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Cost, fear and a lack of information are barriers for minorities in urban communities to learn and perform CPR, according to new research in the American Heart Association journal Circulation: Cardiovascular Quality and Outcomes.
In a small study, researchers interviewed 42 residents in Columbus, Ohio. The majority of participants were age 30 or older, African-American and female. Participants attended six focus groups and were asked about their knowledge of and training in CPR. Almost half of the participants lived in economically struggling, high-crime neighborhoods, and two-thirds had an annual household income of less than $20,000.
Researchers found that:
"Traditionally, CPR courses were promoted to babysitters, daycare workers and lifeguards, and the model was that we set up a training center and the community came to us," said Comilla Sasson, M.D., lead researcher and emergency medicine expert and assistant professor at the University of Colorado School of Medicine. "Our research suggests a community-based approach is needed, such as partnering with local churches. Bringing our knowledge and expertise about CPR to their doorstep, instead of the other way around, could help address these issues and reduce healthcare disparities among minorities requiring immediate medical care."
Study participants' suggestions included:
"There is also a real opportunity to adjust CPR training to focus on coming to the aid of family members, since four out of every five out-of-hospital cardiac arrests occur at home," said Sasson, who is also part of the American Heart Association's Emergency Cardiac Care program.
In 2008, the American Heart Association released a science advisory on Hands-Only CPR, which involves using only chest compressions for cardiac arrest. However, many of the study participants were unaware of the advisory.
Co-authors are Jason Haukoos, M.D.; Cindy Bond; Marilyn Rabe; Susan Colbert; Renee King, M.D., M.P.H.; Michael Sayre, M.D.; and Michele Heisler, M.D., M.P.H. Author disclosures and funding are on the manuscript.
Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
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American Heart Association. "Cost, fear, lack of information may limit CPR usage for urban minorities." Medical News Today. MediLexicon, Intl., 13 Sep. 2013. Web.
19 Dec. 2013. <http://www.medicalnewstoday.com/releases/265999>
American Heart Association. (2013, September 13). "Cost, fear, lack of information may limit CPR usage for urban minorities." Medical News Today. Retrieved from
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