Australia’s First Nations Peoples, Aboriginal and Torres Strait Islanders, have reduced
life expectancy compared to the wider community. Cardiovascular diseases, mainly driven
by ischaemic heart disease, are the leading contributors to this disparity. Despite
over a third of First Nations Peoples living in New South Wales, the bulk of the peer-reviewed
literature is from Central Australia and Far North Queensland. Regardless of the site
of publication, First Nations Peoples are significantly younger at disease onset and
have higher rates of comorbidities, in turn driving adverse health events. On top
of this, very few First Nations Peoples specific cardiovascular interventions or programs
have been shown to improve outcomes. The traditional biomedical model of care is less
efficacious and non-traditional models of communication such as clinical yarning may
benefit both clinicians and patients. The key purpose of this review is to highlight
the deficiencies of our knowledge of cardiovascular burden of disease for First Nations
Peoples; and to serve as a catalyst for more dedicated research. We need to have relationships
with communities and concentrate on community improvement and partnerships. By involving
First Nations Peoples researchers in collaboration with local communities in all levels
of health care design and intervention will improve outcomes.
Keywords
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Article info
Publication history
Published online: November 04, 2022
Accepted:
September 27,
2022
Received in revised form:
September 20,
2022
Received:
March 27,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
