ArticleBMJ open sport & exercise medicine2020
Disparities in baseline neurocognitive testing for student concussion management in Massachusetts high schools.
Article in BMJ open sport & exercise medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Comparing Postconcussion Sway Balance and Cognitive Test Performance With Preinjury Baseline Identifies a Higher Percentage of Impaired Concussed Athletes Than Comparison With Normative Values.Orthopaedic journal of sports medicine · 2026Article
- Concussion Management Policy Implementation in High Schools: Examining Policy Through a Disproportionality Lens.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2025Article
- Quantifying the Diagnostic Utility of Baseline Testing in Concussion Management: An Analysis of Collegiate Athletes From the NCAA-DoD CARE Consortium Dataset.The American journal of sports medicine · 2025Article
- Categorizing Sports-Related Concussion Disparities by Key Domains of Social Determinants of Health.Current pain and headache reports · 2024Review
- Health Care Navigation of Black and White Adolescents After Sport-Related Concussion: A Path Toward Health Equity.Journal of athletic training · 2022Article
- Disparities in Youth Sports and Barriers to Participation.Current reviews in musculoskeletal medicine · 2021Review
- An Analysis on How Socioeconomic and Geographical Factors Influence Recognition of Sport Related Concussion in the Lone Star State.Sage open pediatricsArticle
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is evidence of socioeconomic disparities with respect to the implementation of student-sports concussion laws nationally. The purpose of this study was to examine school sociodemographic characteristics associated with the provision of computerised baseline neurocognitive testing (BNT) in Massachusetts (MA) high schools, and to assess whether the scope of testing is associated with the economic status of student populations in MA.
methodsA cross-sectional secondary analysis of surveys conducted with MA athletic directors (n=270) was employed to investigate school characteristics associated with the provision of BNT. Correlation and regression analyses were used to assess whether the scope of testing is associated with the economic status of student populations in MA.
resultsThe scope of BNT was independently associated with the economic disadvantage rate (EDR) of the student population (β=-0.02, p=0.01); whether or not the school employs an athletic trainer (AT) (β=0.43, p=0.03); and school size (β=-0.54, p=0.03). In a multivariable regression model, EDR was significantly associated with the scope of baseline testing, while controlling for AT and size (β=-0.01, p=0.03, adj-R
conclusionAmong public high schools in MA, disparities in the provision of BNT for students are associated with the economic characteristics of the student body. Schools that have a greater proportion of low-income students are less likely to provide comprehensive BNT. The clinical implications of not receiving BNT prior to concussion may include diminished quality of postconcussive care, which can have short-term and long-term social, health-related and educational impacts.
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