ArticleJournal of athletic training2022
Concussion Nondisclosure in Youth Sports.
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 3 papers.
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Who cites it
3 citing papers in PubMed.
- An initial assessment of an opinion leader-informed intervention to improve concussion-related outcomes among middle school parents: a randomized controlled trial.Annals of medicine · 2024Trial
- Is It All in Your Head? Placebo Effects in Concussion Prevention.Sports medicine (Auckland, N.Z.) · 2025Review
- Concussion history and knowledge among top-level youth karate athletes.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
contextResearchers 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.
objectiveTo examine the self-reported SRC history and reasons for SRC nondisclosure of youth athletes aged 8-14 years.
designCross-sectional study.
settingYouth athletes in organized football, ice hockey, lacrosse, or soccer. PATIENTS OR OTHER
participantsA 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.
resultsTen 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).
conclusionsTen 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.
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