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Data from the 2017 National Youth Risk Behavior Survey ( N = 14,765) were used in this study to examine associations between sports- or physical activity\u2013related concussions and current cigarette, alcohol, and marijuana use among high school students, and whether other factors moderate those associations. In addition to having played on a sports team, potential moderators examined included persistent feelings of sadness or hopelessness, hours of sleep, and serious difficulty concentrating, remembering, or making decisions. The association between sports- or physical activity-related concussions and current cigarette, alcohol, and marijuana use was significant when controlling for sex, grade, and race\/ethnicity and the potential moderators with the exception of cigarette smoking while controlling for hours of sleep. Those involved in the care of high school students after a concussion may consider assessing current cigarette, alcohol, and marijuana use.<\/jats:p>","DOI":"10.1177\/1059840520977319","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T04:12:09Z","timestamp":1606968729000},"page":"511-518","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Substance Use and Sports- or Physical Activity-Related Concussions Among High School Students"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5068-9315","authenticated-orcid":false,"given":"Lara","family":"DePadilla","sequence":"first","affiliation":[{"name":"Division of Overdose Prevention, National Center for Injury Prevention and Control, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle F.","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Injury Prevention, National Center for Injury Prevention and Control, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry Everett","family":"Jones","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Breiding","sequence":"additional","affiliation":[{"name":"Division of Injury Prevention, National Center for Injury Prevention and Control, CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"bibr1-1059840520977319","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2016.1188955"},{"key":"bibr2-1059840520977319","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2019.1581220"},{"key":"bibr3-1059840520977319","doi-asserted-by":"publisher","DOI":"10.1177\/0883073816681351"},{"key":"bibr4-1059840520977319","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(02)00339-7"},{"issue":"1","key":"bibr5-1059840520977319","first-page":"1","volume":"62","author":"Brener N. 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