@article{ref1,
title="The association between school district-based policies related to concussions and concussions among high school students",
journal="Journal of school health",
year="2021",
author="Miller, Gabrielle F. and Sarmiento, Kelly and Haarbauer-Krupa, Juliet and Everett Jones, Sherry",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Little is known about the effectiveness of school district concussion policies on reducing the concussion prevalence among students. <br><br>METHODS: Data from the 2016 School Health Policies and Practices Study and 2017 Youth Risk Behavior Survey for 10 school districts were linked. The outcome variable was having a sports- or physical activity-related concussion during the 12 months before of the survey. Exposure variables were 2 district policies, including district-funded professional development and prioritizing return to the classroom before returning to athletics. Logistic regression models estimated the odds of a concussion among students in districts with one, both, or neither policy (referent). <br><br>RESULTS: In districts with district-funded professional development, the odds of students self-reporting ≥2 sports- or physical activity-related concussions were 1.4 times higher than in districts with neither policy. In districts with a policy prioritizing a return to the classroom before returning to athletics, the odds of students self-reporting ≥2 concussions were significantly lower (OR = 0.6) than in districts with neither policy. <br><br>CONCLUSION: School district concussion policies may have positive effects by identifying and reducing multiple concussions among students.<p /> <p>Language: en</p>",
language="en",
issn="0022-4391",
doi="10.1111/josh.13113",
url="http://dx.doi.org/10.1111/josh.13113"
}