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Aboriginal man and female nurse holding heart model, discussing heart health

First Nations heart health

First Nations peoples should be aware that the information contained on these webpages may contain images or names of deceased people and may cause distress to certain viewers.

The Heart Foundation supports all people living in Australia to live a full and healthy life. We respect and recognise the unique status of Aboriginal and Torres Strait Islander peoples as First Nations Australians.*

*The term First Nations peoples will be used to describe both the Aboriginal and Torres Strait Islander peoples of Australia.

Find resources and information

Cardiovascular health

More First Nations peoples are impacted by cardiovascular disease (CVD) than other Australians. They also experience cardiovascular disease at a younger age than other Australians.

CVD is the leading cause of avoidable deaths, and death overall, for First Nations peoples and is the main contributor to the gap in life expectancy between First Nations peoples and other Australians.(1)

The uneven burden of CVD risk factors (including high blood pressure and diabetes), ill-health and loss of life among First Nations peoples, is a result of the complex interplay between social, cultural, economic, environmental and political factors.

Identifying people who are at high risk, delivering culturally sensitive programs, providing health education resources and strategic advocacy are important ways to decrease the disproportionate burden of CVD for First Nations peoples.

Two young Aboriginal girls standing next to each other, arms around

Barriers to accessing healthcare

First Nations peoples encounter a number of challenges when it comes to accessing quality health care including cost, lack of service availability (especially in regional, remote and low socio-economic areas), long wait times, and lack of culturally safe and responsive health care services and settings.

The Heart Foundation acknowledges the work that the Aboriginal Community Controlled Health Sector (ACCHS) does in providing culturally safe and comprehensive primary health care, including achieving an increase in Indigenous-specific health checks, such as heart health checks for First Nations peoples.(3)

Acute rheumatic fever (ARF) and rheumatic heart disease (RHD)

Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) continue to devastate First Nations communities at one of the highest rates in the world.

A young First Nations girl on a sunny day outdoors eating an apple

Culturally appropriate healthcare

The Heart Foundation recognises the need to build strong relationships with First Nations communities and organisations to advocate for, support and deliver, better heart health outcomes.

Culturally appropriate healthcare for First Nations peoples encompasses a broad range of strategies aimed at holistic care, and strengthening and building community capacity.

Holistic healthcare for First Nations peoples must acknowledge that the mind and the body are interconnected with country, as well as addressing the risk factors for CVD, and the importance of physical, social, emotional, cultural and spiritual wellbeing.

There are a number of factors that have been identified as important for First Nation's peoples including cultural identity, family and community connections.(4)

First Nations leadership

The Heart Foundation acknowledges and respects the crucial role of First Nations leadership and Aboriginal community control in addressing the health needs of our Aboriginal and/or Torres Strait Islander population. First Nations leadership brings culturally safe and holistic perspectives that reflect unique health needs, integrate cultural practices, historical contexts and place-based solutions. We are proud to have a dedicated First Nations team leading on the Heart Foundation’s work and acknowledge the First Nations organisations and communities that support the delivery of our work to advance equitable and sustainable health outcomes.

First Nations leadership also encompasses the importance of lived experience expertise and shared decision making for achieving improved health outcomes. Assessing and reducing CVD risk with First Nations peoples requires culturally safe shared decision making by health professionals incorporating lived experience expertise (including individuals, families and communities) across the life course. We recognise that local place-based solutions and community led approaches relevant to specific communities and regions are also vital.

Working in partnership and collaboration with First Nations peoples, communities and leaders through community led approaches, shared decision-making, and incorporation of lived experience perspectives, is essential to strengthen health services andimprove health outcomes for First Nations populations.

Prof Sandra Eades

Meet our First Nations team

Our dedicated First Nations team leading the Heart Foundation’s work to advance equitable and sustainable health outcomes.

Group from project for Champions4Change in Groote Eylandt
Champions4Change

A national program that brings together people with the lived experience of acute rheumatic fever (ARF) and RHD.

A First Nations man wearing a red shirt is positioned in front of a washing machine.
Remote Laundries project

Enabling people access to washing facilities, which helps reduce the spread of scabies infections...

Group of First Nations kids and adults in traditional dance at Barunga Festival 2023
Events

Travelling to communities, listening and learning, working alongside local clinics...

Group of First Nations people with Heart Foundation team

First Nations Research

First Nations CVD Grant

The National Heart Foundation is proud to award a First Nations CVD Grant (formerly called the Aboriginal and Torres Strait Islander Award) each year.

