AED Inequity among Social Groups in Guangzhou

Abstract

Automated external defibrillators (AEDs) are regarded as the most important public facility after fire extinguishers due to their importance to out-of-hospital cardiac arrest (OHCA) victims. Previous studies focused on the location optimization of the AED, with little attention to inequity among different social groups. To comprehensively investigate the spatial heterogeneity of the AED inequity, we first collected AED data from a WeChat applet. Then, we used the geographically weighted regression (GWR) model to quantify the inequity level and identify the socio-economic status group that faced the worst inequity in each neighborhood. Results showed that immigrants of all ages suffer a more severe AED inequity than residents after controlling population and road density. Immigrants face more severe inequity in downtown, while residents face more severe inequity in the peripheral and outer suburbs. AED inequity among youngsters tends to be concentrated in the center of each district, while inequity among the elderly tends to be distributed at the edge of each district. This study provides a new perspective for investigating the inequity in public facilities, puts forward scientific suggestions for future AED allocation planning, and emphasizes the importance of the equitable access to AED.