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Screening attendance was poorer in those with more deprivation (adjusted OR 0.89 (0.86 to 0.91) per IMD decile; p Conclusions Our data suggest that those who had the most to gain from screening were least likely to attend, potentially exacerbating existing health inequalities.

Future research should focus on tailoring the delivery of CVD screening to ensure engagement of socioeconomically deprived groups.

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Where there was insufficient information to calculate risk, patients were invited to attend a screening assessment.

Analysis Proportion of patients for whom clinical data were sufficiently complete to enable CVD risk to be calculated; proportion of patients invited to screening who attended; proportion of patients who attended screening whose 10-year risk of a cardiovascular event was high (20%).

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