Sociocultural determinants and health inequities in cardiac care provision among migrant populations in Australia
 
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1
Torrens University Australia, Adelaide, Australia
2
Public Health Information Development Unit, Torrens University Australia, Adelaide, Australia
Publication date: 2023-04-27
 
Popul. Med. 2023;5(Supplement):A1351
 
ABSTRACT
Background: Health inequities among migrant populations impact health and wellbeing of this marginalised groups. This study aimed to determine correlation between sociocultural determinants and cardiac care provision for migrant populations in Australia. Methods: This study correlated population health areas in public health surveillance system with a set of clinical data among migrant populations derived from a tertiary hospital in South Australia. Data correlation has been calculated and the interactive data map [1] has been published. The correlation were presented as correlation coefficient (r). Results: The evidence reveals a strong relationship between sociocultural determinants and cardiac care provision. Migrant populations born overseas in non-English speaking (NES) countries are less likely to access to the universal health coverage (Medicare) and are more likely to live with socioeconomic disadvantage (r=0.24). Migrant populations are less likely to utilise ambulance as the first contact in cardiac events (r= -0.22) and to receive cardiac care at triage within the recommended timeframe of 10 minutes (r= -0.35). The association between migrant populations and non-concordance with the guidelines for chest pain management are very strong. The population born overseas in NES, resident in Australia ≥ 5 years has a strongest correlation with non-concordance (r=0.50); whereas the Australian-born population are more likely to meet the guideline concordance (Figure). The evidence suggested that permanent migrants entering Australia between 2000-2006 under family and skill stream visas have a higher likelihood of non-concordance with the guidelines for chest pain management (r= 0.50) compared to those of the groups arrived in Australia after 2006. Conclusions: Sociocultural determinants have been found strongly associated with health inequities in cardiac care provision for migrant populations in Australia. Addressing these determinants of health, normalising cultural competence and engaging community in healthcare system are recommended to promote health equities and sustain health and wellbeing in these disadvantaged populations. [2] Links: ------[1] http://atlasesaustralia.au/TED/atlas.html[2] https://laureateaus-my.sharepoint.com/:i:/r/personal/hannahwechkunanukultorrenseduau/Documents/WCPH%202023/Association%20between%20migrants%20and%20cardiac%20care%20provision.jpg?csf=1&web=1&e=TLFz6M
ISSN:2654-1459