{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:01:26Z","timestamp":1775804486428,"version":"3.50.1"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010249","name":"Youth Science Foundation of Lanzhou Jiaotong University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010249","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Out-of-hospital cardiac arrest (OHCA) is a major public health issue in China. The average emergency response time of 16\u202fmin exceeds the 5-min \u201cgolden window.\u201d 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      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\u202f=\u202f1.39, 95%CI: 1.09\u20131.76,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.008), while prior training was a protective factor for knowledge mastery. For rescue willingness, protective factors included being female, mastering CPR\/AED operation, understanding legal protections, and willingness for future training.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1774036","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T06:06:21Z","timestamp":1775801181000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of potential factors influencing the willingness of Chinese freshmen to perform out-of-hospital CPR and use AED: a cross-sectional survey"],"prefix":"10.3389","volume":"14","author":[{"given":"Yuanhua","family":"Hou","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Lanzhou Jiaotong University Hospital","place":["Lanzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Lanzhou Jiaotong University Hospital","place":["Lanzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"110766","DOI":"10.1016\/j.resuscitation.2025.110766","article-title":"European resuscitation council guidelines 2025 newborn resuscitation and support of transition of infants at birth","volume":"215","author":"Hogeveen","year":"2025","journal-title":"Resuscitation"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/s13054-022-04242-3","article-title":"\u201cThe mantle\u201d bundle for minimizing cerebral hypoxia in severe traumatic brain injury","volume":"27","author":"Godoy","year":"2023","journal-title":"Crit 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