Abstract
Aim of the study
Automated external defibrillators (AEDs) improve survival from out-of-hospital cardiac
arrest (OHCA), however bystander use remains low. Limited AED training may contribute
to infrequent use of these devices, yet no studies have assessed AED training nationally.
Given previously documented racial disparities among Latinos in CPR provision and
OHCA outcomes, we hypothesized that racial and socioeconomic differences exist in
AED training, with Whites having increased training compared to Latinos and higher
socioeconomic status being associated with increased training.
Methods
We administered a random digit dial survey to a nationally-representative adult sample.
Using survey-weighted logistic regression adjusted for location, we assessed race
and socioeconomic status of individuals trained in AEDs compared to never-trained
individuals.
Results
From 09/2015–11/2015, 9022 individuals completed the survey. Of those, 68% had never
been AED trained. Self-identified Whites and Blacks were more likely to have AED training
compared to Latinos (OR: 1.90, 95% CI: 1.43–2.53 and OR: 1.73, 95% CI: 1.39–2.15,
respectively). Higher educational attainment was associated with an increased likelihood
of training, with an OR of 4.36 (95% CI: 2.57–7.40) for graduate school compared to
less than high school education. Increased household income was not associated with
an increase in AED training (p = .08).
Conclusions
The minority of respondents reported AED training. Whites and Blacks were more likely
to be trained than Latinos. Higher educational attainment was associated with an increased
likelihood of training. These findings highlight an important opportunity to improve
training disparities and layperson response to OHCA.
Keywords
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Article info
Publication history
Published online: April 06, 2018
Accepted:
March 30,
2018
Received in revised form:
March 8,
2018
Received:
December 18,
2017
Footnotes
☆A Spanish translated version of the abstract of this article appears as Appendix in the final online version at https://doi.org/10.1016/j.resuscitation.2018.03.037.
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.
