Socioeconomic status and injury history in adolescent athletes: Lower family affluence is associated with a history of concussion.

Autor:	Sidhar K; Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA., Baugh CM; Center for Bioethics and Humanities, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Wilson JC; Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA., Spittler J; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Walker GA; Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA., Armento AM; Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA., Howell DR; Sports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.
Jazyk:	angličtina
Zdroj:	Journal of clinical and translational research [J Clin Transl Res] 2022 Jul 18; Vol. 8 (4), pp. 292-298. Date of Electronic Publication: 2022 Jul 18 (Print Publication: 2022).
Abstrakt:	Background: While healthcare and health outcome disparities have been studied across a variety of different injuries, their relation to concussion incidence and management are relatively understudied. Aim: The aim of this study was to evaluate the association between history of concussion or musculoskeletal injury, and family affluence and/or school-level measures of socioeconomic status. Methods: We conducted a cross-sectional study of adolescent athletes in a local school district. Adolescent athletes ( n = 192; mean age = 15.3, SD = 1.6 years; 49% female), who presented for a pre-participation physical evaluation reported concussion and injury history, and family affluence scale (FAS) scores. We also examined the percent of students on free/reduced lunch at each school compared to state averages. Independent variables, individual FAS score and school-based marker of socioeconomic status, were compared between those with and without a history of concussion and time-loss musculoskeletal injury. Results: Of the participants, 40 (21%) reported a history of concussion. Athletes with a concussion history had significantly lower FAS scores than athletes without a history of concussion (mean difference = 0.7, 95%CI = 0.1, 1.4; P = 0.027). There was no significant difference in FAS scores between those with and without a history of time-loss musculoskeletal injury (mean difference = 0.0, 95% CI = -0.5, 0.5; P = 0.97). Athletes with a history of concussion had a higher proportion of a prior time-loss musculoskeletal injury (68% vs. 32%; P < 0.001). After adjusting for age, school free-reduced lunch rate, and history of musculoskeletal injury, a lower FAS score was associated with concussion history (adjusted odds ratio = 0.79; 95% CI = 0.64, 0.96; P = 0.019). Concussion and musculoskeletal injury were not associated with school-level markers of socioeconomic status. Conclusion: Lower individual measures, but not school-level measures, of socioeconomic status were associated with a history of concussion in our sample of adolescent athletes. Relevance for Patients: Enhance providers' understanding of how socioeconomic factors may impact concussion history and empower providers to adequately screen for and provide concussion education to mitigate disparities. Competing Interests: The authors have no conflicts of interest relevant to this article to disclose. (Copyright: © 2022 Author(s).)
Databáze:	MEDLINE
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