@article{ref1,
title="Risk factors associated with concussions in a college student population",
journal="Annals of epidemiology",
year="2021",
author="Tanabe, Kawai O. and Hayden, Meredith E. and Rege, Saumitra and Simmons, Jessica and Holstege, Christopher P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To determine risk factors associated with concussion among the general collegiate population using a unique data linkage methodology. <br><br>METHODS: Student health medical, counseling, and disability access service data were linked with university enrollment data to provide a comprehensive, de-identified dataset of students who sought care at the student health center for concussion from 2016-2020. Using chi-squared tests ad logistic regression, characteristics of students with and without concussion were evaluated. <br><br>RESULTS: During the study period, 506 concussions from 474 students were identified (cumulative incidence rate of 51.7 per 10,000 students). Significant predictors of concussion included: younger age (<21 years): OR=3.52 (95% CI, 2.78, 4.50), Greek affiliation: OR=1.89 (95% CI, 1.56, 2.30), and utilization of counseling and psychological services: OR=1.92 (95% CI 1.59, 2.32). Of the students with concussion, 47% had at least one other concussion within the preceding year. History of prior hospitalization or medical imaging for head injury increased subsequent concussion risk by 4.5 fold. <br><br>CONCLUSION: Linking unique datasets provides a richer understanding of the characteristics and risk factors associated with student concussions than analysis of a single data source. This comprehensive dataset will enable future targeted interventions to prevent and treat college student concussions.<p /> <p>Language: en</p>",
language="en",
issn="1047-2797",
doi="10.1016/j.annepidem.2021.06.009",
url="http://dx.doi.org/10.1016/j.annepidem.2021.06.009"
}