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Updated: Oct 12, 2025
A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
Published on: December 8, 2014
The Association Between School District-Based Policies Related to Concussions and Concussions Among High School
Gabrielle F Miller1, Kelly Sarmiento2, Juliet Haarbauer-Krupa2
1Division of Injury Prevention, National Center for Injury Prevention and Control, CDC, 4770 Buford Hwy, NE, MS S106-08, Atlanta, GA, 30341, USA.
Background:
Little is known about the effectiveness of school district concussion policies on reducing the concussion prevalence among students.
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).
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.
Conclusion:
School district concussion policies may have positive effects by identifying and reducing multiple concussions among students.
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