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Kinematic data were integrated with qualitative data using triangulation to examine relationships between athlete perspectives and HAEs. Two thousand six hundred seventy-one true-positive HAEs were collected and analyzed. Topics discussed in interviews included aspirations, mental focus, potential for injury, and perceptions of contact. Athletes with the greatest HAE frequency discussed wanting to advance to higher levels of football (eg,\u00a0college). Several athletes expressed an affinity for contact, many of whom had more HAEs per session than other athletes; however, some athletes disliked the risk of injury in football. Athletes reported that hits to the head felt the hardest, consistent with greater magnitudes measured among head impacts compared with body impacts. Athletes\u2019 perceptions of collisions and safety topics may inform our understanding of factors that influence HAE exposure in football and help guide identification of individual-level targets to reduce exposure and concussion risk.<\/jats:p>","DOI":"10.1123\/jab.2025-0074","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T17:31:19Z","timestamp":1773336679000},"page":"230-239","source":"Crossref","is-referenced-by-count":0,"title":["Integrating Athlete Perspectives and Head Kinematics in Youth American Football"],"prefix":"10.1123","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9907-578X","authenticated-orcid":true,"given":"Madison E.","family":"Marks","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, NC, USA"},{"name":"Virginia Tech\u2014Wake Forest University School of Biomedical Engineering and Sciences, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1491-4714","authenticated-orcid":true,"given":"Ty D.","family":"Holcomb","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, NC, USA"},{"name":"Virginia Tech\u2014Wake Forest University School of Biomedical Engineering and Sciences, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3460-3980","authenticated-orcid":true,"given":"Christopher M.","family":"Miles","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1742-1007","authenticated-orcid":true,"given":"Laura A.","family":"Flashman","sequence":"additional","affiliation":[{"name":"Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9762-3033","authenticated-orcid":true,"given":"Joel D.","family":"Stitzel","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, NC, USA"},{"name":"Virginia Tech\u2014Wake Forest University School of Biomedical Engineering and Sciences, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4059-0538","authenticated-orcid":true,"given":"Justin B.","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA"},{"name":"Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC, USA"},{"name":"Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7348-9244","authenticated-orcid":true,"given":"Jillian E.","family":"Urban","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, NC, USA"},{"name":"Virginia Tech\u2014Wake Forest University School of Biomedical Engineering and Sciences, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"4","key":"r1","series-title":"J Athl Train","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1016\/s0162-0908(08)79294-8","article-title":"Concussions among United States high school and collegiate athletes","volume":"42","author":"Gessel LM","year":"2007","unstructured":"Gessel LM, Fields SK, Collins CL, Dick RW, Comstock RD. 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