{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T03:14:17Z","timestamp":1790306057951,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100002129","name":"Heart Foundation","doi-asserted-by":"publisher","award":["102627"],"award-info":[{"award-number":["102627"]}],"id":[{"id":"10.13039\/100002129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Coronary heart disease (CHD) is the primary cause of mortality in Australia and the largest contributor to the \u2018gap\u2019 in cardiovascular disease deaths between Aboriginal and Torres Strait Islander (First Nations) people and non\u2010indigenous Australians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess secondary prevention of CHD in First Nations people in primary care in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study of patients with CHD under active primary care management using electronic medical records from 406 general practices across Australia. Ultimately, 50 088 people with CHD were included in the study, and 3.5% of those were First Nations people. After 5.9\u2009years (standard deviation 5.0) in primary care adjusting for gender, age, remoteness, comorbidities, smoking status and continuity of care, First Nations peoples received equal statin (adjusted odds ratio (aOR): 0.9; 95% CI:0.8\u20131.1, <jats:italic>P<\/jats:italic> =\u20090.28), angiotensin\u2010converting enzyme inhibitors\/angiotensin II receptor antagonists (aOR:1.0; 95% CI:0.9\u20131.2, <jats:italic>P<\/jats:italic> =\u20090.85) and beta blockers (aOR:0.9;95% CI:0.8\u20131.1, <jats:italic>P<\/jats:italic> =\u20090.41) prescriptions. First Nations peoples were more likely to achieve BP &lt;1.8 in similar proportions (35.2% vs 36.9%, <jats:italic>P<\/jats:italic> =\u20090.16) but less likely to have HDL\u2010C &gt;1.0\u2009mmol\/L (57.5% vs 73.7%, <jats:italic>P<\/jats:italic> &lt;\u20090.001), triglycerides&lt;2.0\u2009mmol\/L (61.7% vs 76.0%, <jats:italic>P<\/jats:italic> &lt;\u20090.001) and HbA1C \u2264\u200953\u2009mmol\/mol (7.0%) (67.7% vs 82.1%, <jats:italic>P<\/jats:italic> &lt;\u20090.001). A higher proportion of First Nations people had HbA1c measured (75.7% vs 66.6%, <jats:italic>P<\/jats:italic> &lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>First Nations peoples with CHD under active primary care management received similar secondary prevention medications and achieved BP and LDL\u2010C targets as frequently as non\u2010indigenous Australians. A focus on easier access to facilitate attending primary care is needed to close the gap as well as addressing social determinants of health and structural inequities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.70025","type":"journal-article","created":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:44:11Z","timestamp":1743036251000},"page":"959-967","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Secondary prevention of coronary heart disease in Aboriginal and Torres Strait Islander people in primary care"],"prefix":"10.1111","volume":"55","author":[{"given":"Edwina","family":"Wing\u2010Lun","sequence":"first","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Menzies School of Health Research Charles Darwin University  Darwin NT Australia"},{"name":"Department of Cardiology Royal Darwin Hospital  Darwin Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5484-9144","authenticated-orcid":false,"given":"Simone","family":"Marschner","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desi","family":"Quintans","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Taylor","sequence":"additional","affiliation":[{"name":"Onemda: Aboriginal and Torres Strait Islander Health and WellBeing The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakelin","family":"Troy","sequence":"additional","affiliation":[{"name":"Faculty of Arts and Social Sciences University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Chow","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Cardiology Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Zaman","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Cardiology Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Australian Institute of Health and Welfare.Cardiovascular disease in women \u2013 a snapshot of national statistics[Internet] [cited 2025 Feb 28]. 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