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dc.contributor.authorButler, Danielle C.-
dc.contributor.authorPaige, Ellie-
dc.contributor.authorWelsh, Jennifer-
dc.contributor.authorLaw, Hsei Di-
dc.contributor.authorMoon, Lynelle-
dc.contributor.authorBanks, Emily-
dc.contributor.authorKorda, Rosemary J.-
dc.date.accessioned2023-04-13T07:21:30Z-
dc.date.available2023-04-13T07:21:30Z-
dc.date.issued2022-08-
dc.identifier.issn1753-6405.13254-
dc.identifier.urihttp://localhost:8080/xmlui/handle/123456789/4610-
dc.description.abstractObjective: 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.en_US
dc.language.isoen_USen_US
dc.publisherAustralian and New Zealand Journal of Public Healthen_US
dc.relation.ispartofseriesHealth Care;533-539-
dc.subjectdata linkageen_US
dc.subjecthealth service useen_US
dc.subjectcardiovascular diseaseen_US
dc.subjectprimary healthcareen_US
dc.subjectpreventionen_US
dc.titleFactors related to under-treatment of secondary cardiovascular risk, including primary healthcare: Australian National Health Survey linked data analysisen_US
dc.typeArticleen_US
Appears in Collections:VOL 46 NO 4

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