The ESSENCE document describing Essential Services Standards for Aboriginal and Torres
Strait Islander people [
[1]
] is a well written and robust set of guidelines that could be more generally applicable
in Australian communities, especially for non-Indigenous disadvantaged groups including
migrants. Hypertension is included as one of the seven tables in the ESSENCE document.
Although this is justified by a recent report stating that hypertension is the most
common self-reported cardiovascular condition in the Aboriginal and Torres Strait
Islander population [
- Brown A.
- O'Shea R.L.
- Mott K.
- McBride K.F.
- Lawson T.
- Jennings G.L.
On behalf of the Essential Service Standards for Equitable National Cardiovascular
Care for A, Torres Strait Islander people Steering Committee
Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander People.
Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander People.
Heart Lung Circ. 2015; 24: 126-141
[2]
], the prevalence is only 7% compared with much higher rates of diabetes in most Indigenous
communities [
[3]
]. Our own comparative studies, which have included urban-dwelling Aboriginals with
type 2 diabetes followed longitudinally since 1993 [
[4]
], suggest that hypertension is less common than in the majority Anglo-Celt group.
By contrast, diabetes control is relatively poor amongst the Aboriginal patients who
also have high rates of smoking.To read this article in full you will need to make a payment
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References
- Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander People.Heart Lung Circ. 2015; 24: 126-141
- Cardiovascular disease and its associated risk factors in Aboriginal and Torres Strait Islander peoples, 2004-05.AIHW, Canberra2008
- Diabetes prevalence and determinants in Indigenous Australian populations: A systematic review.Diabetes Res Clin Pract. 2011; 93: 139-149
- Continuing disparities in cardiovascular risk factors and complications between aboriginal and Anglo-Celt Australians with type 2 diabetes: the Fremantle Diabetes Study.Diabetes Care. 2012; 35: 2005-2011
- 10-year follow-up of intensive glucose control in type 2 diabetes.N Engl J Med. 2008; 359: 1577-1589
Article info
Publication history
Published online: January 22, 2015
Accepted:
January 8,
2015
Received:
December 16,
2014
Identification
Copyright
© 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander PeopleHeart, Lung and CirculationVol. 24Issue 2
- PreviewCardiovascular diseases (CVD) constitute the largest cause of death for Aboriginal and Torres Strait Islander people and remain the primary contributor to life expectancy differentials between Aboriginal and Torres Strait Islander and non-Indigenous Australians. As such, CVD remains the most critical target for reducing the life expectancy gap. The Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander people (ESSENCE) outline elements of care that are necessary to reduce disparity in access and outcomes for five critical cardiovascular conditions.
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