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Gender differences in concussion-related knowledge, attitudes and reporting-behaviours among high school student-athletes

  • Lindsay Sullivan EMAIL logo and Michal Molcho
Published/Copyright: October 24, 2018

Abstract

Background/aim

Sport-related concussion is associated with various short- and long-term health consequences, especially among adolescent athletes. Yet, many concussions go unreported and/or unrecognised. The purpose of this study was to assess high school athletes’ concussion-related knowledge, attitudes, intentions and reporting behaviours, and to explore whether gender differences are evident.

Methods

A total of 435 high school athletes (52.2% female; mean age, 14.55 ± 1.67 years) participated in the survey. Questions assessed athletes’ knowledge, attitudes, reporting intention and reporting behaviours, in respect to sports-related concussion. Comparisons between male and female athletes were explored using Mann-Whitney tests and chi-squared (χ2) tests as appropriate.

Results

We found that 60% of the participants stated that they have played in practice or during a game (this season) with concussion symptoms. Males expressed more negative outcomes of concussion reporting and lower concussion reporting intention, compared to females. We found no significant gender differences in concussion-reporting behaviours.

Conclusion

Our findings suggest that knowledge, favourable attitudes towards reporting and reporting intention alone are not enough to create an environment that encourages the disclosure of concussion symptoms. Health promotion communication campaigns, coupled with concussion education and awareness programmes, should be utilised to further highlight the importance of timely concussion management, and to create a culture in which the reporting of concussion is considered normative.

Award Identifier / Grant number: GOIPG/2014/914

Funding statement: This work was supported by the Government of Ireland Postgraduate Scholarship Scheme [Grant number GOIPG/2014/914, Funder Id: 10.13039/501100002081].

Acknowledgements

We would like to thank the schools, coaches and students who volunteered to be involved in this study. This study would not have been possible without you.

  1. Competing interests: We declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

  2. Contributions: LS and MM contributed to the formulation of the idea. LS acquired the data. LS and MM contributed to analysis and interpretation of data. LS and MM contributed to the drafting and revision of the manuscript, and approved the final version.

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Received: 2018-01-31
Accepted: 2018-05-27
Published Online: 2018-10-24

©2018 Walter de Gruyter GmbH, Berlin/Boston

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