Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care.
| dc.contributor.author | Crinall B. | |
| dc.contributor.author | Boyle J. | |
| dc.contributor.author | Gibson-Helm M. | |
| dc.contributor.author | Esler D. | |
| dc.contributor.author | Larkins S. | |
| dc.contributor.author | Bailie R. | |
| dc.date.accessioned | 2024-11-19T05:29:46Z | |
| dc.date.available | 2024-11-19T05:29:46Z | |
| dc.date.copyright | 2017 | |
| dc.date.issued | 2016-11-08 | en |
| dc.description.abstract | Objective: To examine preventive health attendance and recording of type 2 diabetes and cardiovascular disease risk factors and their management in young Aboriginal peoples and Torres Strait Islanders (Indigenous Australians) at primary health care centres (PHCs). Method(s): This descriptive cross-sectional study audited medical records of 1,986 Indigenous people aged 15-34 years attending 93 Australian PHCs. Measurements included blood pressure (BP), blood glucose level (BGL), smoking status, body mass index (BMI) and lipid profile. Result(s): Last attendance was most commonly for acute care (46%); 12% attended for preventive assessment. BP was recorded in 85% (1,686/1,986), BGL 63% (1,244/1,986), smoking status 52% (1,033/1,986), BMI 37% (743/1,986) and lipids 31% (625/1,986). Of those with a recorded assessment, elevated BGL (39%, 479/1,244), smoking (63%, 649/1,033), overweight/obesity (51%, 381/743) and dyslipidaemia (73%, 458/625) were common. Follow-up of abnormal results was documented for elevated BP 28% (34/120), elevated BGL 17% (79/479), smoking 65% (421/649), overweight/obesity 11% (40/381) and abnormal lipids 16% (75/458). Conclusion(s): These findings highlight the importance of raising awareness and assessment of chronic disease risk factors in young Indigenous people and implementing preventive health care strategies. Implications: Strengthening the capacity of PHCs to provide preventive health care may contribute to reducing the chronic disease burden experienced by young Indigenous people. Copyright © 2016 Public Health Association of Australia | |
| dc.description.grant | The ABCD National Research Partnership Project is supported by funding from the National Health and Medical Research Council (545267) and the Lowitja Institute, and by in-kind and financial support from a range of community-controlled and government agencies. | |
| dc.identifier.citation | Australian and New Zealand Journal of Public Health. Vol.41(5), 2017, pp. 460-466. | |
| dc.identifier.doi | https://dx.doi.org/10.1111/1753-6405.12547 | |
| dc.identifier.institution | (Crinall, Boyle, Gibson-Helm) Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Victoria, Australia | |
| dc.identifier.institution | (Crinall) Monash Health, Diabetes and Vascular Medicine, Victoria, Australia | |
| dc.identifier.institution | (Crinall, Esler) School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Queensland, Australia | |
| dc.identifier.institution | (Boyle, Bailie) Menzies School of Health Research, Charles Darwin University, Queensland, Australia | |
| dc.identifier.institution | (Larkins) Anton Breinl Research Centre for Health Systems Strengthening, College of Medicine and Dentistry, James Cook University, Queensland, Australia | |
| dc.identifier.uri | https://lowitja.intersearch.com.au/handle/1/522 | |
| dc.relation.ispartof | Australian and New Zealand Journal of Public Health | |
| dc.subject.keywords | Diabetes | |
| dc.subject.keywords | Cardiovascular health | |
| dc.title | Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care. | |
| dc.type | Article | |
| dc.type.studyortrial | Observational study (cohort, case-control, cross sectional, or survey) |