@article{ref1,
title="Substance use and sports- or physical activity-related concussions among high school  students",
journal="Journal of school nursing",
year="2020",
author="Depadilla, Lara and Miller, Gabrielle F. and Jones, Sherry Everett and Breiding, Matthew J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="History of concussion is associated with substance use. Data from the 2017 National  Youth Risk Behavior Survey (N = 14,765) were used in this study to examine  associations between sports- or physical activity-related concussions and current  cigarette, alcohol, and marijuana use among high school students, and whether other  factors moderate those associations. In addition to having played on a sports team,  potential moderators examined included persistent feelings of sadness or  hopelessness, hours of sleep, and serious difficulty concentrating, remembering, or  making decisions. The association between sports- or physical activity-related  concussions and current cigarette, alcohol, and marijuana use was significant when  controlling for sex, grade, and race/ethnicity and the potential moderators with the  exception of cigarette smoking while controlling for hours of sleep. Those involved  in the care of high school students after a concussion may consider assessing  current cigarette, alcohol, and marijuana use.<p /> <p>Language: en</p>",
language="en",
issn="1059-8405",
doi="10.1177/1059840520977319",
url="http://dx.doi.org/10.1177/1059840520977319"
}