A systematic review on assessment and management of preventive cardiovascular care in primary health for Aboriginal and Torres Strait Islander women and men
Katharine McBride
A B * , Jayden Nguyen B , Anna Dowling C D , Natasha J. Howard B E , Christine Franks B D , Susan Hillier A , Vicki Wade D F , Veronica King D G , Janice Rigney D , Nyunmiti Burton D H , Julie Anne Mitchell D I , Stephen J. Nicholls J , Catherine Paquet A K # and Alex Brown B E #
+ Author Affiliations
- Author Affiliations
A Allied Health & Human Performance, University of South Australia, Adelaide, SA 5000, Australia.
B Wardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
C College of Medicine and Public Health, Flinders University, Bedford Park, SA 5042, Australia.
D Aboriginal Women’s Advisory Group.
E Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5000, Australia.
F Menzies School of Health Research, Casuarina, NT 0811, Australia.
G Central Australian Aboriginal Congress, Alice Springs, NT 0870, Australia.
H Ngaanyatjarra, Pitjantjatjara, Yankunytjatjara Women’s Council, Alice Springs, NT 0870, Australia.
I The Heart Foundation of Australia, Woolloomooloo, NSW 2011, Australia.
J Victorian Heart Institute, Monash University, Clayton, Vic. 3168, Australia.
K Faculté des Sciences de l’Administration, Université Laval, Québec, QC, G1V 0A6, Canada.
* Correspondence to: Katharine.McBride@mymail.unisa.edu.au
Australian Journal of Primary Health 28(3) 179-199 https://doi.org/10.1071/PY21219
Submitted: 4 November 2021 Accepted: 23 December 2021 Published: 8 April 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
Abstract
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.
Keywords: Aboriginal and Torres Strait Islander peoples, Australia, cardiovascular disease prevention and control, health equity, Indigenous peoples, primary health care, systematic review, women.
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