Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysis
Abstract Objective: To inform national evidence gaps on cardiovascular disease (CVD) preventive medication use and factors relating to under‐treatment ‐ including primary healthcare engagement ‐ among CVD survivors in Australia. Methods: Data from 884 participants with self‐reported CVD from the 201...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Australian and New Zealand Journal of Public Health |
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| Online Access: | https://doi.org/10.1111/1753-6405.13254 |
| _version_ | 1797761100244058112 |
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| author | Danielle C. Butler Ellie Paige Jennifer Welsh Hsei Di Law Lynelle Moon Emily Banks Rosemary J. Korda |
| author_facet | Danielle C. Butler Ellie Paige Jennifer Welsh Hsei Di Law Lynelle Moon Emily Banks Rosemary J. Korda |
| author_sort | Danielle C. Butler |
| collection | DOAJ |
| description | Abstract Objective: To inform national evidence gaps on cardiovascular disease (CVD) preventive medication use and factors relating to under‐treatment ‐ including primary healthcare engagement ‐ among CVD survivors in Australia. Methods: Data from 884 participants with self‐reported CVD from the 2014–15 National Health Survey were linked to primary care and pharmaceutical dispensing data for 2016 through the Multi‐Agency Data Integration Project. Logistic regression quantified the relation of combined blood pressure‐ and lipid‐lowering medication use to participant characteristics. Results: Overall, 94.8% had visited a general practitioner (GP) and 40.0% were on both blood pressure‐ and lipid‐lowering medications. Medication use was least likely in: women versus men (OR=0.49[95%CI:0.37‐0.65]), younger participants (e.g. 45–64y versus 65–85y: OR=0.58[0.42–0.79])and current versus never‐smokers (OR=0.73[0.44–1.20]). Treatment was more likely in those with ≥9 versus ≤4 conditions (OR=2.15[1.39–3.31]), with ≥11 versus 0–2 GP visits/year (OR=2.62[1.53–4.48]) and with individual CVD risk factors (e.g. high blood pressure OR=3.13 [2.34–4.19]) versus without); the latter even accounting for GP service‐use frequency. Conclusions: Younger people, smokers, those with infrequent GP visits or without CVD risk factors were the least likely to be on medication. Implications for public health: Substantial under‐treatment, even among those using GP services, indicates opportunities to prevent further CVD events in primary care. |
| first_indexed | 2024-03-12T19:08:06Z |
| format | Article |
| id | doaj.art-51ee977d5ab54d20aa6751c4a18d66e7 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T19:08:06Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-51ee977d5ab54d20aa6751c4a18d66e72023-08-02T06:04:07ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052022-08-0146453353910.1111/1753-6405.13254Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysisDanielle C. Butler0Ellie Paige1Jennifer Welsh2Hsei Di Law3Lynelle Moon4Emily Banks5Rosemary J. Korda6National Centre for Epidemiology and Population Health Australian National University Canberra Australian Capital TerritoryNational Centre for Epidemiology and Population Health Australian National University Canberra Australian Capital TerritoryNational Centre for Epidemiology and Population Health Australian National University Canberra Australian Capital TerritoryNational Centre for Epidemiology and Population Health Australian National University Canberra Australian Capital TerritoryAustralian Institute of Health and Welfare Bruce Australian Capital TerritoryNational Centre for Epidemiology and Population Health Australian National University Canberra Australian Capital TerritoryNational Centre for Epidemiology and Population Health Australian National University Canberra Australian Capital TerritoryAbstract Objective: To inform national evidence gaps on cardiovascular disease (CVD) preventive medication use and factors relating to under‐treatment ‐ including primary healthcare engagement ‐ among CVD survivors in Australia. Methods: Data from 884 participants with self‐reported CVD from the 2014–15 National Health Survey were linked to primary care and pharmaceutical dispensing data for 2016 through the Multi‐Agency Data Integration Project. Logistic regression quantified the relation of combined blood pressure‐ and lipid‐lowering medication use to participant characteristics. Results: Overall, 94.8% had visited a general practitioner (GP) and 40.0% were on both blood pressure‐ and lipid‐lowering medications. Medication use was least likely in: women versus men (OR=0.49[95%CI:0.37‐0.65]), younger participants (e.g. 45–64y versus 65–85y: OR=0.58[0.42–0.79])and current versus never‐smokers (OR=0.73[0.44–1.20]). Treatment was more likely in those with ≥9 versus ≤4 conditions (OR=2.15[1.39–3.31]), with ≥11 versus 0–2 GP visits/year (OR=2.62[1.53–4.48]) and with individual CVD risk factors (e.g. high blood pressure OR=3.13 [2.34–4.19]) versus without); the latter even accounting for GP service‐use frequency. Conclusions: Younger people, smokers, those with infrequent GP visits or without CVD risk factors were the least likely to be on medication. Implications for public health: Substantial under‐treatment, even among those using GP services, indicates opportunities to prevent further CVD events in primary care.https://doi.org/10.1111/1753-6405.13254data linkagehealth service usecardiovascular diseaseprimary healthcareprevention |
| spellingShingle | Danielle C. Butler Ellie Paige Jennifer Welsh Hsei Di Law Lynelle Moon Emily Banks Rosemary J. Korda Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysis Australian and New Zealand Journal of Public Health data linkage health service use cardiovascular disease primary healthcare prevention |
| title | Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysis |
| title_full | Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysis |
| title_fullStr | Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysis |
| title_full_unstemmed | Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysis |
| title_short | Factors related to under‐treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysis |
| title_sort | factors related to under treatment of secondary cardiovascular risk including primary healthcare australian national health survey linked data analysis |
| topic | data linkage health service use cardiovascular disease primary healthcare prevention |
| url | https://doi.org/10.1111/1753-6405.13254 |
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