The Centre of Research Excellence (CRE) to Reduce Inequality in Heart Disease focuses on improving the heart health and outcomes of groups and communities i.e. Regional Australians, Indigenous Australians and International Health

Indigenous Australians

Theme Leader

Professor Alex Brown

Overview

IndigenousAustralians.jpg - largeCardiovascular disease is the biggest single cause of death for Aboriginal and Torres Strait Islander peoples, and the primary contributor to the life expectancy gap. The presence of risk factors for cardiovascular disease, particularly multiple risk factors, is significantly higher for Aboriginal and Torres Strait Islanders compared to other Australians. Despite the heavy burden of heart disease, significant disparities exist in the delivery of evidence based care.

 

The agenda of the Indigenous theme will be focused on addressing the disparity faced by Aboriginal and Torres Strait Islanders in cardiovascular disease outcomes. The program of work, which will be undertaken in partnership with Aboriginal and Torres Strait Islander communities and representative bodies will consider:

  • What is the epidemiology of inequalities in heart disease;
  • What determinants contribute to these inequalities; and,
  • What interventions can be implemented to effectively address the disparity?

 

In considering the questions listed above, the Centre of Research Excellence to Reduce Inequality in Heart Disease will develop a program of work which will provide exemplars of targeted interventions which effectively and efficiently address and reduce the disparities in care of cardiovascular disease and disease experienced by Aboriginal and Torres Strait Islander people, whilst developing much needed knowledge and providing a practical contribution back to communities.

List of Projects

Central Australia Heart Protection Study

Implementing cardiovascular standards to improve Indigenous cardiovascular care and outcomes

References

  1. Australian Bureau of Statistics, Australian Institute of Health and Welfare. The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples, 2008. Canberra: ABS and AIHW, 2008.
  2. Australian Bureau of Statistics and Australian Institute of Health and Welfare. The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples. ABS Catalogue No. 4704.0. AIHW Catalogue No. IHW 21. Canberra: ABS and AIHW, 2008.
  3. COAG Reform Council. National Indigenous Reform Agreement: performance report for 2009–10. Sydney: COAG Reform Council, 2011.
  4. Australian Institute of Health and Welfare. Contribution of chronic disease to the gap in mortality between Aboriginal and Torres Strait Islander people and other Australians. Canberra: Australian Institute of Health and Welfare, 2011.
  5. Australian Bureau of Statistics. The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples. Canberra: Commonwealth of Australia; 2001.
  6. Zhao Y, Dempsey K. Causes of inequality in life expectancy between Indigenous and non-Indigenous people in the Northern Territory, 1981-2000: a decomposition analysis. Medical Journal  of Australia. 2006;184:490-4.
  7. Brown A. Bridging the survival gap between Indigenous and non-Indigenous Australians: priorities for the road ahead. Heart Lung Circ. 2009;18(2):96-100. Epub 2009/03/07.
  8. Brown A. Acute coronary syndromes in indigenous Australians: opportunities for improving outcomes across the continuum of care. Heart Lung Circ. 2010;19(5-6):325-36.
  9. Luke JN, Brown AD, Brazionis L, O'Dea K, Best JD, McDermott RA, et al. Exploring clinical predictors of cardiovascular disease in a central australian aboriginal cohort. European journal of preventive cardiology. 2012. Epub 2012/02/22.
  10. Brown A, Walsh W, Lea T, Tonkin A. What becomes of the broken hearted? Coronary heart disease as a paradigm of cardiovascular disease and poor health among Indigenous Australians. Heart, Lung and Circulation. 2005;14:158-62.
  11. Hoy WE, Baker PR, Kelly AM, Wang Z. Reducing premature death and renal failure in Australian aboriginals. A community-based cardiovascular and renal protective program. Med J Aust. 2000;172(10):473-8.
  12. O'Dea K, Rowley K. Macrovascular disease risk factors and insulin resistance in Aboriginal and Torres Strait Islander people. J Diab Compl. 2002;16:9-10.
  13. Rowley K, Walker K, Cohen J, Jenkins A, O’Neal D, Su Q, et al. Inflammation and vascular endothelial activation in an Aboriginal population: relationships to coronary disease risk factors and nutritional markers. MJA. 2003;178:495-500.
  14. Daniel M, Lekkas P, Cargo M, Stankov I, Brown A. Environmental risk conditions and pathways to cardiometabolic diseases in indigenous populations. Annual review of public health. 2011;32:327-47.
  15. Rowley K, O'Dea K, Anderson I, McDermott R, Saraswati K, Tilmouth R, et al. Lower than expected morbidity and mortality for an Australian Aboriginal population: 10-year follow-up in a decentralised community. MJA. 2008;188(5):283-7.
  16. McGrady M, Krum H, Carrington MJ, Stewart S, Zeitz C, Lee GA, et al. Heart failure, ventricular dysfunction and risk factor prevalence in Australian Aboriginal peoples: the Heart of the Heart Study. Heart. 2012. Epub 2012/08/14.