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Gender Differences in Concussion Reporting Among High School Athletes.

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Adolescent athletes, particularly girls, are more likely to report concussions. Educational interventions can improve reporting, though both sexes underestimate concussion severity, highlighting a need for better education on concussion recognition and management.

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Area of Science:

  • Sports Medicine
  • Neurology
  • Adolescent Health

Background:

  • Concussion knowledge gaps in athletes can lead to underreporting and improper injury management.
  • Effective concussion management strategies in adolescent athletes require a deeper understanding of reporting behaviors.

Purpose of the Study:

  • To investigate sex-based differences in concussion reporting among high school athletes.
  • To determine if an educational intervention impacts future concussion reporting in adolescent athletes.
  • To explore differences in reasons for not reporting concussions between male and female athletes.

Main Methods:

  • Cross-sectional cohort study involving 454 high school athletes (212 girls, 242 boys).
  • Data collected via surveys and a 30-minute educational lecture on concussion.
  • Participants used iClickers for anonymous responses to survey questions.

Main Results:

  • Girls were significantly more likely to report a concussion (P=0.040).
  • Girls showed a higher likelihood of reporting future concussions post-intervention (P=0.014).
  • No significant sex-based differences were found in the rationale for not reporting concussions (P=0.170).

Conclusions:

  • Adolescent athletes often fail to grasp the severity and long-term effects of concussions.
  • Both male and female athletes perceived concussions as not serious enough for medical reporting.
  • Enhanced education on concussion recognition is crucial for increasing reporting rates in high school athletes, who recover more slowly than college athletes.