Providing guideline-recommended preventive cardiovascular care to Aboriginal and Torres Strait Islander women: exploring gender differences with a medical record review in primary health care

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dc.contributor.authorMcBride, K.
dc.contributor.authorHoward, N.J.
dc.contributor.authorFranks, C.
dc.contributor.authorKing, V.
dc.contributor.authorWade, V.
dc.contributor.authorDowling, A.
dc.contributor.authorRigney, J.
dc.contributor.authorBurton, N.
dc.contributor.authorMitchell, J.A.
dc.contributor.authorHillier, S.
dc.contributor.authorNicholls, S.J.
dc.contributor.authorPaquet, C.
dc.contributor.authorBrown, A.
dc.date.issued2022
dc.descriptionPublished online: 19 August 2022
dc.description.abstractBackground. For Aboriginal and Torres Strait Islander women, the premature burden of cardiovascular disease is affecting their capacity to fulfil roles in society, and promote the health and wellbeing of future generations. In Australia, there is limited understanding of the difference in primary preventive cardiovascular care experienced by women, despite knowledge of sex and gender differentials in health profile and receipt of guideline-based acute care. This paper sought to explore the health profile and receipt of assessment and management of cardiovascular risk for Aboriginal and Torres Strait Islander women accessing preventive primary health care, and investigate gender differentials. Method. Records of 1200 current clients, 50% women, aged §Joint senior authors 18–74 years from three Aboriginal Health Services in central and South Australia for the period 7/2018–6/2020 were reviewed. Results. Twelve percent had documented cardiovascular disease. Compared with men, women with no recorded cardiovascular disease had a greater likelihood of being overweight or obese, a waist circumference indicative of risk, diabetes, and depression. Women were less likely to report being physically active. Conclusions. The research concluded that gaps exist in the provision and recording of guideline-recommended primary preventive care regardless of sex. These are stark, given the evident burden.
dc.description.statementofresponsibilityKatharine McBride, Natasha J. Howard, Christine Franks, Veronica King, Vicki Wade, Anna Dowling, Janice Rigney, Nyunmiti Burton, Julie Anne Mitchell, Susan Hillier, Stephen J. Nicholls, Catherine Paquet and Alex Brown
dc.identifier.citationAustralian Journal of Primary Health, 2022; 28(6):498-507
dc.identifier.doi10.1071/PY22064
dc.identifier.issn1324-2296
dc.identifier.issn1836-7399
dc.identifier.orcidHoward, N.J. [0000-0002-8099-3107]
dc.identifier.orcidNicholls, S.J. [0000-0002-9668-4368]
dc.identifier.orcidBrown, A. [0000-0003-2112-3918]
dc.identifier.urihttps://hdl.handle.net/2440/136373
dc.language.isoen
dc.publisherCSIRO Publishing
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1134198
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1044897
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1137563
dc.rights© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University.
dc.source.urihttps://doi.org/10.1071/py22064
dc.subjectAboriginal and Torres Strait Islander people; Australia; cardiovascular disease prevention and control; health equity; healthcare quality assurance; Indigenous peoples, primary health care; women
dc.titleProviding guideline-recommended preventive cardiovascular care to Aboriginal and Torres Strait Islander women: exploring gender differences with a medical record review in primary health care
dc.typeJournal article
pubs.publication-statusPublished

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