{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T19:40:05Z","timestamp":1749670805052,"version":"3.41.0"},"reference-count":23,"publisher":"National Athletic Trainers' Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Where a person lives can have a significant effect on health. Limited access to health care, food insecurity, lack of affordable housing, and violence increase a person's likelihood of poor health. Athletic trainers (ATs) can contribute to identifying and improving the determinants of health that affect student-athletes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>(1) What were the current perceptions ATs had about the health behaviors (specifically mental health and substance use) of high school student-athletes? (2) What were the barriers that ATs experienced when providing health services to high school student-athletes? (3) How did the developed environment affect the health behaviors and barriers that ATs observed?<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Qualitative 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>Certified National Athletic Trainers' Association members employed in the secondary school setting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s)<\/jats:title>\n                  <jats:p>Demographics of ATs were collected, and the ATs' perceptions of the health of student-athletes across developed environments, prevalence of mental health issues, tobacco and substance use, barriers to health care services, and housing and food insecurities among student-athletes were surveyed. Descriptive statistics for the outcome measures were reported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 7600 electronic surveys were distributed to the ATs and 911 responded (females = 62%, average age = 36 years, average experience = 12.5 years). The school setting was identified by 82.5% as public and the environment as suburban by 43.7%, rural by 30.1%, and urban by 26.1%. Participants perceived a high average prevalence of mental health concerns (32%), e-cigarette use (31.7%), and marijuana use (26.9%) among student-athletes. Significant perceived barriers to health included limited access to transportation, poverty, and housing and food insecurities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study highlights the health disparities and barriers ATs observed when addressing the health care needs of student-athletes. Understanding the determinants of health in order to identify the causes of health disparities may better prepare ATs to manage the health needs of underserved student-athletes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-0359.19","type":"journal-article","created":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T18:53:14Z","timestamp":1627671194000},"page":"140-147","source":"Crossref","is-referenced-by-count":7,"title":["Athletic Trainer\u2013Reported Prevalence of Mental Health, Substance Use, and Barriers to Health in Secondary Schools"],"prefix":"10.4085","volume":"57","author":[{"given":"Justin","family":"Beaupre","sequence":"first","affiliation":[{"name":"Center for Population Health Research, Main Line Health, Wynnewood, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam W.","family":"Meske","sequence":"additional","affiliation":[{"name":"Center for Population Health Research, Main Line Health, Wynnewood, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Buckley","sequence":"additional","affiliation":[{"name":"Center for Population Health Research, Main Line Health, Wynnewood, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"2022022415460748600_i1938-162X-57-2-140-b01","unstructured":"Nash\n              DB,\n            \n            \n              Skoufalos\n              A,\n            \n            \n              Fabius\n              RJ,\n            \n            \n              Oglesby\n              WH.\n            \n          \n          \n            Population Health: Creating a Culture of Wellness. 3rd ed. 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