Sex Differences in Reported Concussion Injury Rates and Time Loss From Participation: An Update of the National Collegiate Athletic Association Injury Surveillance Program From 2004–2005 Through 2008–2009
Open accessAbstract
Epidemiologic studies have identified differences in concussion incidence between the sexes. However, few authors to date have updated injury rates (IRs) and time loss between male and female concussed athletes.Context: To examine sex differences in IRs and time loss in concussed National Collegiate Athletic Association (NCAA) athletes.Objective: Descriptive epidemiologic study.Design: National Collegiate Athletic Association athletics.Setting: A total of 1702 concusssed NCAA athletes, consisting of 903 females and 779 males participating in soccer, basketball, ice hockey, lacrosse, softball, or baseball over a 5-year period from 2004–2005 through 2008–2009.Patients or Other Participants: Using the NCAA Injury Surveillance Program, athletic trainers reported concussions, athlete-exposures (AEs), and time loss across 10 NCAA sports. An IR is the number of injuries in a particular category divided by the number of AEs in that category.Main Outcome Measure(s): During the study period, 1702 concussions were reported during 4 170 427 AEs for an overall total of 5.47 per 10 000 AEs. In sex-comparable sports, females had a 1.4 times higher overall concussion IR than males (IRs = 4.84 and 3.46, respectively), with greater rates in women's baseball/softball, basketball, ice hockey, and soccer than men. Female soccer and basketball players also displayed more time loss after concussion compared with male basketball and soccer players.Results: Female athletes sustained a higher rate of concussion and, in all sports except lacrosse, had greater time loss from concussion than male athletes. Additional research is needed on sex differences in time loss after concussions.Conclusions:
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Women suffer more concussions than men of a comparable age playing the same sport.
“National Collegiate Athletic Association data indicate that women suffer more concussions than men of a comparable age playing the same sport.”
From Sex Differences in Traumatic Brain Injury: What We Know and What We Should Know (2019) · cites this paper as [3]
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- Authors
- Covassin, T., Moran, R., & Elbin, R. J.
- Affiliations
- Michigan State University (US)
- University of Arkansas at Fayetteville (US)
- Venue
- Journal of Athletic Training
- Published
- 2016-03-01
- Volume
- 51
- Issue
- 3
- Pages
- 189-194
- ISSN
- 1062-6050 (ISSN-L)
- PMC
- PMC4852524
- OpenAlex
- W2293064221
- Cited by
- 298
- References
- 26
- Citations by year
- 2026: 18 · 2025: 42 · 2024: 35 · 2023: 19 · 2022: 32 · 2021: 31 · 2020: 32 · 2019: 34 · 2018: 30 · 2017: 20 · 2016: 4 · 2012: 1
- FWCI
- 27.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Athletic Training (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Collegiate Athletic Association
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Winter Sports Injuries and Performance
- Keywords
- concussion, sex differences, injury incidence, time loss, NCAA athletes, collegiate sports, athlete exposure, women's sports, soccer, basketball, ice hockey, lacrosse, baseball, softball
- MeSH terms
- Return to Sport, Athletic Injuries, Baseball, Basketball, Brain Concussion, Female, Hockey, Humans, Male, Sex Factors, Soccer, United States, Universities, Racquet Sports, Incidence, Sex Distribution
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