Lifetime Prevalence of Self-Reported Concussion Among Adolescents Involved in Competitive Sports: A National US Study

Lifetime Prevalence of Self-Reported Concussion Among Adolescents Involved in Competitive Sports: A National US Study
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DOI:
10.1016/j.jadohealth.2018.08.023
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发表时间:
2019-02-01
影响因子:
7.6
通讯作者:
Schulenberg, John E.
Schulenberg, John E.
中科院分区:
医学2区
文献类型:
--
作者:
Veliz, Philip;Eckner, James T.;Schulenberg, John E.

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目的:调查参与 16 种不同竞技运动的美国 8 年级、10 年级和 12 年级学生样本中诊断为脑震荡的终生患病率;检查脑震荡与个人运动之间的关联,控制人口特征和多种运动参与。方法:分析 2 个队列(2016-2017 年;n = 25,408)的全国代表性监测未来数据。结果:参加棒球、篮球、足球、体操、冰球、长曲棍球、足球、田径、举重和“其他运动”的青少年与同龄人相比,报告多次诊断脑震荡的可能性更大不参加这些运动。参加网球运动的青少年报告诊断出脑震荡或多发脑震荡的几率较低。与参加相同类型运动的男性相比,参加体操、足球和游泳的女性在报告诊断脑震荡方面表现出更强的关联性。结论:该研究提供了有关参加流行学校和社区运动的青少年中报告诊断脑震荡患病率所需的流行病学信息。某些高接触性(例如足球)和高强度(例如篮球)运动需要加大力度管理已经有脑震荡或反复脑震荡病史的青少年运动员。 (c) 2018 年青少年健康与医学协会。版权所有。
Purpose: Examine lifetime prevalence of diagnosed concussion in US-national samples of 8th, 10th, and 12th graders involved in 16 different competitive sports; examine associations between concussion and individual sports, controlling for demographic characteristics and multiple sports involvement.Methods: Analysis of nationally representative Monitoring the Future data from 2 cohorts (2016-2017; n = 25,408).Results: Adolescents who participated in baseball, basketball, football, gymnastics, ice hockey, lacrosse, soccer, track, weightlifting, and ` other sports' had greater odds of reporting multiple diagnosed concussions compared with peers not participating in these sports. Adolescents who participated in tennis had lower odds of reporting any diagnosed concussion or multiple concussions. Females who participated in gymnastics, soccer, and swimming showed a stronger association in reporting a diagnosed concussion when compared with males who participated in these same types of sports.Conclusions: The study provides needed epidemiological information on prevalence of reported diagnosed concussion among teens participating in popular school and community sports. Certain high contact (e.g., football) and high volume (e.g., basketball) sports need increased efforts to manage adolescent athletes who already have a history of concussion or repeated concussions. (c) 2018 Society for Adolescent Health and Medicine. All rights reserved.