Adolescent health briefLifetime Prevalence of Self-Reported Concussion Among Adolescents Involved in Competitive Sports: A National U.S. Study
Section snippets
Study design
The Monitoring the Future (MTF) study annually surveys a cross-sectional, nationally representative sample of 8th, 10th, and 12th graders in approximately 400 public and private schools in the coterminous United States, using self-administered paper-pencil questionnaires in classrooms. The MTF study uses a multi–stage sampling procedure. In stage 1, geographic areas or primary sampling units are selected; in stage 2, schools within primary sampling units are selected (with probability
Results
Table 1 shows that 18.4% of the sample indicated at least one diagnosed concussion during their lifetime (athletes–20.8%, non-athletes–11.2%); 13.4% indicated only one diagnosed concussion (athletes–14.9%, non-athletes–8.9%) while 5.0% indicated multiple diagnosed concussions (athletes–5.8%, non-athletes–2.2%).
Table 2 shows that participation in 11 of 16 sports was modestly associated with increased odds of any lifetime diagnosed concussion. Participation in baseball, football, weightlifting,
Discussion
This study provides needed epidemiological information on the lifetime prevalence of diagnosed concussion across 16 popular sports in the U.S. In particular, when controlling for sociodemographic factors and participation in multiple sports, participation in the majority of the sports assessed was associated with greater odds of indicating at least one diagnosed concussion. Participation in football and ice hockey showed the strongest association with any lifetime diagnosed concussion and
Funding Sources
The development of this article was supported by research grants L40DA042452, K23HD078502, and R01DA001411 from the National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Financial Disclosure
The authors have no financial relationships relevant to this article to disclose.
Author's Contributions
Philip T. Veliz: Dr. Veliz conceptualized the study and discussed the study design with all co-authors.
Dr. Veliz interpreted the data, drafted the initial manuscript and all subsequent drafts of the manuscript, and approved the final manuscript as submitted.
James T. Eckner: Dr. Eckner reviewed and revised the manuscript, added comments to the first draft, and approved the final manuscript as submitted.
Jennifer E. Zdroik: Dr. Zdroik reviewed and revised the manuscript, and approved the final
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2022, Journal of Science and Medicine in SportCitation Excerpt :There's a growing awareness of concussion in contact sports, which along with recall bias may have caused athletes to under or over-report the number of previous concussions and/or potential concussive events. However self-reporting was used consistently across all age groups with the percentage of athletes reporting a history of concussion in our study (23%) being of a similar value to earlier self-reported concussion rates in high-school American football (30%), football (soccer) (21%), lacrosse (30%) and basketball athletes (23%).30 In addition, self-report was the only means for us to collect these data as there is no standardised reporting system used in Australian sport.
Sports- and physical activity-related concussion and mental health among adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey
2022, Psychiatry ResearchCitation Excerpt :While a large body of earlier research has focused on the impact of SPAC on mental health outcomes among adults (Anderson & Jordan, 2021; Doroszkiewicz et al., 2021; Finkbeiner et al., 2016; Kerr et al., 2021), recent attention has turned to mental health outcomes among adolescents who experienced SPAC, particularly SPAC sustained through contact or collision during school sports (Mantey et al., 2020; Marar et al., 2012; Miller et al., 2021; Yang et al., 2019). There are 1.1 to 1.9 million cases of SPAC among adolescents in the U.S. per year, and research suggests the number of SPAC among adolescents is rising (Bryan et al., 2016; Veliz et al., 2017; Veliz et al., 2019). The increasing prevalence of SPAC among adolescents supports the need for additional research on factors related to depression and suicidal behaviors among adolescents who have experienced SPAC (Mantey et al., 2021; Veliz et al., 2017).
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2021, Annals of EpidemiologyCitation Excerpt :This finding mirrors the past research and is often explained by boys engaging in riskier behaviors and having a higher prevalence of injury than female peers [26]. Further, studies consistently find that youth athletes in high contact sports dominated by boys (e.g., football) have the highest rate of concussions [9,26-28]. However, in gender comparable sports, such as soccer, females have a higher rate of concussions [27].
Head, Neck, and Traumatic Brain Injury Among Children Involved in Sports: Results From the Adolescent Brain Cognitive Development Study
2021, Journal of Adolescent HealthCitation Excerpt :Sport participation was modestly associated with HNI, particularly participation in multiple sports, contact sports, and a longer participation duration. This sport participation-HNI association is consistent with other studies assessing head injuries in older adolescents [1,4,14], although the strength of association in this younger sample is relatively modest compared to older cohorts [1,4]. Moreover, no association was present between TBI-LOC and any sport participation variable, suggesting more severe brain injuries in sports are relatively rare in children aged 10 years and younger.
Conflicts of Interest: The authors have no conflicts of interest relevant to this article to disclose.