Association of concussion with high school academic standing: sex, school grade and race as stratifiers

Inj Prev. 2022 Oct;28(5):476-479. doi: 10.1136/ip-2022-044568. Epub 2022 Sep 12.

Abstract

Introduction: The purpose was to examine the association between concussion history and academic standing among high school students, and whether the association varies by sex, school grade and race/ethnicity.

Methods: Data from the 2019 Youth Risk Behaviour Survey were used for our cross-sectional study. Exposure was self-reported history of concussions in the past 12 months. Outcome was self-reported academic standing in the past 12 months. Poisson regression was used to analyse the exposure-outcome association, and whether there were differences by our stratifying variables.

Results: Having a history of concussion in the past 12 months was significantly associated with a higher risk of poor academic standing during the same period, and the association varied by race/ethnicity.

Discussion: Youth with a history of concussion may be at risk for poorer academic standing, indicating to the importance of prevention. Future studies are needed to examine the interaction of race/ethnicity on the presented association.

Keywords: concussion; health disparities; school.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Athletic Injuries*
  • Brain Concussion* / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Schools
  • Students