Public attitudes towards bystander CPR and their association with social deprivation: findings from a cross sectional study in North England

Charlton, Karl, Scott, Jason, Blair, Laura, Scott, Stephanie, McClelland, Graham, Davidson, Tom ORCID logo ORCID: , Burrow, Emma and Mason, Alex (2022) Public attitudes towards bystander CPR and their association with social deprivation: findings from a cross sectional study in North England. Resuscitation Plus, 12 . p. 100330.

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Bystander cardiopulmonary resuscitation (BCPR) is undertaken in only 40% of out of hospital cardiac arrests (OHCAs) in the UK. Lower rates of BCPR and public access defibrillator (PAD) use have been correlated with lower socio-economic status (SES). The aim of this study was to examine knowledge and attitudes towards BCPR and PAD's using a study specific questionnaire, and to understand how these potentially interact with individual characteristics and SES. Cross-sectional study between July-December 2021 across areas of varying SES in North England. Six hundred and one individuals completed the survey instrument (mean age = 51.9 years, 52.2 % female). Increased age was associated with being less willing to call 999 (p < 0.001) and follow call handler advice (p < 0.001). Female respondents were less comfortable performing BCPR than male respondents (p = 0.006). Individuals from least deprived areas were less likely to report comfort performing CPR, (p = 0.016) and less likely to know what a PAD is for, (p = 0.025). Higher education level was associated with increased ability to recognise OHCA (p = 0.005) and understanding of what a PAD is for (p < 0.001). Individuals with higher income were more likely to state they would follow advice regarding BCPR (p = 0.017) and report comfort using a PAD (p = 0.029). Individual characteristics such as age and ethnicity, rather than SES, are indicators of knowledge, willingness, and perceived competency to perform BCPR. Policy makers should avoid using SES alone to target interventions. Future research should examine how cultural identity and social cohesion intersect with these characteristics to influence willingness to perform BCPR.

Item Type: Article
Journal / Publication Title: Resuscitation Plus
Publisher: Elsevier
ISSN: 2666-5204
Departments: Institute of Health > Centre for Excellence in Paramedic Practice
Additional Information: Tom Davidson, Director of CE in Paramedic Practice, Institute of Health, University of Cumbria, UK. This is an open access article under the CC BY-NC-ND license (
Depositing User: Insight Administrator
SWORD Depositor: Insight Administrator
Date Deposited: 05 Dec 2022 10:43
Last Modified: 13 Jan 2024 14:16


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