{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:52:12Z","timestamp":1788187932632,"version":"build-2803163510"},"reference-count":64,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"am","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020013","name":"NIHR Leicester Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020013","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000276","name":"Department of Health and Social Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000276","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Participation in cardiac rehabilitation (CR) by ethnic minorities is poor, despite evidence supporting its effectiveness. This study evaluated CR participation and completion by South Asian compared with White European service users and assessed factors associated with non-completion in both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>The National Audit of Cardiac Rehabilitation data (January 2014\u2013February 2023) was used to identify South Asian and White European service users referred for CR following myocardial infarction, percutaneous coronary intervention, and coronary artery bypass graft. Logistic regression and backwards selection were used to examine differences in participation and completion between groups and identify associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>From 421 281 service users eligible for CR (383 833 White European, 37 448 South Asian, 115 812 women, median age 67 years), 222 928 participated (53%), of which 171 297 (77%) completed. After adjustment for age, sex, index of multiple deprivation, and comorbidities, South Asian service users were 12% more likely to participate in CR than White Europeans [adjusted odds ratio (aOR) 1.12, 95% confidence interval (CI) 1.09\u20131.15], but 22% less likely to complete (aOR 0.78, 95% CI 0.75\u20130.82). In both groups, strongest associations with non-completion were higher deprivation, diabetes, and being single. In White European and South Asian men, stroke and depression were also key factors. Non-completion was also associated with respiratory conditions in White Europeans and with rheumatism and family cardiovascular history in South Asian men. South Asians are more likely to participate but less likely to complete CR than White Europeans. Programmes tailored to individual needs are required to reduce disparities in care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwag092","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T12:51:44Z","timestamp":1770382304000},"source":"Crossref","is-referenced-by-count":2,"title":["Health inequalities in cardiac rehabilitation: a national cohort study in England"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2812-9204","authenticated-orcid":false,"given":"Joanne","family":"McAllister","sequence":"first","affiliation":[{"name":"Respiratory Department, University of Leicester, Leicester and Centre for Exercise and Rehabilitation Science (CERS), Leicester Biomedical Research Centre (Respiratory), Glenfield Hospital , Groby Road, Leicester LE3 9QP ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Harrison","sequence":"additional","affiliation":[{"name":"National Audit of Cardiac Rehabilitation, Department of Health Sciences, University of York , York ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1887-0237","authenticated-orcid":false,"given":"Patrick","family":"Doherty","sequence":"additional","affiliation":[{"name":"National Audit of Cardiac Rehabilitation, Department of Health Sciences, University of York , York ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9834-0366","authenticated-orcid":false,"given":"Sally J","family":"Singh","sequence":"additional","affiliation":[{"name":"Respiratory Department, University of Leicester, Leicester and Centre for Exercise and Rehabilitation Science (CERS), Leicester Biomedical Research Centre (Respiratory), Glenfield Hospital , Groby Road, Leicester LE3 9QP, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0127-5236","authenticated-orcid":false,"given":"Claire A","family":"Lawson","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre , Leicester ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"2026022605514686900_zwag092-B1","doi-asserted-by":"crossref","first-page":"h5000","DOI":"10.1136\/bmj.h5000","article-title":"Cardiac rehabilitation","volume":"351","author":"Dalal","year":"2015","journal-title":"BMJ: Br Med J"},{"key":"2026022605514686900_zwag092-B2","first-page":"CD007131","article-title":"Interventions to promote patient utilisation of cardiac rehabilitation","volume":"2","author":"De Araujo 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