{
  "abstract": "Introduction Cardiovascular diseases (CVD) affect around 7.6 million people in the UK, disproportionately affecting patients from ethnic minorities. In 2009, the UK’s National Health Service (NHS) launched a Health Check (NHSHC) scheme to improve risk assessment of CVD in primary care for prevention and management. Despite this, ethnic minority patients are more likely to be diagnosed with advanced disease in secondary care.Methods This systematic review investigated the engagement of ethnic minority groups with the NHSHC. Searches of Ovid (MEDLINE), PubMed and Web of Science databases were conducted between 13 November 2022 and 10 September 2023, following PRISMA-DTA guidelines. Search terms included prevention, cardiovascular disease and ethnicity. Included studies were published between 2012 and 2022, compared at least two different ethnic groups and presented relevant data on CVD risk factors or screening. Attendee demographics and engagement with the NHSHC scheme were extracted.Results Of the 1,773 papers identified, 28 were screened for full-text review. Seven papers were included ( figure 1), comprising 6,622,374 individuals. Ethnic representation of NHSHC attendees was proportional to the population of the UK (2011 census). Attendees accessed NHSHC either through formal invitation, opportunistically at other healthcare appointments or through existing public health campaigns.Among the ethnic groups, the highest engagement with NHSHC was observed in South Asian attendees (range=21–68%) and the lowest engagement in Chinese attendees (range=12–61%). Public engagement with NHSHC was low when relying solely on public health campaigns and increased with formal invitations from GPs for all ethnicities. One study (n=6,184) indicated attendees were more likely to access the service with an opportunistic invitation vs formal invitation for all ethnicities. This indicates that a proactive approach by healthcare providers can enhance engagement with ethnic minority groups.Conclusions Overall, this review found low engagement with the NHSHC scheme, with varying engagement across ethnicities and by type of invitation. Engagement can be improved with a proactive approach of targeted and opportunistic invitations for ethnic groups at greater risk of CVD. Promoting the uptake of preventive services, such as NHSHC, will support the NHS Long-term Plan 2020.Abstract 67 Figure 1The flowchart shows the selection of papers following the inclusion and exclusion criteria of the systematic review. Dashed lines show where articles were excluded, and arrows represent the papers screened further. * Reasons for exclusion may be multifactorial, but only one reason was recorded for exclusionCVD: cardiovascular disease; PRISMA: Preferred Reporting Items for Systematic and Meta Analysis",
  "authors": [
    {
      "affiliations": [
        "Medical School, University of Sunderland, Sunderland, United Kingdom",
        "Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom"
      ],
      "name": "Aleesha Karia"
    },
    {
      "affiliations": [
        "Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom"
      ],
      "name": "Reza Zamani"
    },
    {
      "affiliations": [
        "Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom"
      ],
      "name": "Tanimola Martins"
    },
    {
      "affiliations": [
        "Department of Trauma and Orthopaedics, The Royal London Hospital, London, United Kingdom"
      ],
      "name": "Abdal Zafar"
    },
    {
      "affiliations": [
        "Department of Medical Oncology, St Bartholomew’s Hospital, London, United Kingdom"
      ],
      "name": "Ava Zamani"
    }
  ],
  "title": "67 Engagement with cardiovascular disease screening among ethnic communities in the UK: a systematic review",
  "uid": "9fa425fd-31ea-5cab-a880-db616b81df26"
}