Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care

• Main Authors: Bethany Crinall, Jacqueline Boyle, Melanie Gibson‐Helm, Danielle Esler, Sarah Larkins, Ross Bailie
• Format: Article
• Language: English
• Published: Wiley 2017-10-01
• Series: Australian and New Zealand Journal of Public Health
• Subjects: Indigenous; primary health care; Australia; quality improvement; cardiovascular disease; diabetes
• Online Access: https://doi.org/10.1111/1753-6405.12547

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). Methods: 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. Results: 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). Conclusions: 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.