Aboriginal and Torres Strait Islander absolute cardiovascular risk assessment and management: systematic review of evidence to inform national guidelines

Paige, Ellie; Agostino, Jason; Pennings, Susan; Wade, Vicki; Lovett, Raymond; Daluwatta, Amanda; McLoughlin, Kirstie; Banks, Emily

doi:10.17061/phrp29231910

Cited by 1 publication

(1 citation statement)

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“…Risk assessment and management have been prioritised, recognising burden for the Aboriginal and Torres Strait Islander population, opportunity to reduce lifetime risk through disease prevention and disparities in provision of evidence-based care (Better Cardiac Care Forum 2014; Australian Institute of Health and Welfare 2019b; Bailie et al 2019). However, uptake of guideline-recommended care has been identified as suboptimal, further hampered by inconsistency in evidencebased guidelines (Australian Institute of Health and Welfare 2019b; Agostino et al 2020;Paige et al 2020). In regard to women, some evidence suggests gender is associated with differentials in care.…”

Section: Introductionmentioning

confidence: 99%

A systematic review on assessment and management of preventive cardiovascular care in primary health for Aboriginal and Torres Strait Islander women and men

McBride

Nguyen

Dowling

et al. 2022

Aust. J. Prim. Health

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In promoting positive cardiovascular health for Aboriginal and Torres Strait Islander peoples, there is a need to ensure provision of high-quality risk assessment and management in primary healthcare settings. There is some evidence of gender gaps for Australian women in the provision of cardiovascular risk assessment and management; however, there is little understanding of whether these gaps are also present for Aboriginal and Torres Strait Islander women. A mixed-method systematic review was utilised to synthesise existing evidence on the provision of assessment and management against guideline-recommended care for Aboriginal and Torres Strait Islander women, and determine whether gender disparities in provision of care exist for this population. Sixteen studies that report gender-specific data indicate there are significant gaps in the provision of assessment and management for Aboriginal and Torres Strait Islander women and men alike. There is no evidence of incorporation of social and emotional wellbeing into cardiovascular care and limited studies outlining the assessment and management of behaviours and factors that may be protective of cardiovascular health. Furthermore, little is known about the provision of care in mainstream primary health services for Aboriginal and Torres Strait Islander peoples.

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Section: Introductionmentioning

confidence: 99%