Evidence map›Paper›PMID 39136089›Full record

ArticleJournal of athletic training2025

Relationship Between Athletic Trainer Access, Socioeconomic Status, and Race and Ethnicity in United States Secondary Schools.

Matthew J Rivera, Adrienne Willis, Omar Ramos, Justin P Young, Eliza W Barter, Eric G Post, Lindsey E Eberman

Abstract read
In one paragraph

Article in Journal of athletic training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Matthew J RiveraNeuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute.
Adrienne WillisNeuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute.
Omar RamosNeuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute.
Justin P YoungNeuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute.
Eliza W BarterNeuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute.
Eric G PostUnited States Olympic and Paralympic Committee, Colorado Springs, CO.
Lindsey E EbermanNeuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAuthors of extensive research have exposed health care disparities regarding socioeconomic status (SES) and race and ethnicity demographics. Previous researchers have shown significant differences in access to athletic training services (athletic trainer [AT] access) in the secondary school setting based on SES, but with limited samples.

objectiveTo investigate differences in AT access based on race and ethnicity and SES on a national scale.

designCross-sectional study.

settingDatabase study using secondary analysis. Data were collected from the National Center for Education Statistics, Athletic Training Location and Services database, and US Census Bureau. PATIENTS OR OTHER

participantsA total of 10 983 public schools. MAIN OUTCOME MEASURE(S): Descriptive data were summarized by measures of central tendency. A 1-way analysis of variance determined differences between school characteristics (median household income, percentage of students eligible for free and reduced lunch, percentage of White students, and percentage of non-White students) based on AT access: full-time (FT-AT), part-time (PT-AT), and no AT (no-AT). A Bonferroni pairwise comparison was used for variables with significant main effects.

resultsAcross all schools included in the study, 43.8% had no-AT (n = 4812), 23.5% had PT-AT access (n = 2581), and 32.7% had FT-AT access (n = 3590). Significant effects were found between AT access and median household income (P < .001), the percentage of students eligible for free and reduced lunch (P < .001), the percentage of White students (P < .001), and the percentage of non-White students (P < .001). Schools with FT-AT access had a higher SES than PT-AT and no-AT schools. Significant differences existed between AT access groups and the race and ethnicity of schools. Schools with FT-AT access had a significantly lower percentage of non-White students (31.3%) than schools with no-AT (46.0%; P < .001). No significant differences between FT-AT and PT-AT access based on race and ethnicity demographics presented (P ≥ .13).

conclusionsSchools with higher SES had greater AT access, whereas schools with a higher percentage of non-White students were more likely to have no AT access, demonstrating the disparities in health care extends to athletic health care as well. To increase AT access, future initiatives should address the inequities where larger minority populations and counties of lower SES exist.

Indexed as

EthnicityHealth Services AccessibilityPhysical Education and TrainingRacial GroupsSchoolsSocial ClassAdolescentAthletic TrainersCross-Sectional StudiesFemaleHumansMaleUnited Statesathletic health careathletic training servicespopulation disparities

Identifiers

PMID39136089
PMCPMC11789752

What OpenQuestion holds

Textmetadata
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.