Public Perceptions on Why Women Receive Less Bystander Cardiopulmonary Resuscitation Than Men in Out-of-Hospital Cardiac Arrest

Perman, Sarah M.; Shelton, Shelby; Knoepke, Christopher E.; Rappaport, Kathryn; Matlock, Daniel D.; Adelgais, Kathleen; Havranek, Edward P.; Daugherty, Stacie L.

doi:10.1161/circulationaha.118.037692

Cited by 82 publications

(76 citation statements)

References 24 publications

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“…Previous reports have shown that women with various manifestations of cardiovascular disease are not treated as effectively as men [19][20][21]. Women have also been reported to less often undergo bystander CPR than men [22]. In our report, the time to CPR in women was longer (p = 0.0002), However, with a standardized difference of only 0.06, rendering the practical implications questionable.…”

Section: Discussioncontrasting

confidence: 66%

The influence of age and gender on delay to treatment and its association with survival after out of hospital cardiac arrest

Al-Dury

Rawshani

Karlsson

et al. 2021

The American Journal of Emergency Medicine

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Section: Discussioncontrasting

confidence: 66%

The influence of age and gender on delay to treatment and its association with survival after out of hospital cardiac arrest

Al-Dury

Rawshani

Karlsson

et al. 2021

The American Journal of Emergency Medicine

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“…MTurk has emerged as a respected platform to perform medical research due to its generalizability to the overall U.S. population, high-scale reliability, concurrent and convergent validity, and internal consistency [ 22 ]. Furthermore, MTurk has been shown to be an efficient, reliable, and cost-effective tool for generating survey responses for medical research that are largely comparable with those collected through conventional means [ 20 , [23] , [24] , [25] ].…”

Section: Methodsmentioning

confidence: 99%

Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic

Moverman

Puzzitiello

Pagani

et al. 2021

The Journal of Arthroplasty

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Background Many U.S. health systems are grappling with how to safely resume elective surgery amid the COVID-19 pandemic. We used online crowdsourcing to explore public perceptions and concerns toward resuming elective surgery during the pandemic, and to determine factors associated with the preferred timing of surgery after health systems reopen. Methods A 21-question survey was completed by 722 members of the public using Amazon Mechanical Turk. Multivariable logistic regression analysis was performed to determine factors associated with the timing of preferred surgery after health systems reopen. Results Most (61%) participants were concerned with contracting COVID-19 during the surgical process, primarily during check-in and in waiting room areas, as well as through excessive interactions with staff. Overall, 57% would choose to have their surgery at a hospital over an outpatient surgery center. About 1 in 4 (27%) would feel comfortable undergoing elective surgery in the first month of health systems reopening. After multivariable adjustment, native English speaking (OR, 2.6; 95% CI, 1.04-6.4; P = .042), male sex (OR, 1.9; 95% CI, 1.3-2.7; P < .001), and Veterans Affairs insurance (OR, 4.5; 95% CI, 1.1-18.7; P = .036) were independent predictors of preferring earlier surgery. Conclusion Women and non-native English speakers may be more hesitant to undergo elective surgery amid the COVID-19 pandemic. Despite concerns of contagion, more than half of the public favors a hospital setting over an outpatient surgery center for their elective surgery. Concerted efforts to minimize patient congestion and unnecessary face-to-face interactions may prove most effective in reducing public anxiety and concerns over the safety of resuming elective care.

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“…The study has found reasons such as potentially unwanted contact or exposure; fear of being charged with sexual assault; fear of causing physical harm; poor recognition of cardiac arrest in women, mainly the belief that women are unlikely to have heart issues or they are exaggerating or "faking" an incident; or the assumption that breasts make CPR more difficult. 27 All of these major reasons can prevent women from receiving CPR or receiving CPR with significant delays.…”

Section: Discussionmentioning

confidence: 99%

Gender inequality in hands-only cardiopulmonary resuscitation videos on YouTube

Gulve

Joshi

2021

Int J Res Med Sci

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Background: Bystander cardiopulmonary resuscitation (CPR) is performed at a significantly lower rate in women than in men. YouTube has a significant role in influencing the public’s perceptions about CPR due to its popularity. The aim of the study was to compare the availability, quality, and scientific accuracy of YouTube videos demonstrating hands-only CPR performed on men and woman recipient.Methods: Using a search term similar to hands-only CPR, YouTube was searched for videos in English. This study included the first 60 videos for each search term. All the videos meeting the inclusion criteria were viewed and classified according to gender of recipient of CPR. Views per day were calculated. Videos were scored for quality and scientific accuracy, using Global Quality Scale (GQS) score and comprehensiveness analysis respectively. Mean, standard deviation was calculated for all the variables. Independent t-tests were done to compare the mean values. A p value<0.05 was considered significant.Results: Only 12 (1.7%) videos demonstrated hands-only CPR performed on women as compared to 43 videos (6%) demonstrated in men. There was a statistically significant difference in GQS score, whereas, there was no statistically significant difference in viewer rate and comprehensiveness analysis score based upon the gender of recipient of CPR.Conclusions: The availability and quality of YouTube videos demonstrating hands-only CPR performed on men and women recipients differ significantly. There are limited numbers of videos available for demonstrations of CPR performed on women, and the majority of them are of poor quality and lack scientific accuracy.

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Public Perceptions on Why Women Receive Less Bystander Cardiopulmonary Resuscitation Than Men in Out-of-Hospital Cardiac Arrest

Cited by 82 publications

References 24 publications

The influence of age and gender on delay to treatment and its association with survival after out of hospital cardiac arrest

The influence of age and gender on delay to treatment and its association with survival after out of hospital cardiac arrest

Public Perceptions of Resuming Elective Surgery During the COVID-19 Pandemic

Gender inequality in hands-only cardiopulmonary resuscitation videos on YouTube

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