(Re)assessing the risk agenda: Exploring social discourses of risk and tailoring measures to reduce injury risk in recreational adolescent runners.

在全球范围内，跑步是儿童和青少年最受欢迎的体育活动之一[1]。在英格兰，COVID-19大流行导致5至16岁青奥尔兹参与跑步、田径和多项运动的患病率增加4. 5%[2]。鉴于参与跑步与成年人的许多健康益处有关[3]，儿童和青少年参与水平的提高可以被认为是一个积极的发展。然而，参与也与不良后果有关，例如伤害[4]。例如，我的博士学位的一个关键发现表明，青少年跑步者的受伤率为每1,000小时25.0。反过来，持续受伤可能会降低当前和未来的身体活动水平[6]。尽管受伤率如此之高，但这一问题很少得到政策制定者的关注。与体育有关的伤害很少被视为公共卫生问题，尽管在社会生活的其他领域（例如，[7].考虑到上述陈述，是否不需要一个协调的社会议程来减少竞技和娱乐青少年跑步者的受伤风险-作为一项基本的护理责任？这样一个议程可能会改善整个生命过程中与健康相关的生活质量。建立这样一个议程的一种可能方法-作为我博士学位的延伸-是探索与风险的社会话语相关的这个问题[8]。简而言之，这意味着研究青少年跑步者如何经历和理解与跑步相关的伤害，以及如何在运动与健康科学领域传播伤害风险。这背后的广泛思想是寻求替代方法来构建伤害风险，而不依赖于使用风险的技术客观主义定义[9]，将风险定位为事件的可量化估计[10]。反过来，这将有助于确保针对青少年跑步者的风险降低措施考虑到社会文化和个人方法。为了解决这些问题，这个ESRC博士后奖学金将使我能够完成以下活动：（1）写一篇新颖的理论文章，探讨如何将现有的风险社会学理论应用于体育与健康科学领域，除了完成定性研究的数据收集，调查青少年跑步者如何理解和管理他们的人身伤害风险。(2)使用我在博士期间开发的纵向数据集发表两篇文章。第一篇文章将探讨受伤是否会影响青少年跑步者的心理情绪状态。第二部分将探讨持续的非时间损失伤害是否会影响随后的时间损失伤害风险。这些文章将提高我们对跑步者如何最好地管理受伤和保持健康的知识。(3)举办一系列利益相关者研讨会，以调整先前存在的（如在我博士期间为竞技跑步者开发的）减少娱乐青少年跑步者受伤风险的措施。这些活动的完成，加上怀亚特教授的指导和参加相关培训课程，我还将起草一份奖学金提案，以评估在实践中为娱乐性青少年跑步者应用降低伤害风险措施的有效性。为了补充这些活动，我也将利用这个奖学金来传达我的研究成果给不同的观众。这将包括参加两个学术会议，出版两个非学术成果，并委托与伤害风险降低措施相关的数字故事板插图。我还将建立网络，以开发合作和影响机会，包括对阿姆斯特丹体育健康与安全合作组织的机构访问，并与主要外部组织（例如，英格兰运动员）。

Globally, running is one of the most popular physical activities among children and adolescents [1]. In England, the COVID-19 pandemic led to a 4.5% increase in the prevalence of 5 to 16 year olds taking part in running, athletics, and multi-sports [2]. Given that participation in running is related to many health benefits in adults [3], increased participation levels in children and adolescents can be considered a positive development. However, participation is also related to adverse outcomes, such as injury [4]. For example, a key finding from my PhD showed that the incidence of injury in competitive adolescent runners was 25.0 per 1,000 hours of exposure [5]. In turn, sustaining an injury may reduce current and future physical activity levels [6]. Despite such a high injury rate, this problem rarely receives attention from policymakers. Sport-related injury is rarely viewed as a public health issue, despite similar injury rates in other areas of social life (e.g., work) being almost certain to receive attention [7].With the above statement in mind, does there not need to be a coordinated and societal agenda to reduce the risk of injury in competitive and recreational adolescent runners - as a fundamental duty of care? Such an agenda would likely improve health-related quality of life across the life course.One possible way to establish such an agenda - as an extension of my PhD - is to explore this problem in relation to social discourses of risk [8]. In short, this means studying how running-related injury is experienced and understood by adolescent runners and how injury risk is (and could be) communicated in the field of Sport and Health Sciences. The broad idea behind this is to seek alternative ways of framing injury risk that do not depend on using a technical-objectivist definition of risk [9], which situates risk as a quantifiable estimate of events [10]. In turn, this will help to ensure that risk reduction measures for adolescent runners accounts for socio-cultural and individual approaches. To address these points, this ESRC Postdoctoral Fellowship will enable me to complete the following activities:(1) Write a novel theoretical article exploring how existing sociological theories of risk can be applied to the field of Sport and Health Sciences, in addition to completing data collection for a qualitative study investigating how adolescent runners understand and manage their personal injury risk.(2) Use a longitudinal dataset that I developed during my PhD to publish two articles. The first article will examine whether injury affects the psychological mood states of competitive adolescent runners. The second will explore if sustaining a non-time loss injury affects the subsequent time loss injury risk. These articles will improve our knowledge on how runners can best manage injury and maintain health.(3) Deliver a series of stakeholder workshops to tailor the content and form of pre-existing (as developed for competitive runners during my PhD) injury risk reduction measures for recreational adolescent runners.The completion of these activities, combined with the mentorship of Prof. Wyatt and attendance to a relevant training course, will also allow me to draft a Fellowship proposal to evaluate the effectiveness of applying injury risk reduction measures for recreational adolescent runners in practice.To complement these activities, I will also use this Fellowship to communicate my research findings to a diverse set of audiences. This will include attending two academic conferences, publishing two non-academic outputs, and commissioning a digital storyboard illustration related to the injury risk-reduction measures. I will also build networks to develop collaboration and impact opportunities, including an institutional visit to the Amsterdam Collaboration on Health and Safety in Sport and hosting meetings with key external organisations (e.g., England Athletics).