Barriers to calling 911 and learning and performing cardiopulmonary resuscitation for residents of primarily Latino, high-risk neighborhoods in Denver, Colorado.
Barriers to calling 911 and learning and performing cardiopulmonary resuscitation for residents of primarily Latino, high-risk neighborhoods in Denver, Colorado.
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DOI：
10.1016/j.annemergmed.2014.10.028
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发表时间：
2015-05
影响因子：
6.2
通讯作者：
Padilla R
中科院分区：
文献类型：
--
作者：
Sasson C;Haukoos JS;Ben-Youssef L;Ramirez L;Bull S;Eigel B;Magid DJ;Padilla R
由少数民族和较低社会经济地位人群组成的社区中的个人更有可能发生院外心脏骤停事件，不太可能进行旁观者心肺复苏术（CPR），也不太可能生存。拉丁裔心脏骤停受害者接受旁观者心肺复苏术的可能性比白人低30%。本研究的目标是确定障碍和促进者拨打911，并学习和执行心肺复苏术在5个低收入，拉丁裔社区在丹佛，CO.六个焦点小组和9个关键的线人访谈进行了在2012年夏天在丹佛。由社区联络员进行的有目的的雪球抽样被用来招募参与者。两名评审员分析了数据，以确定经常性和统一的主题。使用定性内容分析和5阶段迭代过程来分析每份成绩单。报告指出了拨打911的六个主要障碍：由于对执法部门的不信任而害怕参与，财务，移民身份，缺乏对心脏骤停事件的认识，语言和暴力。七个文化障碍，可能会妨碍旁观者心肺复苏术的性能：年龄，性别，移民身份，语言，种族主义，陌生人，和害怕触摸别人。与会者建议，增加西班牙语量身定制的教育的可用性，增加双语911调度员的数量，以及政策层面的变化，包括心肺复苏术作为毕业的要求和加强好撒玛利亚人的法律，可能会成为增加提供旁观者心肺复苏术的潜在促进因素。对执法的不信任，语言问题，缺乏对心脏骤停的认识，以及财政问题，必须在实施以社区为基础的拉丁美洲人心肺复苏术教育计划时加以解决。
Individuals in neighborhoods composed of minority and lower socioeconomic status populations are more likely to have an out-of-hospital cardiac arrest event, less likely to have bystander cardiopulmonary resuscitation (CPR) performed, and less likely to survive. Latino cardiac arrest victims are 30% less likely than whites to have bystander CPR performed. The goal of this study is to identify barriers and facilitators to calling 911, and learning and performing CPR in 5 low-income, Latino neighborhoods in Denver, CO. Six focus groups and 9 key informant interviews were conducted in Denver during the summer of 2012. Purposeful and snowball sampling, conducted by community liaisons, was used to recruit participants. Two reviewers analyzed the data to identify recurrent and unifying themes. A qualitative content analysis was used with a 5-stage iterative process to analyze each transcript. Six key barriers to calling 911 were identified: fear of becoming involved because of distrust of law enforcement, financial, immigration status, lack of recognition of cardiac arrest event, language, and violence. Seven cultural barriers were identified that may preclude performance of bystander CPR: age, sex, immigration status, language, racism, strangers, and fear of touching someone. Participants suggested that increasing availability of tailored education in Spanish, increasing the number of bilingual 911 dispatchers, and policy-level changes, including CPR as a requirement for graduation and strengthening Good Samaritan laws, may serve as potential facilitators in increasing the provision of bystander CPR. Distrust of law enforcement, language concerns, lack of recognition of cardiac arrest, and financial issues must be addressed when community-based CPR educational programs for Latinos are implemented.