Comparing prevalence estimates of concussion/head injury in U.S. children and adolescents in national surveys

Haarbauer‐Krupa, Juliet; Lebrun‐Harris, Lydie A.; Black, Lindsey I; Veliz, Philip; Daugherty, Jill; Desrocher, Rebecca; Schulenberg, John E.; Pilkey, Diane; Breiding, Matthew J.

doi:10.1016/j.annepidem.2020.11.006

Cited by 23 publications

(15 citation statements)

References 18 publications

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“…Between 2016 and 2020, the estimated percentage of US 8th-, 10th-, and 12th-graders who reported at least 1 diagnosed concussion during their lifetime increased. Although lower prevalence of self-reporting concussions has been found among Hispanic, non-Hispanic other, and non-Hispanic Black adolescents compared with non-Hispanic White adolescents, these groups saw increases in self-reported concussion during this time period.…”

Section: Discussionmentioning

confidence: 63%

Trends in the Prevalence of Concussion Reported by US Adolescents, 2016-2020

Veliz

McCabe

Eckner

et al. 2021

JAMA

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Section: Discussionmentioning

confidence: 63%

Trends in the Prevalence of Concussion Reported by US Adolescents, 2016-2020

Veliz

McCabe

Eckner

et al. 2021

JAMA

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“…This is higher than another study of YYEH that found that 43% of their sample had experienced lifetime TBI, but the study only assessed blunt force trauma and did not ask about brain oxygen deprivation [ 5 ]. Both studies suggest a much higher prevalence of brain injury among YYEH compared to the general population in the US, with prevalence of lifetime brain injury ranging from 6.5% to 18.3% among youth ages 13–17 years, with variation in estimates across surveys likely attributed to question wording [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Brain Injury Is Prevalent and Precedes Tobacco Use among Youth and Young Adults Experiencing Homelessness

Nemeth

Glasser

Hinton

et al. 2023

IJERPH

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70%+ of youth and young adults experiencing homelessness (YYEH; 14–24 years old) smoke combustible tobacco. Little is known about the prevalence of acquired brain injury (ABI) among youth and young adult smokers experiencing homelessness (YYSEH) and its impact on tobacco use progression—the aim of our study. Through an interviewer-administered survey, YYSEH were asked about timing of tobacco use; exposure to causes of ABI; including brain oxygen deprivation (BOD; strangulation; accidental; choking games) and blunt force head trauma (BFHT; intentional; shaken violently; accidental); and perpetrators of intentional assault. Participants (n = 96) were on average 22 years old and from populations who experience structural disparities; including those minoritized by race (84.4%) and gender/sexual orientation (26.0%). In total, 87% of participants reported at least one exposure to BFHT and 65% to BOD. Intentional injury was more common than accidental. Furthermore, 60.4% of participants (n = 59) were classified as having ABI using the Brain Injury Severity Assessment. A significant proportion of YYSEH living with ABI were exposed to both BFHT and BOD prior to trying (68.5%, p = 0.002) and to first regular use (82.8%, p < 0.001) of tobacco. Among YYSEH with ABI; injury exposure occurred a median of 1 and 5 years before age of first regular tobacco use, dependent on injury mechanism. ABI from intentional violence is prevalent and precedes tobacco use among YYSEH.

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“…Signficantly different from non-Hispanic Black children (p < 0.05) 2. Signficantly different from non-Hispanic Asian children (p < 0.05).3 Signficantly different from Hispanic children (p < 0.05).…”

mentioning

confidence: 91%

“…A concussion is a mild type of traumatic brain injury (1). Previous studies using national data have shown that concussion prevalence can differ by survey methodology and question wording (2). The 2020 National Health Interview Survey (NHIS) included questions on concussion to measure both symptoms and diagnosis from a health care provider to provide a more complete understanding of the public health burden, because children with mild injuries may not see a doctor or receive a diagnosis.…”

mentioning

confidence: 99%