Australian women and heart disease: trends, epidemiological perspectives and the need for a culturally competent research agenda.

Patricia M Davidson, John Daly, Karen Hancock, Debra Jackson

Research output: Contribution to journalArticle

Abstract

Heart disease commonly manifests as acute coronary syndromes (unstable angina pectoris, or myocardial infarction) and heart failure (HF). These conditions are major causes of morbidity and mortality in Australia and internationally. Australian faces particular challenges in health care delivery given the cultural and ethnic diversity of society and unique issues related to rurality. These factors have significant implications for health care delivery. Following an acute cardiac event women have poorer outcomes: higher mortality rates, higher incidence of complications and greater psychological morbidity compared with men. Language barriers, socioeconomic factors, psychological trauma related to migration and alternate health seeking behaviors and varying perceptions of risk are likely to impact adversely on health outcomes. Self-management in chronic cardiovascular disease underscores the importance of models of care that incorporate aspects related to self-care and promotion of adherence to primary and secondary prevention initiatives. Implicit in this statement is the inclusion of the individual in negotiating and developing their care plan. Therefore health professionals need to be aware of the patient's needs, values, beliefs and health seeking behaviours. These factors are strongly influenced by culture and ethnicity. The cultural diversity of Australian society mandates cultural competence in health care. This paper presents an overview of nursing science related to women and heart disease in Australia and suggests directions for culturally-competent research and development and evaluation of models of care to improve health outcomes for all Australians.

Original languageEnglish (US)
Pages (from-to)62-73
Number of pages12
JournalContemporary nurse : a journal for the Australian nursing profession
Volume16
Issue number1-2
StatePublished - 2003
Externally publishedYes

Fingerprint

Heart Diseases
Health
Cultural Diversity
Research
Self Care
Delivery of Health Care
Heart Failure
Communication Barriers
Cultural Competency
Morbidity
Mortality
Unstable Angina
Negotiating
Primary Prevention
Acute Coronary Syndrome
Secondary Prevention
Nursing
Chronic Disease
Cardiovascular Diseases
Myocardial Infarction

Cite this

@article{1be81ce4721445fcb71a48e6baf001ee,
title = "Australian women and heart disease: trends, epidemiological perspectives and the need for a culturally competent research agenda.",
abstract = "Heart disease commonly manifests as acute coronary syndromes (unstable angina pectoris, or myocardial infarction) and heart failure (HF). These conditions are major causes of morbidity and mortality in Australia and internationally. Australian faces particular challenges in health care delivery given the cultural and ethnic diversity of society and unique issues related to rurality. These factors have significant implications for health care delivery. Following an acute cardiac event women have poorer outcomes: higher mortality rates, higher incidence of complications and greater psychological morbidity compared with men. Language barriers, socioeconomic factors, psychological trauma related to migration and alternate health seeking behaviors and varying perceptions of risk are likely to impact adversely on health outcomes. Self-management in chronic cardiovascular disease underscores the importance of models of care that incorporate aspects related to self-care and promotion of adherence to primary and secondary prevention initiatives. Implicit in this statement is the inclusion of the individual in negotiating and developing their care plan. Therefore health professionals need to be aware of the patient's needs, values, beliefs and health seeking behaviours. These factors are strongly influenced by culture and ethnicity. The cultural diversity of Australian society mandates cultural competence in health care. This paper presents an overview of nursing science related to women and heart disease in Australia and suggests directions for culturally-competent research and development and evaluation of models of care to improve health outcomes for all Australians.",
author = "Davidson, {Patricia M} and John Daly and Karen Hancock and Debra Jackson",
year = "2003",
language = "English (US)",
volume = "16",
pages = "62--73",
journal = "Contemporary Nurse",
issn = "1037-6178",
publisher = "eContent Management Pty Ltd",
number = "1-2",

}

TY - JOUR

T1 - Australian women and heart disease

T2 - trends, epidemiological perspectives and the need for a culturally competent research agenda.

AU - Davidson, Patricia M

AU - Daly, John

AU - Hancock, Karen

AU - Jackson, Debra

PY - 2003

Y1 - 2003

N2 - Heart disease commonly manifests as acute coronary syndromes (unstable angina pectoris, or myocardial infarction) and heart failure (HF). These conditions are major causes of morbidity and mortality in Australia and internationally. Australian faces particular challenges in health care delivery given the cultural and ethnic diversity of society and unique issues related to rurality. These factors have significant implications for health care delivery. Following an acute cardiac event women have poorer outcomes: higher mortality rates, higher incidence of complications and greater psychological morbidity compared with men. Language barriers, socioeconomic factors, psychological trauma related to migration and alternate health seeking behaviors and varying perceptions of risk are likely to impact adversely on health outcomes. Self-management in chronic cardiovascular disease underscores the importance of models of care that incorporate aspects related to self-care and promotion of adherence to primary and secondary prevention initiatives. Implicit in this statement is the inclusion of the individual in negotiating and developing their care plan. Therefore health professionals need to be aware of the patient's needs, values, beliefs and health seeking behaviours. These factors are strongly influenced by culture and ethnicity. The cultural diversity of Australian society mandates cultural competence in health care. This paper presents an overview of nursing science related to women and heart disease in Australia and suggests directions for culturally-competent research and development and evaluation of models of care to improve health outcomes for all Australians.

AB - Heart disease commonly manifests as acute coronary syndromes (unstable angina pectoris, or myocardial infarction) and heart failure (HF). These conditions are major causes of morbidity and mortality in Australia and internationally. Australian faces particular challenges in health care delivery given the cultural and ethnic diversity of society and unique issues related to rurality. These factors have significant implications for health care delivery. Following an acute cardiac event women have poorer outcomes: higher mortality rates, higher incidence of complications and greater psychological morbidity compared with men. Language barriers, socioeconomic factors, psychological trauma related to migration and alternate health seeking behaviors and varying perceptions of risk are likely to impact adversely on health outcomes. Self-management in chronic cardiovascular disease underscores the importance of models of care that incorporate aspects related to self-care and promotion of adherence to primary and secondary prevention initiatives. Implicit in this statement is the inclusion of the individual in negotiating and developing their care plan. Therefore health professionals need to be aware of the patient's needs, values, beliefs and health seeking behaviours. These factors are strongly influenced by culture and ethnicity. The cultural diversity of Australian society mandates cultural competence in health care. This paper presents an overview of nursing science related to women and heart disease in Australia and suggests directions for culturally-competent research and development and evaluation of models of care to improve health outcomes for all Australians.

UR - http://www.scopus.com/inward/record.url?scp=1842454682&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1842454682&partnerID=8YFLogxK

M3 - Article

C2 - 2004050527

AN - SCOPUS:1842454682

VL - 16

SP - 62

EP - 73

JO - Contemporary Nurse

JF - Contemporary Nurse

SN - 1037-6178

IS - 1-2

ER -