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
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Heart, Lung and CirculationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Cat. 3238.0.55.001.Australian Bureau of Statistics, 2016
- The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples 2015. Australian Institute of Health and Welfare,
2015https://www.aihw.gov.au/getmedia/584073f7-041e-4818-9419-39f5a060b1aa/18175.pdf.aspx?inline=trueDate accessed: June 1, 2022
- Aboriginal and Torres Strait Islander peoples, Use culturally appropriate and respectful language when writing with, for or about First Nations Australians.September 2021
- Census of Population and housng. Australian Bureau of Statistics, 2016
- Heart, stroke and vascular disease—Australian facts [Internet].Australian Institute of Health and Welfare, Canberra2021 ([cited 2022 Jan. 1]. Available from:)
- Australian Burden of Disease Study: impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2018.AIHW, Australian Burden of Disease Study series no 26 Cat no BOD 32 Canberra2018https://www.aihw.gov.au/reports/burden-of-disease/illness-death-indigenous-2018/summaryDate accessed: June 1, 2022
- Incidence of and case fatality following acute myocardial infarction in Aboriginal and non-Aboriginal Western Australians (2000-2004): a linked data study.Heart Lung Circ. 2010; 19: 717-725
- Aboriginal to non-Aboriginal differentials in 2-year outcomes following non-fatal first-ever acute MI persist after adjustment for comorbidity.Eur J Prev Cardiol. 2012; 19: 983-990
- Acute coronary syndromes in indigenous Australians: opportunities for improving outcomes across the continuum of care.Heart Lung Circ. 2010; 19: 325-336
- Mortality after admission for acute myocardial infarction in Aboriginal and non-Aboriginal people in New South Wales, Australia: a multilevel data linkage study.BMC Public Health. 2012; 12: 281
- Comorbidities and ventricular dysfunction drive excess mid-term morbidity in an indigenous australian coronary revascularisation cohort.Heart Lung Circ, 2018
- Thirty-day outcomes in Indigenous Australians following coronary artery bypass grafting.Int Med J. 2018; 48: 780-785
- An overview of indigenous australian disadvantage in terms of ischaemic heart disease.Heart Lung Circ. 2018; 27: 1274-1284
- Prevalence of heart failure in Australia: a systematic review.BMC Cardiovasc Disord. 2016; 16: 32
- Heart failure, ventricular dysfunction and risk factor prevalence in Australian Aboriginal peoples: the Heart of the Heart Study.Heart. 2012; 98: 1562-1567
- arotid arterial stiffness in patients with congenital heart disease-related pulmonary hypertension assessed with radio frequency data technique.Echocardiography. 2015; 32: 1676-1680
- Mortality and readmission following hospitalisation for heart failure in australia: a systematic review and meta-analysis.Heart Lung Circ. 2018; 27: 917-927
- Heart failure outcomes in Aboriginal and Torres Strait Islander peoples in the Hunter New England region of New South Wales.Int J Cardiol. 2021; 334: 65-71
- A cohort study: temporal trends in prevalence of antecedents, comorbidities and mortality in Aboriginal and non-Aboriginal Australians with first heart failure hospitalization, 2000-2009.Int J Equity Health. 2015; 14: 66
- Heart failure among Indigenous Australians: a systematic review.BMC Cardiovasc Disord. 2012; 12: 99
- Incidence of first heart failure hospitalisation and mortality in Aboriginal and non-Aboriginal patients in Western Australia, 2000-2009.Int J Cardiol. 2014; 173: 110-117
- Adherence to treatment guidelines in heart failure patients in the Top End region of Northern Territory.Heart Lung Circ, 2018
- Atrial fibrillation in the Indigenous populations of Australia, Canada, New Zealand, and the United States: a systematic scoping review.BMC Cardiovasc Disord. 2015; 15: 87
- Initial hospitalisation for atrial fibrillation in Aboriginal and non-Aboriginal populations in Western Australia.Heart. 2015; 101: 712-719
- Atrial fibrillation in Indigenous and non-Indigenous Australians: a cross-sectional study.BMJ Open. 2014; 4e006242
- The burden and implications of preoperative atrial fibrillation in Australian heart valve surgery patients.Int J Cardiol. 2017; 227: 100-105
- Burden of stroke in indigenous Western Australians: a study using data linkage.Stroke. 2011; 42: 1515-1521
