{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T03:04:25Z","timestamp":1765422265051,"version":"3.40.5"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,11,21]],"date-time":"2021-11-21T00:00:00Z","timestamp":1637452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Little is known about the effectiveness of school district concussion policies on reducing the concussion prevalence among students.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>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\u2010 or physical activity\u2010related concussion during the 12\u2009months before of the survey. Exposure variables were 2 district policies, including district\u2010funded 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).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>In districts with district\u2010funded professional development, the odds of students self\u2010reporting \u22652 sports\u2010 or physical activity\u2010related 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\u2010reporting \u22652 concussions were significantly lower (OR\u00a0=\u00a00.6) than in districts with neither policy.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>School district concussion policies may have positive effects by identifying and reducing multiple concussions among students.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13113","type":"journal-article","created":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T04:03:33Z","timestamp":1637553813000},"page":"140-147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Association Between School District\u2010Based Policies Related to Concussions and Concussions Among High School Students"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8031-8558","authenticated-orcid":false,"given":"Gabrielle F.","family":"Miller","sequence":"first","affiliation":[{"name":"Division of Injury Prevention, National Center for Injury Prevention and Control, CDC, 4770 Buford Hwy, NE, MS S106\u201008  Atlanta GA 30341 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Sarmiento","sequence":"additional","affiliation":[{"name":"Division of Injury Prevention, National Center for Injury Prevention and Control, CDC, 4770 Buford Hwy, NE, MS S106\u201009  Atlanta GA 30341 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2013-6453","authenticated-orcid":false,"given":"Juliet","family":"Haarbauer\u2010Krupa","sequence":"additional","affiliation":[{"name":"Division of Injury Prevention, National Center for Injury Prevention and Control, CDC, 4770 Buford Hwy, NE, MS 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