ArticleFrontiers in public health2026
Analysis of potential factors influencing the willingness of Chinese freshmen to perform out-of-hospital CPR and use AED: a cross-sectional survey.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Out-of-hospital cardiac arrest (OHCA) is a major public health issue in China. The average emergency response time of 16 min exceeds the 5-min "golden window." Bystander CPR/AED use is crucial for survival. College freshmen are a key group for first-aid popularization, but their CPR/AED awareness, proficiency, willingness, and influencing factors are unclear. To investigate CPR/AED awareness, operational proficiency, rescue willingness, and influencing factors among college freshmen in Gansu, to inform optimized first-aid education. Methods: A cross-sectional study was conducted via convenience sampling on 1,443 first-year freshmen (August 30-September 1, 2023, Gansu). Eligible participants were officially enrolled freshmen with independent questionnaire completion ability; those with cognitive/language impairments were excluded. A structured questionnaire (referencing 2020 American Heart Association (AHA) Guidelines, reviewed by 3 associate senior experts) covered 5 sections. Distributed on-site during orientation, collected immediately (100% effective). Data were double-entered via EpiData 3.1, analyzed with SPSS 25.0. Results: Awareness was high (CPR: 87.87%; AED: 74.29%), but operational mastery was low (CPR: 34.37%; AED: 19.75%). Only 19.20% had prior training. Willingness to rescue was 59.60% (860/1443), with main barriers among unwilling participants being lack of skill (79.42%, 463/583) and perceived lack of first-aid qualifications (45.97%, 268/583). Multivariate analysis showed willingness to participate in future CPR training was positively associated with knowledge mastery (OR = 1.39, 95%CI: 1.09-1.76, Conclusion: Freshmen demonstrated high awareness but low proficiency and training coverage, with moderate rescue willingness. Recommendations include mandatory first-aid courses, increased AED deployment, and legal education. Study limitations include single-center design and self-reported data, which may lead to social desirability bias and limit the generalizability of the findings to universities in other regions of China.
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