CPR training as a gender and rights-based healthcare issue.

IF 2.3 4区 医学 Q2 HEALTH POLICY & SERVICES Health Promotion International Pub Date : 2024-12-01 DOI:10.1093/heapro/daae156
Rebecca Amalia Szabo, Kirsty Forrest, Peter Morley, Stephanie Barwick, Komal Bajaj, Kellie Britt, Sarah A Yong, Jocelyn Park-Ross, David Story, Jessica Stokes-Parish
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Abstract

It is not understood how cardiopulmonary resuscitation (CPR) training, specifically the representation of sex in CPR manikins, contributes to inequitable outcomes in cardiac arrest survival. The aim of this study was to identify the sex and chest wall secondary sexual characteristics of CPR manikins on the global market. The secondary aim was to identify if manikin manufacturing companies had a publicly available sustainability policy or equivalent, and if these covered products were manufactured. We conducted an observational descriptive study of the secondary sex characteristics and named sex of CPR training manikins available on the global market, and equity, diversity and inclusion (EDI), human rights and sustainability policies of the companies that manufacture them. Nine CPR manikin manufacturers were identified. Twenty CPR manikins were included for analysis. Of the 20 manikins, 75% were identified as male (n = 8, 40%) or no gender specified (n = 7, 35%) and all these had flat torsos-one had a breast overlay available. One company had a 2020 sustainability report that addressed EDI for the workforce only, and a 2023 report addresses this for products manufactured. Adult CPR manikins available globally are largely homogenous, flat-chested and do not have secondary sex characteristics or a named sex. One company had a sustainability report that referenced workforce only and has since committed to EDI for products manufactured. We urge CPR training providers and manufacturers to collectively promote a rights-based approach to healthcare aligned with the commercial determinants of health by committing to improving the diversity of CPR training manikins.

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心肺复苏培训是一个基于性别和权利的医疗保健问题。
目前还不清楚心肺复苏(CPR)培训,特别是心肺复苏人体模型中的性别表现是如何导致心脏骤停存活率不平等的。本研究旨在确定全球市场上心肺复苏人体模型的性别和胸壁第二性征。次要目的是确定人体模型制造公司是否有公开的可持续发展政策或同等政策,以及是否制造了这些涵盖的产品。我们对全球市场上心肺复苏训练模型的第二性征和命名性别,以及制造这些模型的公司的公平、多样性和包容性(EDI)、人权和可持续发展政策进行了观察描述性研究。共确定了九家心肺复苏模拟人制造商。20 个心肺复苏模拟人被纳入分析范围。在这 20 个人体模型中,75% 被确认为男性(8 个,占 40%)或未指定性别(7 个,占 35%),所有这些人体模型的躯干都是扁平的,其中一个有乳房覆盖层。一家公司的 2020 年可持续发展报告只涉及劳动力的 EDI,而 2023 年的报告则涉及所生产产品的 EDI。全球范围内的成人心肺复苏人体模型基本上是同质的、平胸的,没有第二性征或指定性别。有一家公司的可持续发展报告仅提及劳动力,但后来承诺对生产的产品采用 EDI。我们敦促心肺复苏培训提供商和制造商承诺改善心肺复苏训练模型的多样性,从而共同促进基于权利的医疗保健方法,并与健康的商业决定因素保持一致。
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来源期刊
Health Promotion International
Health Promotion International Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.70
自引率
7.40%
发文量
146
期刊介绍: Health Promotion International contains refereed original articles, reviews, and debate articles on major themes and innovations in the health promotion field. In line with the remits of the series of global conferences on health promotion the journal expressly invites contributions from sectors beyond health. These may include education, employment, government, the media, industry, environmental agencies, and community networks. As the thought journal of the international health promotion movement we seek in particular theoretical, methodological and activist advances to the field. Thus, the journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, as well as social and environmental development.
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