Association Between Design Elements of Concussion Laws and Reporting of Sports-Related Concussions Among US High School Athletes, 2009-2017
Autor: | Lihong Huang, Hosea H. Harvey, R. Dawn Comstock, Jingzhen Yang, Lindsay Sullivan |
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Rok vydání: | 2021 |
Předmět: |
Male
Adolescent Poison control Legislation Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Concussion Injury prevention medicine Humans 030212 general & internal medicine Association (psychology) Brain Concussion Jurisprudence Research Public Health Environmental and Occupational Health Human factors and ergonomics medicine.disease United States Athletes Law Female Psychology Sports |
Zdroj: | Public Health Rep |
ISSN: | 1468-2877 0033-3549 |
Popis: | Objectives Studies that evaluate the effectiveness of concussion laws often use only a single variable (ie, presence of the law), failing to account for law complexity. We examined the association between multiple design elements of state concussion laws and rates of sports-related concussion reporting among US high school athletes. Methods We derived 3 design elements of concussion laws from the 2009-2017 LawAtlas database: (1) strength of law, (2) number of law revisions, and (3) speed of law adoption. We examined the association between these design elements and rates of new and recurrent sports-related concussion reporting from the 2009-2010 through 2016-2017 academic years in a nationally representative sample of high school athletes participating in High School Report Information Online, an online data collection tool. Results A total of 7064 sports-related concussions (6332 [89.6%] new and 732 [10.4%] recurrent concussions) were reported during the study period, with an overall rate of 39.7 sports-related concussions per 100 000 athletic exposures (eg, game or practice). Rates of new concussion reporting were higher among high schools in states with medium- or high-strength concussion laws than in states with low-strength concussion laws and in states with at least 1 concussion law revision than in states with no concussion law revisions. Rates of recurrent concussion reporting were lower among high schools in states with ≥2 concussion law revisions than in states with Conclusion Our findings may help inform legislators of the public health effect of concussion laws. |
Databáze: | OpenAIRE |
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