- Stroke incidence and case-fatality among Indigenous and non-Indigenous populations in the Northern Territory of Australia, 1999-2011.Int J Stroke. 2015; 10: 716-722
- Excess stroke incidence in young Aboriginal people in South Australia: pooled results from two population-based studies.Int J Stroke. 2018; 13: 811-814
- Rheumatic heart diease and acute rheumatic fever in Australia: 1996-2012. Australian Institute of Health and Welfare,
Canberra2013https://www.aihw.gov.au/getmedia/5e2214db-c403-440e-a239-99d124dc640f/13993.pdf.aspx?inline=trueDate accessed: June 1, 2022
- Better Cardiac Care measures for Aboriginal and Torres Strait Islander people: third national report 2017.Canberra. 2018;
- Rheumatic heart disease in Indigenous children in northern Australia: differences in prevalence and the challenges of screening.Med J Aust. 2015; 203: 221 e1-7
- The Australian Guideline for Prevention, Diagnosis and Management of Acute Rheumatic Fever and Rheumatic Heart Disease.in: Second Edition. 2012
- The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease.Med J Aust. 2021; 214: 220-227
- Rheumatic heart disease in Indigenous children in northern Australia: differences in prevalence and the challenges of screening.Med J Aust. 2015; 203: 221.e1-221.e7
- Aboriginal children and penicillin injections for rheumatic fever: how much of a problem is injection pain?.Aust N Z J Public Health. 2018; 42: 46-51
- Outcomes of cardiac surgery in Indigenous Australians.Med J Aust. 2009; 190: 588-593
- Cardiac surgery in Indigenous Australians--how wide is 'the gap'?.Heart Lung Circ. 2014; 23: 265-272
- The morbidity and mortality outcomes of indigenous Australian peoples after isolated coronary artery bypass graft surgery: the influence of geographic remoteness.Heart Lung Circ. 2013; 22: 599-605
- Overcoming the tyranny of distance: An analysis of outreach visits to optimise secondary prevention of cardiovascular disease in high-risk individuals living in Central Australia.Aust J Rural Health. 2016; 24: 99-105
- Absolute cardiovascular disease risk and lipid-lowering therapy among Aboriginal and Torres Strait Islander Australians.Med J Aust. 2018; 209: 35-41
- Validation study of GRACE risk scores in indigenous and non-indigenous patients hospitalized with acute coronary syndrome.BMC Cardiovasc Disord. 2015; 15: 151
- Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care.Aust Health Review. 2014; 38: 552-556
- A framework for overcoming disparities in management of acute coronary syndromes in the Australian Aboriginal and Torres Strait Islander population. A consensus statement from the National Heart Foundation of Australia.Med J Aust. 2014; 200: 639-643
- National Heart Foundation of Australia AHF. Lighthouse Hospital Project, Phase 3, Summary of evaulation findings.https://www.heartfoundation.org.au/getmedia/6d186e11-f54c-4c85-9158-d7ac31b4a584/Lighthouse-Project-Report-(1).pdfDate: 2021Date accessed: September 1, 2022
- Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff: a concept mapping approach.Health Educ Res. 2013; 28: 31-45
- Smoking cessation advice and non-pharmacological support in a national sample of Aboriginal and Torres Strait Islander smokers and ex-smokers.Med J Aust. 2015; 202: S73-S77
- Clinical trials in a remote Aboriginal setting: lessons from the BOABS smoking cessation study.BMC Public Health. 2014; 14: 579
- Understanding patient access patterns for primary health-care services for Aboriginal and Islander people in Queensland: a geospatial mapping approach.Aust J Prim Health. 2017; 23: 37-45
- Barriers to participation of Aboriginal people in cancer care: communication in the hospital setting.Med J Aust. 2009; 190: 574-579
- The power of talk and power in talk: a systematic review of Indigenous narratives of culturally safe healthcare communication.Aust J Prim Health. 2018; 24: 109-115
- 'Yarn with me': applying clinical yarning to improve clinician-patient communication in Aboriginal health care.Aust J Prim Health. 2016; 22: 377-382
- Australia’s welfare 2017: in brief. Cat. no. AUS 215.AIHW, Canberra2017
- Aboriginal and Torres Strait Islander Health Performance Framework 2020 summary report. Cat. no. IHPF 2.AIHW, Canberra2020https://www.indigenoushpf.gov.au/publications/hpf-summary-2020Date accessed: June 1, 2022
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.
