{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T05:19:21Z","timestamp":1777180761620,"version":"3.51.4"},"reference-count":69,"publisher":"National Athletic Trainers' Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:p>Sport-related concussion (SRC) is a prevalent injury. Significant disparities in SRC outcomes exist across racial and ethnic groups. These disparities may be attributed to the unequal distribution of political power (or influence) and resource allocation in various communities, shaping individuals\u2019 social determinants of health (SDOH). However, the influence of SDOH on SRC outcomes remains understudied. In this clinical commentary, we use the National Institute on Minority Health and Health Disparities Research Framework and describe how its application can help address gaps in our understanding of SDOH and SRC. This framework provides a comprehensive approach to investigating and addressing health disparities by considering SDOH along multiple levels and domains of influence. Using this framework, athletic trainers can identify areas requiring intervention and better understand how SDOH influence SRC outcomes. This understanding can help athletic trainers develop tailored interventions to promote equitable care for patients with SRC.<\/jats:p>","DOI":"10.4085\/1062-6050-0370.23","type":"journal-article","created":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T17:12:16Z","timestamp":1709745136000},"page":"447-457","source":"Crossref","is-referenced-by-count":1,"title":["Applying the National Institute on Minority Health and Health Disparities Research Framework to Social Determinants of Health in the Context of Sport-Related Concussion: A Clinical Commentary"],"prefix":"10.4085","volume":"59","author":[{"given":"Brittany M.","family":"Ingram","sequence":"first","affiliation":[{"name":"*Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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Still University, Mesa, AZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johna K.","family":"Register-Mihalik","sequence":"additional","affiliation":[{"name":"*Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"issue":"(1)","key":"2024052323511210300_i1062-6050-59-5-447-b01","first-page":"e20165635","article-title":"Sports- and recreation-related concussions in US youth","volume":"138","author":"Bryan","year":"2016","journal-title":"Pediatrics"},{"issue":"(9)","key":"2024052323511210300_i1062-6050-59-5-447-b02","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1111\/josh.12543","article-title":"Concussion knowledge and reporting behavior differences between high school athletes at urban and suburban high schools","volume":"87","author":"Wallace","year":"2017","journal-title":"J Sch Health"},{"issue":"(2)","key":"2024052323511210300_i1062-6050-59-5-447-b03","first-page":"2","article-title":"Investigating disparities in high school athletes\u2019 attitude toward concussion and predictors of continuing play","volume":"13","author":"Wallace","year":"2020","journal-title":"J Health Disparities Res Pract"},{"issue":"(4)","key":"2024052323511210300_i1062-6050-59-5-447-b04","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1007\/s40615-020-00864-x","article-title":"The underreporting of concussion: differences between Black and White high school athletes likely stemming from inequities","volume":"8","author":"Wallace","year":"2021","journal-title":"J Racial Ethn Health Disparities"},{"issue":"(1)","key":"2024052323511210300_i1062-6050-59-5-447-b05","doi-asserted-by":"crossref","first-page":"16","DOI":"10.4085\/1062-6050-0054.21","article-title":"Evaluating concussion nondisclosure in college athletes using a health disparities framework and consideration of social determinants of health","volume":"57","author":"Wallace","year":"2022","journal-title":"J Athl Train"},{"issue":"(1)","key":"2024052323511210300_i1062-6050-59-5-447-b06","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/s40615-017-0361-1","article-title":"Racial disparities in concussion knowledge and symptom recognition in American adolescent athletes","volume":"5","author":"Wallace","year":"2018","journal-title":"J Racial Ethn Health Disparities"},{"issue":"(11)","key":"2024052323511210300_i1062-6050-59-5-447-b07","doi-asserted-by":"crossref","first-page":"2774","DOI":"10.1177\/0363546520946753","article-title":"Disparities on baseline performance using neurocognitive and oculomotor clinical measures of concussion","volume":"48","author":"Wallace","year":"2020","journal-title":"Am J Sports Med"},{"issue":"(4)","key":"2024052323511210300_i1062-6050-59-5-447-b08","first-page":"168","article-title":"Socioeconomic status and race as social determinants of health to be considered in clinical use of pre-season vestibular and oculomotor tests for concussion","volume":"6","author":"Wallace","year":"2020","journal-title":"J Clin Transl Res"},{"issue":"(5)","key":"2024052323511210300_i1062-6050-59-5-447-b09","doi-asserted-by":"crossref","first-page":"516","DOI":"10.3171\/2021.2.PEDS2130","article-title":"Exploring the outcomes and experiences of Black and White athletes following a sport-related concussion: a retrospective cohort study","volume":"28","author":"Yengo-Kahn","year":"2021","journal-title":"J Neurosurg Pediatr"},{"key":"2024052323511210300_i1062-6050-59-5-447-b10","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.jpeds.2021.01.057","article-title":"Racial disparities in diagnosis of concussion and minor head trauma and mechanism of injury in pediatric patients visiting the emergency department","volume":"233","author":"Wallace","year":"2021","journal-title":"J Pediatr"},{"issue":"(10)","key":"2024052323511210300_i1062-6050-59-5-447-b11","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1080\/02699050903200563","article-title":"Do racial\/ethnic differences exist in post-injury outcomes after TBI? 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