TY - JOUR PY - 2021// TI - Risk factors associated with concussions in a college student population JO - Annals of epidemiology A1 - Tanabe, Kawai O. A1 - Hayden, Meredith E. A1 - Rege, Saumitra A1 - Simmons, Jessica A1 - Holstege, Christopher P. SP - ePub EP - ePub VL - ePub IS - ePub N2 - PURPOSE: To determine risk factors associated with concussion among the general collegiate population using a unique data linkage methodology.

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.

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.

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.

Language: en

LA - en SN - 1047-2797 UR - http://dx.doi.org/10.1016/j.annepidem.2021.06.009 ID - ref1 ER -