Evidence map›Paper›PMID 30779655›Full record

ArticleCirculation2019

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

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

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
14.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 135 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. The missing sex and gender lens in artificial-intelligence-enabled resuscitation.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
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  8. Differences in admission to trauma centres by sex among adults with traumatic brain injury: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Sarah M PermanDepartment of Emergency Medicine (S.M.P., S.K.S.), Department of Medicine, University of Colorado School of Medicine, Aurora.
Shelby K SheltonDepartment of Emergency Medicine (S.M.P., S.K.S.), Department of Medicine, University of Colorado School of Medicine, Aurora.
Christopher KnoepkeCenter for Women's Health Research (S.M.P., C.K., S.L.D.), Department of Medicine, University of Colorado School of Medicine, Aurora.
Kathryn RappaportSection of Emergency Medicine, Children's Hospital of Colorado, Aurora (K.R., K.A.).
Daniel D MatlockDivision of Geriatric Medicine (D.D.M.), Department of Medicine, University of Colorado School of Medicine, Aurora.
Kathleen AdelgaisSection of Emergency Medicine, Children's Hospital of Colorado, Aurora (K.R., K.A.).
Edward P HavranekColorado Cardiovascular Outcomes Research Group, Denver (S.M.P., C.K., D.D.M., E.P.H., S.L.D.).
Stacie L DaughertyCenter for Women's Health Research (S.M.P., C.K., S.L.D.), Department of Medicine, University of Colorado School of Medicine, Aurora.
Colorado School of Public Health · USChildren's Hospital Colorado · USOutcomes Research Consortium · USUniversity of Colorado Denver · US

Funding

A Multicenter Trial of a Shared DECision Support Intervention for Patients offered implantable Cardioverter-DEfibrillators: DECIDE - ICD TrialR01HL136403 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MATLOCK, DANIEL D · 2017 to 2021
$3.8M
Using values affirmation to reduce the effects of perceived discrimination on hypertension disparitiesR01HL133343 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DAUGHERTY, STACIE LUTHER · 2016 to 2019
$3.0M
Improving Care After Cardiac Arrest by Informing Surrogate Decision Makers - ExtensionK23HL138164 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI PERMAN, SARAH M · 2017 to 2021
$804k
NHLBI NIH HHS K23 HL138164NHLBI NIH HHS R01 HL133343NHLBI NIH HHS R01 HL136403
6 · The paper itself

Abstract

backgroundWomen who suffer an out-of-hospital cardiac arrest receive bystander cardiopulmonary resuscitation (CPR) less often than men. Understanding public perceptions of why this occurs is a necessary first step toward equitable application of this potentially life-saving intervention.

methodsWe conducted a national survey of members of the public using Mechanical Turk, Amazon's crowdsourcing platform, to determine reasons why women might receive bystander CPR less often than men. Eligible participants were adults (≥18 years) located in the United States. Responses were excluded if the participant was not able to define CPR correctly. Participants were asked to answer the following free-text question: "Do you have any ideas on why women may be less likely to receive CPR than men when they collapse in public?" Descriptive statistics were used to define the cohort. The free-text response was coded using open coding, and major themes were identified via classical content analysis.

resultsIn total, 548 subjects were surveyed. Mean age was 38.8 years, and 49.8% were female. Participants were geographically distributed as follows: 18.5% West, 9.2% Southwest, 22.0% Midwest, 27.5% Southeast, and 22.9% Northeast. After analysis, 3 major themes were detected for why the public perceives that women receive less bystander CPR. They include the following: (1) sexualization of women's bodies; (2) women are weak and frail and therefore prone to injury; and (3) misperceptions about women in acute medical distress. Overall, 41.9% (227) were trained in CPR while 4.4% reported having provided CPR in a medical emergency.

conclusionsMembers of the general public perceive fears about inappropriate touching, accusations of sexual assault, and fear of causing injury as inhibiting bystander CPR for women. Educational and policy efforts to address these perceptions may reduce the sex differences in the application of bystander CPR.

Indexed as

Cardiopulmonary ResuscitationHealthcare DisparitiesPublic OpinionAdultFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHealth Status DisparitiesHumansMaleMiddle AgedOut-of-Hospital Cardiac ArrestProspective StudiesRisk AssessmentRisk FactorsSex Factorscardiopulmonary resuscitationheart arrestsex

Identifiers

PMID30779655
PMCPMC6386169
OpenAlexW2916842393

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.