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Secondary School Socioeconomic Status and Athletic Training Practice Characteristics
Hannah J Robison1, Janet E Simon2, Erik J Nelson3
1Datalys Center for Sports Injury Research and Prevention, Inc, Indianapolis, IN.
Journal of Athletic Training
|September 3, 2021
Summary
School socioeconomic status (SES) impacts athletic training services, with affluent schools offering more injury care contacts. However, these differences did not reduce overall medical care for student-athletes.
Area of Science:
- Sports Medicine
- Public Health
- Socioeconomic Determinants of Health
Background:
- Socioeconomic status (SES) significantly influences health outcomes, morbidity, and mortality.
- Limited research exists on the impact of school SES on athletic training practices in secondary schools with certified athletic trainers (ATs).
Purpose of the Study:
- To examine the frequency and rates of athletic training services provided for student-athlete injuries.
- To determine how these services differ based on the socioeconomic status (SES) of the secondary school.
Main Methods:
- A cross-sectional study analyzed data from 77 secondary schools over five academic years (2014-2019).
- Schools were categorized into affluent, average, and disadvantaged SES groups.
- Data included athletic training facility (ATF) visit days and AT services for injuries sustained by student-athletes participating in various sports.
Main Results:
- Certified athletic trainers (ATs) documented 1191 services across all schools.
- Affluent and average SES schools showed higher contact frequencies for injury care compared to disadvantaged schools, particularly in AT services per injury (P = .020).
- Affluent schools provided higher rates of specific services, though therapeutic exercise rates were similar across all SES groups.
Conclusions:
- Athletic training practice characteristics may vary by school SES, but this did not lead to reduced medical care for student-athletes.
- Future research should employ sophisticated methods to assess SES and explore its broader effects on student-athletes beyond AT practice.
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