{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:04:21Z","timestamp":1789718661710,"version":"4.0.1"},"reference-count":33,"publisher":"National Athletic Trainers' Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n          <jats:title>Context<\/jats:title>\n          <jats:p>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.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Objectives<\/jats:title>\n          <jats:p>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.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Design<\/jats:title>\n          <jats:p>Cross-sectional study.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Setting<\/jats:title>\n          <jats:p>Online survey.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Patients or Other Participants<\/jats:title>\n          <jats:p>A nationally representative sample of MS parents who completed an online survey (n = 1248).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Main Outcome Measure(s)<\/jats:title>\n          <jats:p>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.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>Black parents were more likely than White parents to have received concussion education (69.5% versus 60.5%, <jats:italic>P<\/jats:italic> = .009), although median concussion knowledge scores were higher for White parents than for Black parents (40 versus 37, <jats:italic>P<\/jats:italic> &lt; .001). Few associations were found for social context factors with concussion knowledge, attitudes, and communication in Black and White parents separately.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions<\/jats:title>\n          <jats:p>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.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-0193.23","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T12:01:15Z","timestamp":1694174475000},"page":"363-372","source":"Crossref","is-referenced-by-count":2,"title":["Does the Association Between Concussion Measures and Social Context Factors Differ in Black and White Parents?"],"prefix":"10.4085","volume":"59","author":[{"given":"Alicia M.","family":"Montalvo","sequence":"first","affiliation":[{"name":"College of Health Solutions, Arizona State University, Phoenix"},{"name":"Emory Sports Performance and Research Center, Flowery Branch, GA"},{"name":"Sports Medicine and Community Health Research Lab, University of Southern Mississippi, Hattiesburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica S.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Health Science, University of Alabama, Tuscaloosa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliza K.","family":"Nedimyer","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Chandran","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"},{"name":"Datalys Center for Sports Injury Research and Prevention, Indianapolis, IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa K.","family":"Kossman","sequence":"additional","affiliation":[{"name":"School of Health Professions, University of Southern Mississippi, Hattiesburg"},{"name":"Sports Medicine and Community Health Research Lab, University of Southern Mississippi, Hattiesburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Gildner","sequence":"additional","affiliation":[{"name":"Injury Prevention Research Center, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johna K.","family":"Register-Mihalik","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"},{"name":"Injury Prevention Research Center, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary Yukio","family":"Kerr","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"},{"name":"Injury Prevention Research Center, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"1","key":"i1062-6050-59-4-363-b01","series-title":"Pediatrics","first-page":"e20154635","article-title":"Sports- and recreation-related concussions in US youth","volume":"138","author":"Bryan","year":"2016","unstructured":"Bryan\n              MA,\n            \n            \n              Rowhani-Rahbar\n              A,\n            \n            \n              Comstock\n              RD,\n            \n            \n              Rivara\n              F;\n            \n            Seattle Sports Concussion Research Collaborative\n          . 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