An overview of Indigenous Australian disadvantage in terms of ischaemic heart disease

Wiemers, Paul D., Marney, Lucy, Yadav, Sumit, Tam, Robert, and Fraser, John F. (2018) An overview of Indigenous Australian disadvantage in terms of ischaemic heart disease. Heart, Lung and Circulation, 27 (11). pp. 1274-1284.

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DOI: 10.1016/j.hlc.2018.03.003

View at Publisher Website: http://dx.doi.org/10.1016/j.hlc.2018.03....

Abstract

Background: Indigenous Australians experience poorer health outcomes than non-Indigenous Australians and a significant life expectancy gap exists. Ischaemic heart disease (IHD) represents the leading specific cause of death in Indigenous Australians and is a significant, if not the most significant, contributor to the mortality gap. With this narrative review we aim to describe the burden of IHD within the Indigenous Australian community and explore the factors driving this disparity.

Methods: A broad search of the literature was undertaken utilising an electronic search of the PubMed database along with national agency databases-the Australian Institute of Health and Welfare (AIHW) and the Australian Bureau of Statistics (ABS).

Results: A complex interplay between multiple factors contributes to the excess burden of IHD in the Indigenous Australian population:

Socioeconomic/psychosocial disadvantage

Excess 'traditional' risk factors for development of IHD

Relatively high proportion of Indigenous Australians residing in rural and remote areas

Inequitable access to relevant diagnostic and therapeutic procedures

Increased morbidity and mortality in the longer term following revascularisation procedures

Conclusions: In terms of IHD, Indigenous Australians experience disadvantage at multiple stages of the disease process. Ongoing efforts are needed to continue to inform clinicians of both this disadvantage and strategies to assist negating it. Further research is needed to develop evidence based practices which may help reduce this disparity in outcomes.


Item ID:	55876
Item Type:	Article (Research - C1)
ISSN:	1444-2892
Keywords:	Indigenous Health, Coronary disease, Cardiovascular risk factors, Rural Health
Copyright Information:	©2018Published by Elsevier B.V. on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ).
Funders:	Queensland Government Office of Health and Medical Research
Date Deposited:	17 Oct 2018 08:28
FoR Codes:	45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450406 Aboriginal and Torres Strait Islander epidemiology @ 50% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3201 Cardiovascular medicine and haematology > 320101 Cardiology (incl. cardiovascular diseases) @ 50%
SEO Codes:	92 HEALTH > 9203 Indigenous Health > 920301 Aboriginal and Torres Strait Islander Health - Determinants of Health @ 50% 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 50%
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