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Updated: May 1, 2026

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
An Analysis on How Socioeconomic and Geographical Factors Influence Recognition of Sport Related Concussion in the
Sarah Bivans1, Joshua A Beitchman1, Cason Hicks1
1University of Texas Southwestern Medical Center, Dallas, TX, USA.
Objective:
To describe how sociodemographic factors may impact the reported distribution of Sport related concussion (SRC) in high-school sports.
Introduction:
SRC may affect athletes' daily functioning and ability perform academically. Consideration of sociodemographic factors in the reporting of SRC are needed to address possible inequities in concussion diagnosis.
Methods:
This review of data from the ConTex2 database identified 6377 cases of SRC among high-school athletes who were then analyzed by geographic location and socioeconomic status.
Results:
Reports of SRC by geographic location revealed cities had a smaller percentage of total SRC than suburbs in swimming/diving, water polo, wrestling, and marching band. Lower SES schools had a smaller percentage of reported SRC in cheerleading and marching band. Similarly, lower incidence rates of SRC were found in schools in cities and of lower SES.
Conclusion:
Consideration of sociodemographic factors in SRC may provide more equitable allocation of resources and improve concussion care for all student athletes.
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