• Resuscitation · Aug 2019

    Socioeconomic disparities in layperson CPR training within a large U.S. city.

    • Nabil M Abdulhay, Konstantinos Totolos, Shaun McGovern, Nicole Hewitt, Abhishek Bhardwaj, David G Buckler, Marion Leary, and Benjamin S Abella.
    • Center for Resuscitation Science and Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, United States.
    • Resuscitation. 2019 Aug 1; 141: 13-18.

    Aim Of The StudyWe sought to understand how individual factors and neighborhood characteristics are associated with a layperson's likelihood of being trained in CPR. We hypothesized that higher socioeconomic status (educational attainment, and median household income (MHI)) would be associated with a higher likelihood of previous CPR training.MethodsThrough the Mobile CPR Project, a program providing hands-only CPR and AED education in Philadelphia, we surveyed participants regarding socioeconomic factors and prior CPR training. Survey questions pertained to race, gender, education, prior CPR training, automated external defibrillator (AED) awareness, and residential area. Community MHI was extrapolated via residential address and census tract data.ResultsFrom 7/2016 to 4/2018, 1703 subjects completed surveys, including location information, prior to participating in a Mobile CPR Project training event. Of these, 70% were female, 70% were non-white, mean age was 42 ± 20 years, and MHI was $39,318 [IQR $27,708-$60,795]. Subjects residing in census tracts with MHI below the cohort median were significantly less likely to have ever received CPR training (lowest quartile: OR 0.65, CI 0.49-0.85, p = 0.002). In multiple logistic regression controlling for age, race, gender, MHI, and education, higher educational attainment was associated with a higher likelihood of ever receiving CPR training (OR 7.96 Masters or Doctoral compared to less than high school, CI 5.24-12.11, p < 0.001).ConclusionsThere is a strong association between socioeconomic factors (MHI and educational attainment) and likelihood of prior layperson CPR training.Copyright © 2019 Elsevier B.V. All rights reserved.

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