Literature DB >> 35045181

Concussion Nondisclosure in Youth Sports.

Abigail C Bretzin1, Morgan Anderson2, Neha Bhandari3, Ara J Schmitt4, Erica Beidler5.   

Abstract

CONTEXT: Researchers conducting studies about sport-related concussion (SRC) reporting behaviors and reasons for nondisclosure primarily focus on older athletic populations. Youth athletes participating in contact sports are also at risk for SRC; however, little is known about their SRC disclosure patterns and reasons for nondisclosure.
OBJECTIVE: To examine the self-reported SRC history and reasons for SRC nondisclosure of youth athletes aged 8-14 years.
DESIGN: Cross-sectional study.
SETTING: Youth athletes in organized football, ice hockey, lacrosse, or soccer. PATIENTS OR OTHER PARTICIPANTS: A total of 411 youth athletes (boys = 70.0% [n = 287/410]; median age = 11 [interquartile range = 10-13] years). MAIN OUTCOME MEASURE(S): A 15-minute survey including self-reported demographics, diagnosed and nondisclosed SRC history, and reasons for nondisclosure of suspected SRCs.
RESULTS: Ten percent of respondents (n = 41/411) recounted ≥1 diagnosed SRC, 12.7% (n = 52/411) did not report a suspected SRC, 13.1% (n = 53/404) indicated they continued to practice, and 12.3% (n = 50/406) reported they continued to play in a game after a suspected SRC. Significant associations between sport and nondisclosure existed (P values < .001) but not with self-reported concussion history (P = .14). In sex-comparable analyses, boys' lacrosse players had a higher frequency of nondisclosure than girls (P = .05). The most common reasons for nondisclosure were not wanting to lose playing time (66.7%, n = 32/48), miss a game (56.3%, n = 27/48), and let the team down (43.8%, n = 21/48) and uncertainty over injury severity and the presence of SRC (43.8%, n = 21/48).
CONCLUSIONS: Ten percent of youth athletes self-reported at least 1 diagnosed SRC. However, they also described continuing to practice or play in a game after a suspected SRC. Reasons for nondisclosure at this age were similar to those reported in high school and collegiate athletes. Recent researchers suggested negative consequences of continued play with SRC, especially in the acute stages. Anyone conducting future educational initiatives should emphasize these risks and focus on reasons why athletes of both sexes withhold reporting. © by the National Athletic Trainers' Association, Inc.

Entities:  

Keywords:  brain injuries; children; football

Mesh:

Year:  2022        PMID: 35045181      PMCID: PMC9528706          DOI: 10.4085/1062-6050-534-21

Source DB:  PubMed          Journal:  J Athl Train        ISSN: 1062-6050            Impact factor:   3.824


  37 in total

1.  Concussion reporting, sex, and conformity to traditional gender norms in young adults.

Authors:  Emily Kroshus; Christine M Baugh; Cynthia J Stein; S Bryn Austin; Jerel P Calzo
Journal:  J Adolesc       Date:  2016-12-14

Review 2.  The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis.

Authors:  Jordan J Smith; Narelle Eather; Philip J Morgan; Ronald C Plotnikoff; Avery D Faigenbaum; David R Lubans
Journal:  Sports Med       Date:  2014-09       Impact factor: 11.136

3.  Disparities in Athletic Trainer Staffing in Secondary School Sport: Implications for Concussion Identification.

Authors:  Emily Kroshus; Frederick P Rivara; Kathryn B Whitlock; Stanley A Herring; Sara P D Chrisman
Journal:  Clin J Sport Med       Date:  2017-11       Impact factor: 3.638

4.  Agreement between parent reported and child self-reported sport-related concussion history: A brief report.

Authors:  Abigail C Bretzin; Morgan Anderson; Ara J Schmitt; Erica Beidler
Journal:  Appl Neuropsychol Child       Date:  2022-05-09       Impact factor: 1.493

5.  Factors associated with parent and youth athlete concussion knowledge.

Authors:  Erica Beidler; Abigail C Bretzin; Ara J Schmitt; Amy Phelps
Journal:  J Safety Res       Date:  2021-12-16

Review 6.  Children's concepts of health and illness--and implications for health education: an overview.

Authors:  I Kalnins; R Love
Journal:  Health Educ Q       Date:  1982 Summer-Fall

7.  Using the health belief model to predict concussion-reporting intentions and behaviour.

Authors:  Michelle L Weber Rawlins; Cailee E Welch Bacon; Phillip Tomporowski; Jennifer L Gay; Laura L Bierema; Julianne D Schmidt
Journal:  Brain Inj       Date:  2020-10-12       Impact factor: 2.311

8.  Factors Associated With Concussion Nondisclosure in Collegiate Student-Athletes.

Authors:  Morgan Anderson; Kyle M Petit; Jessica Wallace; Tracey Covassin; Erica Beidler
Journal:  J Athl Train       Date:  2021-02-01       Impact factor: 2.860

9.  Association of Sex With Adolescent Soccer Concussion Incidence and Characteristics.

Authors:  Abigail C Bretzin; Tracey Covassin; Douglas J Wiebe; William Stewart
Journal:  JAMA Netw Open       Date:  2021-04-01
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