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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作   者：

McBride, Katharine;  Howard, Natasha J.;  Franks, Christine;  King, Veronica;  Wade, Vicki;  Dowling, Anna;  Rigney, Janice;  Burton, Nyunmiti;  Mitchell, Julie Anne;  Hillier, Susan;  Nicholls, Stephen J.;  Paquet, Catherine;  Brown, Alex; 

作者机构：

Univ South Australia;  Wardliparingga Aboriginal Hlth Equ Theme;  Victorian Heart Inst;  South Australian Hlth & Med Res Inst;  Monash Univ;  University of South Australia;  Aboriginal Womens Advisory Grp; 

关键词：

cardiovascular disease prevention and control;  DISEASE RISK-MANAGEMENT;  AUSTRALIANS;  Aboriginal and Torres Strait Islander people;  health equity;  primary health care;  Australia;  healthcare quality assurance;  Indigenous peoples;  women; 

期刊名称：

Australian journal of primary health.

i s s n：

1448-7527

年卷期：

2022 年 28 卷 6 期

页   码：

498-507

页   码：

摘   要：

Background. 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. Methods. Records of 1200 current clients, 50% women, aged 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.