학술논문

Does the Association Between Concussion Measures and Social Context Factors Differ in Black and White Parents?
Document Type
Article
Source
Journal of Athletic Training (Allen Press); Apr2024, Vol. 59 Issue 4, p363-372, 10p
Subject
Parent-child relationships
Parent attitudes
Health literacy
Cross-sectional method
Social determinants of health
Questionnaires
White people
Multivariate analysis
Evaluation of medical care
Descriptive statistics
Chi-squared test
Mann Whitney U Test
Race
Surveys
Odds ratio
Psychology of Black people
Statistics
Psychology of parents
Data analysis software
Brain concussion
Social classes
Language
ISSN
10626050
Abstract
Middle school (MS) parents may benefit from education supporting timely concussion identification and care-seeking in their young children (aged approximately 10 to 15 years). However, such education may not consider individual needs and different social context factors, including lower socioeconomic status, disadvantaged social determinants of health, and different racial and ethnic backgrounds. To examine the relationship between social context factors and concussion knowledge, attitudes, and communication in MS parents and to explore the possible role of race and ethnicity (Black or White) as an effect measure modifier. Cross-sectional study. Online survey. A nationally representative sample of MS parents who completed an online survey (n = 1248). Parent outcomes were a history of concussion education, concussion symptom knowledge and attitudes, and communication with children about concussion. Main exposures were parental race and ethnicity (Black or White) and social context factors. Uni- and multivariable statistical analyses were performed to achieve the study aims. Black parents were more likely than White parents to have received concussion education (69.5% versus 60.5%, P =.009), although median concussion knowledge scores were higher for White parents than for Black parents (40 versus 37, P <.001). Few associations were found for social context factors with concussion knowledge, attitudes, and communication in Black and White parents separately. Among MS parents, race and ethnicity may not influence the association between social context factors and concussion-related knowledge, attitudes, or communication. However, differences were present by race and ethnicity regarding previous concussion education and other parental outcomes, concussion symptom knowledge in particular. [ABSTRACT FROM AUTHOR]