Sociodemographic Inequalities in Advice Receipt

Rural residents were less likely than urban residents to receive all three 3As elements and more likely to receive only partial advice. Physically inactive patients were paradoxically more likely to report no advice, despite having greater theoretical need for counselling. Higher educational attainment was associated with lower odds of receiving no physical activity advice. People with overweight or obesity appeared more likely to receive physical activity advice than those with normal weight. Women with ischaemic heart disease had significantly higher odds than men of reporting no GP advice on physical activity. Women with ischaemic heart disease are generally less physically active than men but are also less likely to receive GP advice, compounding their disadvantage.