprimarycarehealthchecksatassessingcardiovascularrisksamongethnicminoritiesintheukasystematicreview AT rezazamani evaluatingtheeffectivenessofprimarycarehealthchecksatassessingcardiovascularrisksamongethnicminoritiesintheukasystematicreview AT tanimolamartins evaluatingtheeffectivenessofprimarycarehealthchecksatassessingcardiovascularrisksamongethnicminoritiesintheukasystematicreview AT abdalzafar evaluatingtheeffectivenessofprimarycarehealthchecksatassessingcardiovascularrisksamongethnicminoritiesintheukasystematicreview AT avazamani evaluatingtheeffectivenessofprimarycarehealthchecksatassessingcardiovascularrisksamongethnicminoritiesintheukasystematicreview |