Key result
Cardiovascular disease rates among Indigenous women in Canada are rising and nearing or surpassing those of nonindigenous women, based on a scoping review of 61 studies.
This scoping review highlights a critical lack of research on the pathophysiology, diagnosis, and treatment of cardiovascular disease in Indigenous women in Canada, despite their rising and disproportionate CVD burden.
Rising CVD burden in Indigenous Canadian women warrants heightened clinical awareness; leaves open major gaps in tailored pathophysiology and treatment research.
Cardiovascular disease (CVD) is the leading cause of death among Indigenous peoples in Canada. As rates of CVD rise, the impacts among the growing population of Indigenous women will emerge as an important health issue. The objective of this scoping review was to advance the state of knowledge about cardiovascular health research in Indigenous women in Canada. Five databases and grey literature (non-peer reviewed works) were searched to identify all studies that reported on the prevalence, pathophysiology, diagnosis, treatment, or interventions for CVD among adult Indigenous women in Canada, including First Nations, Métis, and Inuit. Searching identified 3194 potential articles; 61 of which were included. The most commonly researched topics were the prevalence of CVD, hypertension, and dyslipidemia. Rates of CVD and associated mortality among Indigenous women appear to have surpassed those of their nonindigenous counterparts. Very little research has examined the pathophysiology, diagnosis, and treatment of CVD. Gaps in the research identified the need for sex-based analyses, comparison with nonindigenous women, comprehensive longitudinal data, assessment of diagnosis criteria, development and evaluation of cardiovascular health interventions, and a better understanding of the role of culture and traditions in the prevention and treatment of CVD among Indigenous women. Although comprehensive CVD data are lacking, rates of CVD among Indigenous women in Canada are rising and are nearing or surpassing those of nonindigenous women. This review serves as a call to action to seek further research on the pathophysiology, diagnosis, and treatment of CVD among Indigenous women from across Canada.
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Prince et al. (2017) conducted a review in Cardiovascular disease (n=61). Cardiovascular disease vs. Nonindigenous women was evaluated on Prevalence, pathophysiology, diagnosis, treatment, or interventions for CVD. Cardiovascular disease rates among Indigenous women in Canada are rising and nearing or surpassing those of nonindigenous women, based on a scoping review of 61 studies.
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