ArticleJournal of athletic training2022
Examining Concussion Nondisclosure in Collegiate Athletes Using a Health Disparities Framework and Consideration of Social Determinants of Health.
Article in Journal of athletic training, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Clinical Outcome Following Concussion Among College Athletes with a History of Prior Concussion: A Systematic Review.Sports medicine - open · 2022Pooled it
- Sex Differences in Concussion Rates among Middle School Sex-comparable Sports.Journal of pediatrics. Clinical practice · 2026Article
- Video Review and Clinical Screening of Suspected and Medically Diagnosed Concussions in the National Rugby League Women's Premiership.Sports medicine - open · 2025Article
- Training, teamwork, and a sense of belonging: describing youth sport and research investment.Annals of medicine · 2025Article
- Social Determinants of Health and Lifetime History of Parent-Reported Concussion in School-Aged Children and Adolescents in the United States.Neurotrauma reports · 2025Article
- Social Determinants of Health and Health Equity in the Treatment and Rehabilitation of Sport-Related Concussion: A Content Analysis of Intervention Research and Call-To-Action.Journal of neurotrauma · 2024Review
- More Than Skin Deep: Patient-Provider Racial and Ethnic Concordance and Discordance in Collegiate Athletics and Concussion Management.Journal of athletic training · 2024Article
- Language Matters: Comparisons of Concussion Assessments Among English- and Spanish-Speaking Middle School Athletes.Journal of athletic training · 2024Article
- Applying the National Institute on Minority Health and Health Disparities Research Framework to Social Determinants of Health in the Context of Sport-Related Concussion: A Clinical Commentary.Journal of athletic training · 2024Article
- Athletic Trainers' Observations of Social Determinants of Health in the Collegiate Setting: A Card Study.Journal of athletic training · 2024Observational
- Does the Association Between Concussion Measures and Social Context Factors Differ in Black and White Parents?Journal of athletic training · 2024Article
- National Athletic Trainers' Association Bridge Statement: Management of Sport-Related Concussion.Journal of athletic training · 2024Article
- Focus areas and methodological characteristics of North American-based health disparity research in sports medicine: a scoping review.British journal of sports medicine · 2024Article
- Social Determinants of Health and Health Equity in the Diagnosis and Management of Pediatric Mild Traumatic Brain Injury: A Content Analysis of Research Underlying Clinical Guidelines.Journal of neurotrauma · 2023Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextLimited research exists concerning the relationship between the social determinants of health (SDOHs), including race, socioeconomic status (SES), health care access and physical environment and concussion nondisclosure in collegiate athletes. However, among high school athletes, disparities have been noted, with Black athletes who attended under-resourced schools and lacked access to an athletic trainer (AT) disclosing fewer concussions.
objectiveTo investigate whether concussion nondisclosure disparities existed by (1) race, (2) SES, or (3) AT health care access before college and understand the differential reasons for concussion nondisclosure between White and Black collegiate athletes.
designCross-sectional study.
settingCollegiate athletics.
participantsA total of 735 college athletes (84.6% White, 15.4% Black). MAIN OUTCOME MEASURE(S): Participants completed a questionnaire that directly assessed concussion nondisclosure, including reasons for not reporting a suspected concussion. With the premise of investigating SDOHs, race was the primary exposure of interest. The outcome of interest, nondisclosure, was assessed with a binary (yes or no) question, "Have you ever sustained a concussion that you did not report to your coach, AT, parent, teammate, or anyone else?"
resultsAmong the White and Black athletes, 15.6% and 17.7%, respectively, reported a history of concussion nondisclosure. No differences were found by race for distributions of history of concussion nondisclosure (P = .57). Race was not associated with concussion nondisclosure when evaluated as an effect modification measure or confounder, and no significant associations were noted by SES or high school AT access. Differences by race for reported reasons for nondisclosure were present for "At the time, I did not think it was a concussion" (P = .045) and "I thought my teammates would think I am weak" (P = .03), with Black athletes selecting these more frequently than White athletes.
conclusionsThese data help to contextualize race and its intersection with other SDOHs that could influence concussion nondisclosure outcomes in collegiate athletes.
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Registered trials
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