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Athletic Trainer Accessibility in U.S. High Schools: A Systematic Review and Meta-Analysis
Mitchell S Mologne1, Stockton C Troyer1, Ameer A Haider1
1School of Medicine, Washington University in St. Louis, St. Louis, MO.
Current Sports Medicine Reports
|May 5, 2025
Summary
Most US secondary schools lack full-time athletic trainers, with access limited by school size, location, and socioeconomic status. Improving athletic trainer staffing offers significant health and economic benefits for student athletes.
Area of Science:
- Sports Medicine
- Public Health
- Educational Athletics
Background:
- Athletic trainers are crucial for student athlete health and safety.
- Limited data exists on the overall accessibility of athletic trainers in US secondary schools.
- Understanding staffing barriers is essential for improving sports medicine coverage.
Purpose of the Study:
- To determine the pooled access to athletic trainers in US secondary and high schools.
- To identify key barriers affecting athletic trainer staffing in these educational settings.
Main Methods:
- Systematic review of 24 studies on athletic trainer access and staffing.
- Data collection on full-time access, any access, and contributing factors.
- Thematic analysis to identify common barriers.
Main Results:
- 66.4% of schools had some access to an athletic trainer.
- Only 34.6% of schools provided full-time athletic trainer access.
- Barriers included smaller school size, rural location, private status, and low socioeconomic status.
Conclusions:
- Significant disparities exist in athletic trainer access at the secondary school level.
- Addressing identified barriers can improve student athlete healthcare.
- Increased funding and staffing for athletic trainers yield economic and health benefits.
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