This funding opportunity provides for a research role for a First Nations person. The role should be embedded within the project, with mentoring and guidance provided by the project’s Chief Investigator, with the purpose of encouraging and maintaining our First Nations researchers.

Heart Health resources for First Nations peoples

First Nations peoples should be aware that the information contained on these webpages may contain images or names of deceased people and may cause distress to certain viewers.

group of five First Nations women and girls walking on beach on a sunny day
What is heart disease?

Heart disease can occur 10 to 20 years earlier among Aboriginal and Torres Strait Islander peoples and can lead to long-term health problems.

Background image, beautiful blue, purple, yellow and white dot painting
Aboriginal heart health website

Visit the St Vincents Hospital NSW and Heart Foundation Aboriginal heart health website for more information

Young First Nations woman holding climbing rails at a pool
Are you at risk of heart disease? 

Preventing heart disease starts with knowing your risk factors and making changes to live a healthier life.

A young man wearing headphones, sitting on a bench and smiling.
How to keep your heart strong

Support and resources to help you stay healthy and reduce risk of heart disease.

A group of women standing on the beach, enjoying the sun and the ocean waves.
Pilbara Aboriginal Heart Health Program

The Pilbara Aboriginal Heart Health Program works with local communities to improve heart health.

A young girl enjoying a sunlit moment as she savors a fresh apple, relishing its taste and the warmth of the sun on her face.
What is acute rheumatic fever and rheumatic heart disease?

Rheumatic heart disease is a serious disease that causes damage to your heart valves.

Heart smart mobstyle resources

The Heart smart mobstyle resources are designed for all students to use, but specifically targets Aboriginal and Torres Strait Islander students through the inclusion of culturally relevant resources and learning experiences.

A healthy beginning is critical in preventing heart disease later in life, which is a risk for Aboriginal and Torres Strait Islander peoples. Educating children at a young age about the importance of good heart health has a long-term effect and decreases the number of people who will go on to develop cardiovascular disease in adult life.

Health professional resources for First Nations heart health

A man and woman sit in a room, examining a medical chart.
For professionals: Aboriginal and Torres Strait Islander peoples information and resources

Resources for providing best practice cardiovascular care for Aboriginal and Torres Strait Islander peoples.

fp-acute-rheumatic-fever-and-heart-disease
Guidelines for acute rheumatic fever and rheumatic heart disease

Australian guidelines for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease.

Multi generational women on the sofa. The young girls are sisters. One is a teenager on is younger. There is also a mother and grandmother. They are all happy and smiling. They are all Australian Aboriginals.
For professionals: Women and heart disease

These healthcare professional resources aims to address current gaps in knowledge about heart disease in women.

For professionals: Aboriginal and Torres Strait Islander peoples identification training
For professionals: CVD risk assessment for Aboriginal and Torres Strait Islander peoples

Recommendations for assessing Cardiovascular disease (CVD) risk in Aboriginal and Torres Strait Islander peoples

Male health professional looking at his phone as he does his online training
For professionals: Online education and training

Online courses for health professionals focused on improving cardiovascular care.

Colourful First Nations artwork from the Heart Health Yarning Tool
CVD Tool (heartyarningtool.com)

This tool is a conversation guide to help health professionals yarn about heart health and how to reduce the risk of heart attack and stroke.

The Heart Foundation is a member of Supply Nation.

Supply Nation is the largest database of verified Aboriginal and/or Torres Strait Islander businesses in Australia connecting organisations like ours with First Nations owned businesses.  

Our membership with Supply Nation is an example of our commitment to equity, diversity and inclusion within our organisational workforce and procurement processes.

Supply Nation Member logo

More information, tools and references

  1. Australian Bureau of Statistics. Australian Institute of Health and Welfare and Australian Bureau of Statistics analysis of the ABS Causes of Death: Table D1.23.18 2020 [Available from: https://www.indigenoushpf.gov.au/measures/1-05-circulatory-disease  
  2. Australian Institute of Health and Welfare. Better Cardiac Care measures for Aboriginal and Torres Strait Islander people: seventh national report 2022 (data update).  Canberra: AIHW; 2022
  3. Australian Institute of Health and Welfare The Health Performance Framework Summary report  2023.Canberra AIHW 
  4. McBride KF, Franks C, Wade V, et al. Good Heart: Telling Stories of Cardiovascular Protective and Risk Factors for Aboriginal Women. Heart, Lung and Circulation 2021;30(1):69-77. doi: 10.1016/j.hlc.2020.09.931 

Last updated08 March 2024