Vanderbilt University School of Medicine, Nashville, TN, USA.
Vanderbilt Sport Concussion Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Phys Sportsmed. 2022 Apr;50(2):171-180. doi: 10.1080/00913847.2021.1908867. Epub 2021 Apr 15.
Sport participation promotes health benefits for children. Current media and scientific coverage of sport-related head injury may influence a parent's decision on sports participation. Physicians must understand what influences these decisions to effectively counsel patients and families. This study sought to better understand and quantify the parental decisions to allow/disallow collision sports, including football participation.
A 31-question survey related to child/parent demographics, sports history, and influences to allow/disallow sport participation was available to parents in the United States through a national volunteer registry, between November 2016 and September 2019. Pearson's chi-squared and Wilcoxon's signed-rank test were used to analyze categorical and continuous variables, respectively. Multivariate logistic regression was performed to identify the most powerful factors associated with the decision.
Of the 884 responses, 430 (49%) parents would disallow collision sport participation and 334 (38%) would disallow football. Parents who would allow collision sports more commonly cited child desire, while those parents who would disallow cited safety concern as the greatest influence to generally disallow a sport. Those who would disallow reported doctors (35.1% vs 25.3%; P = 0.002), media (12.8% vs 7.3%; P = 0.006) and other parents (11.2% vs 7.3%; P = 0.045) as influences. A child's age (OR 1.039, 95%CI 1.007-1.073; P = 0.018) was independently associated with their parent responding that they would allow collision sports. Parent educational status showed that those with higher than a bachelor's degree would be less likely to allow football participation (OR 0.635, 95%CI 0.443-0.910; P = 0.013).
Parents incorporate many sources of information into the decision to allow or disallow their child to participate in collision sports. A child's desire to play a sport and child safety are driving factors for parents faced with the decision of whether to allow participation in collision sports. Physician input is more frequently influential to parents than the media, underscoring the responsibility of physicians to engage families on the risks, benefits, and resources available for sport participation.
运动有益于儿童健康。当前媒体和科学界对与运动相关的头部损伤的报道，可能会影响家长对孩子参与运动的决定。医生必须了解影响这些决定的因素，以便有效地为患者和家属提供建议。本研究旨在更好地了解和量化父母允许/不允许儿童参加碰撞运动（包括足球运动）的决定，并对其进行量化。
2016 年 11 月至 2019 年 9 月，通过美国全国志愿者登记处，向家长提供了一份与儿童/家长人口统计学、运动史和允许/不允许运动参与相关的 31 个问题的调查。采用皮尔逊卡方检验和威尔科克森符号秩检验分别对分类变量和连续变量进行分析。采用多变量逻辑回归确定与决策最相关的因素。
在 884 份回复中，430 名（49%）家长表示不允许孩子参加碰撞运动，334 名（38%）家长不允许孩子踢足球。表示允许孩子参加碰撞运动的家长更常提到孩子的愿望，而表示不允许孩子参加碰撞运动的家长则更常提到安全问题是他们普遍不允许某项运动的最大影响因素。表示不允许孩子参加碰撞运动的家长更常提到医生（35.1%比 25.3%；P=0.002）、媒体（12.8%比 7.3%；P=0.006）和其他家长（11.2%比 7.3%；P=0.045）是影响因素。孩子的年龄（OR 1.039，95%CI 1.007-1.073；P=0.018）与父母表示他们允许参加碰撞运动呈独立相关。父母的教育程度表明，拥有学士以上学位的父母不太可能允许孩子参加足球运动（OR 0.635，95%CI 0.443-0.910；P=0.013）。
父母在决定允许或不允许孩子参加碰撞运动时，会综合考虑多种信息来源。孩子对运动的渴望和孩子的安全是父母在决定是否允许孩子参加碰撞运动时的主要考虑因素。医生的意见比媒体更能影响家长，这凸显了医生有责任就运动参与的风险、益处和可用资源与家庭进行沟通。
