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A systematic review of published interventions for primary and secondary prevention of ischaemic heart disease (IHD) in rural populations of Australia

Alston, Laura V., Peterson, Karen L., Jacobs, Jane P., Allender, Steven and Nichols, Melanie 2016, A systematic review of published interventions for primary and secondary prevention of ischaemic heart disease (IHD) in rural populations of Australia, BMC public health, vol. 16, Article number: 895, pp. 1-11, doi: 10.1186/s12889-016-3548-1.

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Title A systematic review of published interventions for primary and secondary prevention of ischaemic heart disease (IHD) in rural populations of Australia
Author(s) Alston, Laura V.ORCID iD for Alston, Laura V. orcid.org/0000-0002-4551-8845
Peterson, Karen L.ORCID iD for Peterson, Karen L. orcid.org/0000-0003-2822-9926
Jacobs, Jane P.
Allender, StevenORCID iD for Allender, Steven orcid.org/0000-0002-4842-3294
Nichols, MelanieORCID iD for Nichols, Melanie orcid.org/0000-0002-7834-5899
Journal name BMC public health
Volume number 16
Season Article number: 895
Start page 1
End page 11
Total pages 11
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2016-08-27
ISSN 1471-2458
Keyword(s) rural
Australia
ischaemic heart disease
inequalities
intervention
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
COMMUNITY
HEALTH
MORTALITY
PROGRAM
PROJECT
Summary BACKGROUND: Rural Australians are known to experience a higher burden of ischaemic heart disease (IHD) than their metropolitan counterparts and the reasons for this appear to be highly complex and not well understood. It is not clear what interventions and prevention efforts have occurred specifically in rural Australia in terms of IHD. A summary of this evidence could have implications for future action and research in improving the health of rural communities. The aim of this study was to review all published interventions conducted in rural Australia that were aimed at the primary and/or secondary prevention of ischaemic heart disease (IHD) in adults.

METHODS: Systematic review of the peer-reviewed literature published between January 1990 and December 2015. Search terms were derived from four major topics: (1) rural; (2) ischaemic heart disease; (3) Australia and; (4) intervention/prevention. Terms were adapted for six databases and three independent researchers screened results. Studies were included if the published work described an intervention focussed on the prevention or reduction of IHD or risk factors, specifically in a rural population of Australia, with outcomes specific to participants including, but not limited to, changes in diet, exercise, cholesterol or blood pressure levels.

RESULTS: Of 791 papers identified in the search, seven studies met the inclusion criteria, and one further study was retrieved from searching reference lists of screened abstracts. Typically, excluded studies focused on cardiovascular diseases without specific reference to IHD, or presented intervention results without stratification by rurality. Larger trials that included metropolitan residents without stratification were excluded due to differences in the specific needs, characteristics and health service access challenges of rural populations. Six interventions were primary prevention studies, one was secondary prevention only and one included both primary and secondary intervention strategies. Two interventions were focussed exclusively on Aboriginal and Torres Strait Islander (Australian Indigenous) populations.

CONCLUSIONS: Few interventions were identified that exclusively focussed on IHD prevention in rural communities, despite these populations being at increased risk of IHD in Australia, and this is consistent with comparable countries, internationally. Although limited, available evidence shows that primary and secondary interventions targeted at IHD and related risk factors can be effective in a rural setting.
Language eng
DOI 10.1186/s12889-016-3548-1
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30085786

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.