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Brief report
Association of concussion with high school academic standing: sex, school grade and race as stratifiers
  1. Julian Takagi-Stewart1,
  2. Qian Qiu1,2,
  3. Brianna Mills1,3,
  4. Aspen D Avery1,4,
  5. Amy Muma1,4,
  6. Monica S Vavilala1,2,4,5
  1. 1 Harborview Injury Prevention & Research Center, Seattle, Washington, USA
  2. 2 Pediatrics, University of Washington, Seattle, Washington, USA
  3. 3 Epidemiology, University of Washington, Seattle, Washington, USA
  4. 4 Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA
  5. 5 Neurological Surgery and Radiology, University of Washington, Seattle, Washington, USA
  1. Correspondence to Julian Takagi-Stewart, Harborview Injury Prevention & Research Center, Seattle, WA 98104, USA; juliantakagistewart{at}live.jp

Abstract

Introduction The purpose was to examine the association between concussion history and academic standing among high school students, and whether the association varies by sex, school grade and race/ethnicity.

Methods Data from the 2019 Youth Risk Behaviour Survey were used for our cross-sectional study. Exposure was self-reported history of concussions in the past 12 months. Outcome was self-reported academic standing in the past 12 months. Poisson regression was used to analyse the exposure–outcome association, and whether there were differences by our stratifying variables.

Results Having a history of concussion in the past 12 months was significantly associated with a higher risk of poor academic standing during the same period, and the association varied by race/ethnicity.

Discussion Youth with a history of concussion may be at risk for poorer academic standing, indicating to the importance of prevention. Future studies are needed to examine the interaction of race/ethnicity on the presented association.

  • concussion
  • school
  • health disparities

http://dx.doi.org/10.1136/ip-2022-044568

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    Footnotes

    • Contributors JT-S wrote the analysis plan and drafted and revised the paper. JT-S is the guarantor. QQ obtained data, supported the analysis plan, cleaned and analysed the data and drafted and revised the paper. BM supported the analysis plan, analysed the data and drafted and revised the paper. ADA analysed the data, and drafted and revised the paper. AM initiated the project, supported the analysis plan and revised the paper. MSV initiated the project, supported the analysis plan and revised the paper.

    • Funding This work was funded by the Centers for Disease Control and Prevention (Grant number: R49CE003087-03 (Vavilala PI))

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.