TY  - JOUR
PY  - 2020//
TI  - Comparing prevalence estimates of concussion/head injury in U.S. children and adolescents in national surveys
JO  - Annals of epidemiology
A1  - Black, Lindsey I.
A1  - Lebrun-Harris, Lydie A.
A1  - Haarbauer-Krupa, Juliet
A1  - Veliz, Philip
A1  - Daugherty, Jill
A1  - Desrocher, Rebecca
A1  - Schulenberg, John E.
A1  - Pilkey, Diane
A1  - Breiding, Matthew J.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND AND OBJECTIVES: Reports on pediatric lifetime concussions/head injuries (LCHI) from national surveys have offered estimates on prevalence that range from 2.5% to 18% in the general population. The purpose of this study is to examine national surveys to compare methodologies and limitations pertaining to LCHI data collection.     METHODS: Three nationally representative surveys that measure LCHI in children, including the National Survey of Children's Health (NSCH), the National Health Interview Survey (NHIS), and the Monitoring the Future (MTF) Survey were examined. Children were grouped by ages 3-17 years and adolescents ages 13-17 years, stratified by selected demographic characteristics. Participants in the surveys included parents (NSCH, NHIS) and adolescents (MTF Survey). The primary outcome measure is an estimate of LCHI in children.     RESULTS: Estimates of prevalence of LCHI ranged from 3.6% to 7.0% for children ages 3-17 years and from 6.5% to 18.3% for adolescents 13-17 years. Survey modality, question wording, and respondent may contribute to differing estimates. Prevalence showed consistent variation by age, sex, and race/ethnicity across surveys. Associations were inconsistent between LCHI and insurance status, parental education, and household primary language.     CONCLUSIONS: Although there are methodological differences in capturing pediatric LCHI across surveys, the prevalence estimates and correlational associations generated can offer awareness about the burden of these injuries and insights to research and clinical care.<p />  <p>Language: en</p>
LA  - en
SN  - 1047-2797
UR  - http://dx.doi.org/10.1016/j.annepidem.2020.11.006
ID  - ref1
ER  -