title: Bystander cardiopulmonary resuscitation training experience and self-efficacy of age and gender group: a nationwide community survey.
abstract: BACKGROUND
  We hypothesized that recent hands-on practice for cardiopulmonary resuscitation (CPR) would be strongly associated with a higher likelihood of self-efficacy in bystander CPR among laypersons according to age and gender group.
  
  
  METHODS
  We used the National Korean Community Health Survey database of 228921 representatively sampled responders from 253 counties in 2012. Laypersons who had previous CPR training were eligible. Exposure variables were having had CPR training with hands-on practice session with a manikin (Practical-CPR-Training) and CPR training within the last 2 years (Recent-CPR-Training). Primary outcome was self-efficacy in bystander CPR. Multivariable logistic regression analysis was performed. The final model with an interaction term was evaluated to compare the effects of CPR training across different age and gender groups.
  
  
  RESULTS
  Of 62425 eligible respondents who have had CPR training, 20213 (32.4%) had Practical-CPR-Training. Adjusted odds ratios (AORs) for self-efficacy were 4.08 (3.78-4.41) in Practical-CPR-Training, 2.61 (2.50-2.73) in male, 1.26 (1.16-1.36) in good self-rated health, 1.19 (1.10-1.29) in high school graduate, 1.19 (1.01-1.39) in persons living with stroke patients in household, and 1.17 (1.10-1.24) in Recent-CPR-Training. In interaction models, Practical-CPR-Training showed higher self-efficacy in all age and gender groups, whereas Recent-CPR-Training was not associated with better self-efficacy in elderly group, male (AOR, 0.90 [0.69-1.18]) and female (AOR, 0.94 [0.72-1.23]).
  
  
  CONCLUSIONS
  Self-efficacy in bystander CPR was higher in person with recent CPR training with hands-on practice with a manikin.
authors.affiliation: Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Republic of Korea. Electronic address: Ro.youngsun@gmail.com.
authors.forename: Young Sun
authors.initials: YS
authors.lastname: Ro
authors.affiliation: Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. Electronic address: shinsangdo@medimail.co.kr.
authors.forename: Sang Do
authors.initials: SD
authors.lastname: Shin
authors.affiliation: Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. Electronic address: skciva@gmail.com.
authors.forename: Kyoung Jun
authors.initials: KJ
authors.lastname: Song
authors.affiliation: Korea Centers for Disease Control and Prevention, Chungbuk, Republic of Korea. Electronic address: soh822@hanmail.net.
authors.forename: Sung Ok
authors.initials: SO
authors.lastname: Hong
authors.affiliation: Korea Centers for Disease Control and Prevention, Chungbuk, Republic of Korea. Electronic address: ruyoung@cdc.go.kr.
authors.forename: Young Taek
authors.initials: YT
authors.lastname: Kim
authors.affiliation: Department of Epidemiology, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea. Electronic address: scho@snu.ac.kr.
authors.forename: Sung-Il
authors.initials: SI
authors.lastname: Cho
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008297:Male; D008348:Manikins; D008875:Middle Aged; D016017:Odds Ratio; D058687:Out-of-Hospital Cardiac Arrest / Q000628:therapy*; D056910:Republic of Korea; D012189:Retrospective Studies; D020377:Self Efficacy; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D055815:Young Adult