Evidence map›Paper›PMID 33227432›Full record

ArticleAnnals of epidemiology2021

Comparing prevalence estimates of concussion/head injury in U.S. children and adolescents in national surveys.

Juliet Haarbauer-Krupa, Lydie A Lebrun-Harris, Lindsey I Black, Philip Veliz, Jill Daugherty, Rebecca Desrocher, John Schulenberg, Diane Pilkey, Matthew Breiding

Open access · greenAbstract readComparative Study
In one paragraph

Article in Annals of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Systematic search and review of racial and ethnic differences in traumatic brain injury prevalence and incidence.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026
    Pooled it
  2. Pooled it
  3. Observational
  4. Article
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  7. Post-concussion clinical findings of oculomotor function in paediatric patients with persisting symptoms compared to healthy controls.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  8. Article
  9. Concordance of Traumatic Brain Injury Symptoms, Evaluation, and Diagnosis Between Teens and Parents: Data From the National Health Interview Survey-Teen.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  10. Article
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  13. Change in health-related quality of life and functional disability over time post-concussion in youth.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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  16. Brain Injury Is Prevalent and Precedes Tobacco Use among Youth and Young Adults Experiencing Homelessness.International journal of environmental research and public health · 2023
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Juliet Haarbauer-KrupaDivision of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control, Atlanta, GA. Electronic address: WUK1@cdc.gov.
Lydie A Lebrun-HarrisMaternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD.
Lindsey I BlackNational Center for Health Statistics, Centers for Disease Control, Hyattsville, MD.
Philip VelizSchool of Nursing, University of Michigan, Ann Arbor.
Jill DaughertyDivision of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control, Atlanta, GA.
Rebecca DesrocherBureau of Primary Health Care, Health Resources and Services Administration, Rockville, MD.
John SchulenbergInstitute for Social Research and Department of Psychology, Survey Research Center, University of Michigan, Ann Arbor.
Diane PilkeyMaternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD.
Matthew BreidingDivision of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control, Atlanta, GA.
Health Resources and Services Administration · USNational Center for Injury Prevention and Control · USUniversity of Michigan · USNational Center for Health Statistics · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

BACKGROUND AND

objectivesReports on pediatric lifetime concussions/head injuries (LCHI) from national surveys have offered estimates on prevalence that range from 2.5% to 18% in the general population. The purpose of this study is to examine national surveys to compare methodologies and limitations pertaining to LCHI data collection.

methodsThree nationally representative surveys that measure LCHI in children, including the National Survey of Children's Health, the National Health Interview Survey, and the Monitoring the Future Survey were examined. Children were grouped by ages 3-17 years and adolescent ages 13-17 years, stratified by selected demographic characteristics. Participants in the surveys included parents (NSCH and NHIS) and adolescents (MTF survey). The primary outcome measure is an estimate of LCHI in children.

resultsEstimates of prevalence of LCHI ranged from 3.6% to 7.0% for children ages 3-17 years and from 6.5% to 18.3% for adolescents 13-17 years. Survey modality, question wording, and respondent may contribute to differing estimates. Prevalence showed consistent variation by age, sex, and race/ethnicity across surveys. Associations were inconsistent between LCHI and insurance status, parental education, and household primary language.

conclusionsAlthough there are methodological differences in capturing pediatric LCHI across surveys, the prevalence estimates and correlational associations generated can offer awareness about the burden of these injuries and insights to research and clinical care.

Indexed as

Brain ConcussionCraniocerebral TraumaAdolescentChildChild, PreschoolFemaleHealth SurveysHumansMaleParentsPrevalenceUnited States

Identifiers

PMID33227432
PMCPMC8157314
OpenAlexW3109316939

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.