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Your search keyword '"Carrington, Melinda J."' showing total 16 results
Start Over Author "Carrington, Melinda J." Journal international journal of cardiology
16 results on '"Carrington, Melinda J."'

2. Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement

Author

Stewart, Simon, Riegel, Barbara, Boyd, Cynthia, Ahamed, Yasmin, Thompson, David R., Burrell, Louise M., Carrington, Melinda J., Coats, Andrew, Granger, Bradi B., Hides, Julie, Weintraub, William S., Moser, Debra K., Dickson, Victoria Vaughan, McDermott, Cressida J., Keates, Ashley K., and Rich, Michael W.

Published
2016
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16. Cardiometabolic risk and disease in Indigenous Australians: the heart of the heart study

Author

Simon Stewart, Michele McGrady, Geraldine Lee, Alex Brown, Christopher Zeitz, Melinda Carrington, Kevin G. Rowley, Henry Krum, Brown, Alex, Carrington, Melinda J, McGrady, Michele, Lee, Geraldine A, Zeitz, Christopher, Krum, Henry, Rowley, Kevin, and Stewart, Simon

Subjects
Gerontology, Adult, Male, Native Hawaiian or Other Pacific Islander, Adolescent, Cross-sectional study, Population, socioeconomic factors, Disease, Indigenous, Cohort Studies, Young Adult, cardiovascular disease, Risk Factors, Diabetes Mellitus, Medicine, Humans, Renal Insufficiency, Chronic, education, indigenous, Socioeconomic status, non-communicable disease, Depression (differential diagnoses), education.field_of_study, business.industry, Australia, Non-communicable disease, Middle Aged, medicine.disease, Cross-Sectional Studies, Cardiovascular Diseases, depression, cardiometabolic, Female, Cardiology and Cardiovascular Medicine, business, Psychosocial
Abstract

Objectives: This study assessed the burden and determinants of cardiovascular and metabolic risk in a community sample of high risk Indigenous Australians. Background: Indigenous Australians are over-represented in the most disadvantaged strata of Australian society. The role of psychosocial and socioeconomic factors in patterning cardiometabolic disease in this population is unclear. Methods: The Heart of the Heart Study was a cross sectional study of 436 Aboriginal adults from remote, urban and peri-urban communities around Alice Springs (Northern Territory, Australia). Participants underwent detailed assessments of socio-demographic, psychosocial, cardiovascular and metabolic status. Results: Individuals with depression were twice as likely to have cardiovascular disease (OR 2.03; 1.07-3.88; p b 0.05). Chronic kidney disease (39.7%, 37.2% and 18.2%) and diabetes (28.4%, 34.0% and 19.2%) were more common in peri-urban and remote compared to urban communities. Cardiovascular disease did not vary across locations (p = 0.069), but coronary artery disease did (p = 0.035 for trend). Unemployed individuals were more likely to have cardiovascular disease (OR 2.32; 1.33-4.06; p b 0.001). Socioeconomic gradients in coronary artery disease, all cardiovascular disease and diabetes, as measured by income, operated differentially across locations (p for location/socioeconomic status interactions 0.002; 0.01 and 0.04 respectively). Conclusion: Participants had high rates of pre-existing cardiovascular disease, diabetes and chronic kidney disease. Cardiovascular risk in these communities was associated with psychosocial factors and socioeconomic indicators. However, gradients operated differentially across location. These data provide a strong foundation for better understanding key drivers of increased levels of cardiovascular and other common forms of noncommunicable disease in Indigenous people. Refereed/Peer-reviewed

Published
2013

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