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

Author:

Ingram Brittany M.1,DeFreese J. D.1,Kerr Zachary Yukio1,Oyesanya Tolu O.2,Picha Kelsey J.3,Register-Mihalik Johna K.1

Affiliation:

1. *Department of Exercise and Sport Science, University of North Carolina at Chapel Hill

2. † School of Nursing, Duke University, Durham, NC

3. ‡ Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, AZ

Abstract

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’ 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.

Publisher

Journal of Athletic Training/NATA

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