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Abstract 236: Gender Disparities in Bystander CPR and Defibrillation Persist in Black and Hispanic Neighborhoods in the US

Publication ,  Conference
Blewer, AL; Starks, MA; Malta Hansen, C; Ong, ME; Viera, AJ; Al-Araji, R; McNally, BF; Granger, CB
Published in: Circulation
November 17, 2020

Bystander CPR (B-CPR) and defibrillation for sudden cardiac arrest (SCA) vary by gender with females being less likely to receive these interventions. Despite known differences by race and ethnicity, it is unknown whether gender disparities in B-CPR and defibrillation persist by neighborhood race and ethnicity. We examined the likelihood of receiving B-CPR and defibrillation by gender stratified by public location and neighborhood racial/ethnic composition. We hypothesized that in public locations within Black neighborhoods, females will have a lower likelihood of receiving B-CPR compared to males. We conducted a retrospective cohort study using data from the US Cardiac Arrest Registry to Enhance Survival (CARES) registry. Neighborhoods were classified by census tract based on percent of Black or Hispanic residents using the threshold in the definition of “White flight” where Whites leave a neighborhood when it exceeds >30% of a minority population. We independently modeled the likelihood of receipt of B-CPR and defibrillation by gender stratified by public location and neighborhood racial/ethnic composition controlling for confounding variables. From 2013-2018, CARES collected 350,722 US arrests; after excluding pediatric arrests, those witnessed by EMS, or those that occurred in a healthcare facility, 214,464 were included. Mean age was 64±16 and 65% were male; 39% received B-CPR, 9% received bystander defibrillation prior to 9-1-1 responders arrival, and 18% occurred in the public. In Black neighborhoods, females who had SCA in public locations were 22% less likely to receive B-CPR (OR: 0.78 (0.64-0.95), p=0.01) and 42% less likely to receive defibrillation (OR: 0.58 (0.45-0.74), p<0.01) compared to males. In Hispanic neighborhoods, females who had SCA in public locations were also less likely to receive B-CPR (OR: 0.72 (0.59-0.87), p<0.01) and less likely to receive defibrillation (OR: 0.62 (0.48-0.80), p<0.01) compared to males. Females with public SCA have a decreased likelihood of receiving B-CPR and defibrillation, and these findings persist in Black and Hispanic neighborhoods. This has implications for strategies to reduce disparities around bystander response to SCA.

Duke Scholars

Published In

Circulation

DOI

EISSN

1524-4539

ISSN

0009-7322

Publication Date

November 17, 2020

Volume

142

Issue

Suppl_4

Publisher

Ovid Technologies (Wolters Kluwer Health)

Related Subject Headings

  • Cardiovascular System & Hematology
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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Chicago
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Blewer, A. L., Starks, M. A., Malta Hansen, C., Ong, M. E., Viera, A. J., Al-Araji, R., … Granger, C. B. (2020). Abstract 236: Gender Disparities in Bystander CPR and Defibrillation Persist in Black and Hispanic Neighborhoods in the US. In Circulation (Vol. 142). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1161/circ.142.suppl_4.236
Blewer, Audrey L., Monique A. Starks, Carolina Malta Hansen, Marcus E. Ong, Anthony J. Viera, Rabab Al-Araji, Bryan F. McNally, and Christopher B. Granger. “Abstract 236: Gender Disparities in Bystander CPR and Defibrillation Persist in Black and Hispanic Neighborhoods in the US.” In Circulation, Vol. 142. Ovid Technologies (Wolters Kluwer Health), 2020. https://doi.org/10.1161/circ.142.suppl_4.236.
Blewer AL, Starks MA, Malta Hansen C, Ong ME, Viera AJ, Al-Araji R, et al. Abstract 236: Gender Disparities in Bystander CPR and Defibrillation Persist in Black and Hispanic Neighborhoods in the US. In: Circulation. Ovid Technologies (Wolters Kluwer Health); 2020.
Blewer, Audrey L., et al. “Abstract 236: Gender Disparities in Bystander CPR and Defibrillation Persist in Black and Hispanic Neighborhoods in the US.” Circulation, vol. 142, no. Suppl_4, Ovid Technologies (Wolters Kluwer Health), 2020. Crossref, doi:10.1161/circ.142.suppl_4.236.
Blewer AL, Starks MA, Malta Hansen C, Ong ME, Viera AJ, Al-Araji R, McNally BF, Granger CB. Abstract 236: Gender Disparities in Bystander CPR and Defibrillation Persist in Black and Hispanic Neighborhoods in the US. Circulation. Ovid Technologies (Wolters Kluwer Health); 2020.

Published In

Circulation

DOI

EISSN

1524-4539

ISSN

0009-7322

Publication Date

November 17, 2020

Volume

142

Issue

Suppl_4

Publisher

Ovid Technologies (Wolters Kluwer Health)

Related Subject Headings

  • Cardiovascular System & Hematology
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology