Tao Frances, Turner Charis, Kliethermes Stephanie, Luke Anthony, Berrigan William, Hatamiya Nicolas
Department of Medicine, University of California, Los Angeles.
Physical Medicine & Rehabilitation, University of Washington, Seattle.
J Athl Train. 2025 Apr 1;60(4):316-323. doi: 10.4085/1062-6050-0522.24.
Social determinants of health are known to affect overall access to youth sports; however, it is not fully understood how multiple social determinants of health may affect access to school-based athletic training services.
To determine the relationship between Social Vulnerability Index (SVI) scores on access to high school-based athletic trainers (ATs) in California.
Retrospective, cross-sectional study.
Online survey.
California Interscholastic Federation (CIF) high school respondents of the 2022-2023 Participation Census.
MAIN OUTCOME MEASURE(S): Association between SVI scores and access to school-based AT services. In this study, we used data from CIF high school respondents of the 2022-2023 Participation Census. School addresses were used to extract SVI scores from the US Census Bureau. Separate multivariable logistic regressions and generalized linear mixed effects models assessed the relationships between access to school-based athletic training services and SVI scores at the census and county levels.
Of the 1598 respondent schools (65% public, 24% private, and 11% charter), 49% reported having an AT, of which 41% were certified. Adjusted analyses revealed that increased vulnerability in household characteristics was associated with lower odds of access to ATs and certified ATs at both county (odds ratio [OR] = 0.89 [95% confidence interval (CI) = 0.80, 0.99]; P = .04) and census tract levels (OR = 0.93 [95% CI = 0.89, 0.97]; P = .002). Increased vulnerability in socioeconomic status was associated with lower odds of having a certified AT at the census tract level (OR = 0.94 [95% CI = 0.89, 0.98]; P = .006) but not the county level (P = .16).
Increased vulnerability in household characteristics is associated with decreased odds of access to high school-based athletic training services.
已知健康的社会决定因素会影响青少年参与体育运动的总体机会；然而，多种健康的社会决定因素如何影响获得校内运动训练服务的机会，目前尚未完全了解。
确定加利福尼亚州社会脆弱性指数（SVI）得分与获得高中运动训练师（AT）服务机会之间的关系。
回顾性横断面研究。
在线调查。
2022 - 2023年参与普查的加利福尼亚州校际联合会（CIF）高中受访者。
SVI得分与获得校内AT服务机会之间的关联。在本研究中，我们使用了2022 - 2023年参与普查的CIF高中受访者的数据。学校地址用于从美国人口普查局提取SVI得分。分别采用多变量逻辑回归和广义线性混合效应模型评估普查区和县级层面获得校内运动训练服务机会与SVI得分之间的关系。
在1598所受访学校中（65%为公立学校，24%为私立学校，11%为特许学校），49%的学校报告有一名运动训练师，其中41%获得了认证。调整分析显示，家庭特征方面脆弱性增加与在县级（优势比[OR] = 0.89 [95%置信区间（CI）= 0.80, 0.99]；P = 0.04）和普查区层面获得运动训练师和获得认证的运动训练师的几率降低相关。社会经济地位方面脆弱性增加与在普查区层面有一名获得认证的运动训练师的几率降低相关（OR = 0.94 [95% CI = 0.89, 0.98]；P = 0.006），但在县级层面则无此关联（P = 0.16）。
家庭特征方面脆弱性增加与获得高中运动训练服务的几率降低相关。
