Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care

Crinall, Bethany, Boyle, Jacqueline, Gibson-Helm, Melanie, Esler, Danielle, Larkins, Sarah, and Bailie, Ross (2017) Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care. Australian and New Zealand Journal of Public Health, 41 (5). pp. 460-466.

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Abstract

Objective: To examine preventive health attendance and recording of type 2 diabetes and cardiovascular disease risk factors and their management in young Aboriginal peoples and Torres Strait Islanders (Indigenous Australians) at primary health care centres (PHCs).

Methods: This descriptive cross-sectional study audited medical records of 1,986 Indigenous people aged 15–34 years attending 93 Australian PHCs. Measurements included blood pressure (BP), blood glucose level (BGL), smoking status, body mass index (BMI) and lipid profile.

Results: Last attendance was most commonly for acute care (46%); 12% attended for preventive assessment. BP was recorded in 85% (1,686/1,986), BGL 63% (1,244/1,986), smoking status 52% (1,033/1,986), BMI 37% (743/1,986) and lipids 31% (625/1,986). Of those with a recorded assessment, elevated BGL (39%, 479/1,244), smoking (63%, 649/1,033), overweight/obesity (51%, 381/743) and dyslipidaemia (73%, 458/625) were common. Follow-up of abnormal results was documented for elevated BP 28% (34/120), elevated BGL 17% (79/479), smoking 65% (421/649), overweight/obesity 11% (40/381) and abnormal lipids 16% (75/458).

Conclusions: These findings highlight the importance of raising awareness and assessment of chronic disease risk factors in young Indigenous people and implementing preventive health care strategies.

Implications: Strengthening the capacity of PHCs to provide preventive health care may contribute to reducing the chronic disease burden experienced by young Indigenous people.

Item ID: 44683
Item Type: Article (Research - C1)
ISSN: 1753-6405
Keywords: Indigenous; primary health care; Australia; quality improvement; cardiovascular disease; diabetes; prevention
Additional Information:

As an open access journal, all articles in ANZJPH will be freely available to read, download and share immediately on publication.

Funders: National Health and Medical Research Council (NHMRC), Lowitja Institute (LI), Australian Research Council (ARC)
Projects and Grants: NHMRC 545267, ARC Future Fellowship 100100087
Date Deposited: 29 Jul 2016 02:49
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 40%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111716 Preventive Medicine @ 20%
11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110201 Cardiology (incl Cardiovascular Diseases) @ 40%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 50%
92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 50%
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