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

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish
Pages (from-to)179-199
JournalAustralian Journal of Primary Health
Volume28
Issue number3
DOIs
Publication statusPublished or Issued - 8 Apr 2022

Keywords

  • Aboriginal and Torres Strait Islander peoples
  • Australia
  • Indigenous peoples
  • cardiovascular disease prevention and control
  • health equity
  • primary health care
  • systematic review
  • women

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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