Brown Alex, Blashki Grant
Central Australian Division of Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Northern Territory.
Aust Fam Physician. 2005 Oct;34(10):813-9.
Aboriginal men experience unacceptably high morbidity and mortality rates for almost all medical conditions. Heart disease and depression in particular are common, inter-linked, and potentially amendable to interventions delivered through primary care.
This article aims to raise awareness of mental illness and heart disease in Aboriginal men, to explore the links between these disease groups, and to encourage general practitioners to do all they can to help reduce morbidity and mortality, in particular through active secondary prevention.
It would be simplistic to think that these problems can be adequately addressed merely through improved general practice services, but improved recognition of illness by GPs, improved accessibility and acceptability of health services, active follow up and management of depression and heart disease, and ongoing engagement with communities is likely to improve the current situation.
几乎在所有医疗状况方面，原住民男性的发病率和死亡率都高得令人难以接受。尤其是心脏病和抑郁症很常见，相互关联，并且有可能通过初级保健进行干预改善。
本文旨在提高人们对原住民男性精神疾病和心脏病的认识，探讨这些疾病群体之间的联系，并鼓励全科医生尽一切努力帮助降低发病率和死亡率，特别是通过积极的二级预防。
认为仅通过改善全科医疗服务就能充分解决这些问题的想法过于简单，但全科医生对疾病的更好识别、医疗服务可及性和可接受性的提高、对抑郁症和心脏病的积极随访与管理，以及与社区的持续互动，可能会改善当前状况。
