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Cardiovascular Disease in Australians Experiencing Homelessness

Karan Rao1, Daniel Brieger2, Alexandra Baer3

  • 1Royal North Shore Hospital, Sydney, NSW, Australia; North Shore Private Hospital, Sydney, NSW, Australia; University of Sydney, Sydney, NSW, Australia.

Heart, Lung & Circulation
|March 1, 2023
PubMed

Insights

Australians experiencing homelessness face significant cardiovascular disease barriers due to unmanaged risk factors and health system challenges. A collaborative strategy involving housing, outreach, and tailored care is proposed to improve health outcomes.

Area of Science:

  • Public Health
  • Cardiology
  • Health Equity

Background:

  • Australians experiencing homelessness (AEH) exhibit high rates of cardiovascular disease (CVD) and poorer health outcomes compared to the general population.
  • AEH represent a vulnerable cohort with unique challenges in accessing and navigating healthcare services.
  • High prevalence of cardiovascular disease in homeless populations necessitates targeted interventions.

Purpose of the Study:

  • To explore the barriers in diagnosis and management of cardiovascular disease among Australians experiencing homelessness.
  • To identify inadequately managed traditional and non-traditional cardiovascular risk factors in AEH.
  • To propose a strategy for addressing cardiovascular health inequalities in this population.

Main Methods:

  • This study is a narrative review.
  • It synthesizes existing literature on cardiovascular disease risk factors and healthcare challenges for AEH.
  • Analysis focuses on personal, practical, and relationship barriers within the health system.

Main Results:

  • Inadequately managed cardiovascular risk factors contribute to unique diagnostic and management barriers for AEH.
  • Personal, practical, and relationship challenges with the health system impede effective cardiovascular care.
  • Significant health disparities exist in cardiovascular health outcomes for AEH.

Conclusions:

  • A targeted, collaborative strategy is essential to improve cardiovascular health for AEH.
  • Key components include government action, stable housing, and multi-stakeholder involvement (health professionals, community leaders, homelessness organizations).
  • Flexible, individualized, and outreach-based healthcare delivery models are recommended for preventative cardiovascular care.

Keywords:
AustraliaCardiovascularHomelessInequality

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