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Table 2 Individuals that were eligible (n, % total) and those who received services (n, % of those eligible for each service) in intervention and control groups

From: Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening and NHS health check uptake in a deprived community in the UK

Service

Eligibility criteria in patients registered at the GP practice who received the intervention between 1st July 2021 and 30th April 2022a

N eligible individuals (% of total)

N eligible individuals (% of total)

p-value (Chi-squared test)

N individuals who received the service (% of total)

N individuals who received the service (% of total)

p-value (Chi-squared test)

  

Intervention

Control

 

Intervention

Control

 

Immunisations

 COVID-19 (1st dose)

 > 12 yrs. as of 31st Jan 2021. We assumed all individuals eligible for the vaccine given changes in eligibility criteria throughout the study period

608 (100%)

1643 (100%)

-

48 (8%)

94 (6%)

0.06

 COVID-19 (2nd dose)

608 (100%)

1643 (100%)

-

97 (16%)

205 (12%)

0.03*

 COVID-19 (booster)

608 (100%)

1643 (100%)

-

213 (35%)

376 (23%)

 < 0.01*

 Shingles

70–79 years of age (born between 1st Jul 1942 and 31st Jan 1952)

30 (5%)

68 (4%)

-

2 (7%)

4 (6%)

0.88

 DTaP/IPV/Hib/HepB

2, 3 and 4 months (born between 1st Mar 2021 and 31st Jan 2022) only pts who received 3rd dose of vaccine included

1 (0%)

7 (0%)

0.41

0 (0%)

0 (0%)

-

 DTaP/IPV

3 years and 4 months to 5 years (born between 1st Jul 2016 and 1st Oct 2018)

8 (1%)

23 (1%)

0.35

1 (13%)

4 (17%)

0.75

 Hib/MenC

12 months to 3 years and 4 months (born between 1st Mar 2018 and 31st Jan 2021)

7 (1%)

28 (2%)

0.88

0 (0%)

3 (11%)

0.37

 HPV

12–13 yrs. (born between 1st Jul 2008 and 31st Jan 2010)

12 (2%)

20 (1%)

0.35

1 (8%)

0 (0%)

0.19

 Influenza

2–16 OR 65 + (born between 1st September 2005 and 31st March 2020 OR before 31st March 1957) or any age if in an at-risk group

173 (28%)

417 (25%)

0.18

49 (28%)

62 (15%)

 < 0.01*

 MenB (3rd dose)

12 months to 3 yrs. and 4 mns (born between 1st March 2018 and 31st January 2021)

7 (1%)

28 (2%)

0.14

0 (0%)

3 (11%)

0.37

 MMR (1st dose)

1–5 yrs. (born between 30th Jun 2016 and 31st Jan 2021 who received the vaccines between 1st Jul 2021—30th Apr 2022

13 (2%)

46 (3%)

0.35

0 (0%)

3 (7%)

0.34

 MMR (2nd dose)

13 (2%)

46 (3%)

0.16

0 (0%)

0 (0%)

-

 PCV (1st dose)

3 months (born between 1st Apr 2021 and 31st Jan 2022)

1 (0%)

7 (0%)

0.38

1 (100%)

5 (71%)

0.54

 PCV (2nd dose)

12 months (born between 30th June 2020 and 31st January 2021)

1 (0%)

5 (0%)

0.35

0 (0%)

3 (60%)

0.27

 PPV

 > 65 yrs. (born before 30th April 1957)

97 (16%)

247 (15%)

0.57

2 (2%)

1 (0%)

0.14

 Rotavirus

2 and 3 months (born between 1st Apr 2021 and 31st Jan 2022) only pts who received 2nd dose included

1 (0%)

7 (0%)

0.59

1 (100%)

5 (71%)

0.54

Screenings and NHS Health Check

 Bowel cancer

60–74 yrs., every 2 yrs., Last screening before July 2020. (born between 1st July 1947 and 31st January 1962)

39 (22%)

79 (16%)

0.11

12 (31%)

26 (33%)

0.81

 Breast cancer

Women 50–71, every 3 years Last screening before July 2019 (born between 1st Jul 1950 and 31st Jan 1972

32 (18%)

65 (14%)

0.15

1 (3%)

0 (0%)

0.15

 Cervical cancer

Women 25–49 years, every 3 years Last screening before July 2019. (born between 1st Jul 1972 and 31st Jan 1997)

81 (46%)

274 (57%)

0.01*

11 (14%)

25 (9%)

0.24

 Cervical cancer

Women 50–64 years, every 5 years Last screening before July 2017. (born between 1st July 1957 and 31st January 1972)

43 (24%)

78 (16%)

0.02*

4 (9%)

8 (10%)

0.87

 NHS Health Check

40–74 years, every 5 yearsb Last NHS Health Check before July 2017. (born between 1st July 1947 and 31st January 1982)

51 (29%)

105 (22%)

0.07

18 (35%)

13 (12%)

 < 0.01*

  1. *Statistically significant result (p-value < 0.05).
  2. aApart from influenza which must have been received between 1st September 2021—31st March 2022
  3. bExclusion criteria: statins prescription, hypercholesterolemia, atrial fibrillation, coronary heart disease, chronic kidney disease, diabetes, heart failure, hypertension, peripheral arterial disease, palliative care. Eligibility criteria for each service relative to the study period based on NHS standard criteria, and dates of service uptake. Based on criteria in: UK Health Security Agency. Complete routine immunisation schedule. London: UK Health Security Agency; 2022. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1055877/UKHSA-12155-routine-complete-immunisation-schedule_Feb2022.pdf [Accessed 21st June 2022]; NHS England. Screening and earlier diagnosis. Available from: https://www.england.nhs.uk/cancer/early-diagnosis/screening-and-earlier-diagnosis/ [Accessed 15th September 2022]. NHS. NHS Health Check. Available from: https://www.nhs.uk/conditions/nhs-health-check/ [Accessed 15th Sept