Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison.
Department of Kinesiology, University of Wisconsin, Madison.
J Athl Train. 2023 Jan 1;58(1):37-43. doi: 10.4085/1062-6050-0296.21.
High schools and youth sport organizations that restarted participation in the fall of 2020 during the COVID-19 pandemic relied on information sources to develop risk-mitigation procedures.
To compare the risk-mitigation procedures and information sources used by high school athletic departments and youth sport organizations.
Cross-sectional study.
Surveys of high school and youth sport organization programs from across the United States.
A total of 1296 high schools and 584 youth sport organizations, representing 519 241 adolescent athletes, responded to the surveys.
MAIN OUTCOME MEASURE(S): Surveys regarding restarting sport, COVID-19 cases, risk-reduction procedures, and the information sources used to develop risk-reduction plans in the fall of 2020 were distributed to high school athletic directors and youth sport directors throughout the United States. The proportions of high schools and youth sport organizations using different risk-reduction procedures and information sources were compared using the χ2 test.
High schools used more risk-reduction procedures than did youth sport organizations (high schools = 7.1 ± 2.1 versus youth sport organizations = 6.3 ± 2.4; P < .001) and were more likely than youth sport organizations to use symptom monitoring (high schools = 93% versus youth sport organizations = 85%, χ2 = 26.3; P < .001), temperature checks on site (66% versus 49%, χ2 = 53.4; P < .001), face masks for athletes during play (37% versus 23%, χ2 = 38.1; P < .001) and when off the field (81% versus 71%, χ2 = 26.1; P < .001), social distancing for staff (81% versus 68%, χ2 = 43.3; P < .001) and athletes off the field (83% versus 68%, χ2 = 57.6; P < .001), and increased facility disinfection (92% versus 70%, χ2 = 165.0; P < .001). Youth sport organizations relied more on information from sport national governing bodies than did high schools (youth sport organizations = 52% versus high schools = 10%, χ2 = 411.0; P < .001), whereas high schools were more likely to use information from sources such as the National Athletic Trainers' Association (high schools = 20% versus youth sport organizations = 6%, χ2 = 55.20; P < .001) and the National Federation of State High School Associations (high schools = 72% versus youth sport organizations = 15%, χ2 = 553.00; P < .001) for determining risk-reduction strategies.
High schools and youth sport organizations reported using a broad range of risk-reduction procedures, but the average number was higher among high schools than youth sport organizations. Use of information from the Centers for Disease Control and Prevention and local health authorities was high overall, but use of information from professional health care organizations was low. Professional health care organizations should consider using additional measures to improve information uptake among stakeholders in youth sports.
在 2020 年 COVID-19 大流行期间，重新开始参与秋季活动的高中和青年体育组织依赖于信息来源来制定风险缓解措施。
比较高中体育部门和青年体育组织使用的风险缓解程序和信息来源。
横断面研究。
来自美国各地的高中和青年体育组织项目的调查。
共有 1296 所高中和 584 个青年体育组织，代表 519241 名青少年运动员，对调查做出了回应。
向美国各地的高中体育主任和青年体育主任分发了有关重启运动、COVID-19 病例、降低风险程序以及 2020 年秋季制定降低风险计划所使用的信息来源的调查。使用不同的风险缓解程序和信息来源的高中和青年体育组织的比例使用 χ2 检验进行比较。
高中使用的风险缓解程序多于青年体育组织（高中=7.1±2.1 与青年体育组织=6.3±2.4；P<0.001），并且比青年体育组织更有可能使用症状监测（高中=93%与青年体育组织=85%，χ2=26.3；P<0.001）、现场体温检查（66%与 49%，χ2=53.4；P<0.001）、运动员在比赛中戴口罩（37%与 23%，χ2=38.1；P<0.001）和不在场上（81%与 71%，χ2=26.1；P<0.001）、工作人员的社交距离（81%与 68%，χ2=43.3；P<0.001）和不在场上的运动员（83%与 68%，χ2=57.6；P<0.001），以及增加设施消毒（92%与 70%，χ2=165.0；P<0.001）。青年体育组织比高中更依赖于体育国家管理机构的信息（青年体育组织=52%与高中=10%，χ2=411.0；P<0.001），而高中更有可能使用国家运动训练员协会（高中=20%与青年体育组织=6%，χ2=55.20；P<0.001）和国家高中体育协会（高中=72%与青年体育组织=15%，χ2=553.00；P<0.001）等来源的信息来确定降低风险的策略。
高中和青年体育组织报告使用了广泛的风险缓解程序，但高中的平均数量高于青年体育组织。总体而言，使用疾病预防控制中心和当地卫生当局的信息很高，但使用专业医疗保健组织的信息却很低。专业医疗保健组织应考虑采取其他措施，以提高青年体育利益相关者对信息的接受程度。
