对评估参加团体运动的高中生自我报告脑震荡情况的4个问题的考察
An Examination of 4 Questions Assessing Self-reported Concussions Among High School Students Participating in Team Sports.
作者信息
DePadilla Lara, Miller Gabrielle F, Jones Sherry Everett
机构信息
Division of Unintentional Injury Prevention (Dr DePadilla) and Division of Analysis, Research, and Practice Integration (Dr Miller), National Center for Injury Prevention and Control, and Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (Dr Jones), Centers for Disease Control and Prevention, Atlanta, Georgia.
出版信息
J Public Health Manag Pract. 2020 Mar/Apr;26(2):E23-E27. doi: 10.1097/PHH.0000000000000901.
OBJECTIVE
Current prevalence estimates of youth sports-related concussions are inconsistent because of variation in methodology and potentially unreported concussions.
METHODS
In 2013, Connecticut, Ohio, and Utah each added different questions that assessed self-reported concussions to the Youth Risk Behavior Survey. Two questions referenced recognition of a concussion by the student, 1 referenced identification by a doctor, and 1 referenced suspicion by a coach. Chi-square analyses were used to identify whether there was an association between demographic characteristics and the concussion questions among high school students who played on at least 1 sports team.
RESULTS
The percentage of students who reported concussions ranged from 17.6% to 20.1%.
CONCLUSIONS
These estimates are higher than rates of concussions diagnosed in emergency departments or reported by athletic trainers but were similar across the 4 questions. The field would benefit from a better understanding of the impact of question wording and format on estimates of concussion prevalence.
目的
由于方法的差异以及潜在的未报告的脑震荡情况，目前对青少年与运动相关脑震荡的患病率估计并不一致。
方法
2013年，康涅狄格州、俄亥俄州和犹他州分别在青少年风险行为调查中增加了不同的问题，以评估自我报告的脑震荡情况。其中两个问题涉及学生对脑震荡的认知，一个问题涉及医生的诊断，一个问题涉及教练的怀疑。卡方分析用于确定在至少参加一支运动队的高中生中，人口统计学特征与脑震荡问题之间是否存在关联。
结果
报告有脑震荡的学生比例在17.6%至20.1%之间。
结论
这些估计高于急诊科诊断的脑震荡发生率或运动训练师报告的发生率，但在这4个问题中情况相似。更好地理解问题措辞和格式对脑震荡患病率估计的影响将对该领域有所帮助。
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