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School and Community Socioeconomic Status and Access to Athletic Trainer Services in Wisconsin Secondary Schools

机译:威斯康星州中学的学校和社区社会经济地位以及获得运动教练服务的机会

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Context Secondary schools have made significant progress in providing athletic trainer (AT) coverage to their student-athletes, but the levels of access at schools with ATs may vary widely. Socioeconomic disparities in medical coverage and access have been noted in other health care fields, but such disparities in the level of access to AT services have not been thoroughly examined. Objective To determine if (1) access to AT services or (2) the level of access (AT hours per week and athletes per AT hour) differed based on the socioeconomic characteristics of secondary schools. Design Cross-sectional study. Setting Mailed and e-mailed surveys. Patients or Other Participants High school athletic directors and ATs from 402 Wisconsin high schools. Main Outcome Measure(s) Respondents provided information as to whether their school used the services of an AT and the number of hours per week that their school had an AT on-site. The number of athletes per AT hour was calculated by dividing the total number of athletes at the school by the number of hours of AT coverage per week. The socioeconomic status of each school was determined using the percentage of students with free or reduced-cost lunch and the county median household income (MHI). Results Schools without an AT on-site were in lower MHI counties (P .001) and had more students eligible for a free or reduced-cost lunch (P .001). Lower levels of AT access (fewer hours of AT access per week and more athletes per AT hour) were observed at schools in the lowest third of the county MHI and with the highest third of students eligible for a free or reduced-cost lunch (P .001). Conclusions Socioeconomic disparities were present in access to AT services. New models are needed to focus on providing a high level of AT access for all student-athletes, regardless of socioeconomic status.
机译:背景信息中学在为学生运动员提供运动教练(AT)方面取得了显着进步,但是拥有AT的学校的入学水平可能差异很大。其他医疗保健领域也注意到了医疗覆盖率和获取率方面的社会经济差异,但是尚未完全研究获得AT服务水平方面的此类差异。目的根据中学的社会经济特征,确定(1)获得AT服务或(2)访问水平(每周AT小时和运动员/ AT小时)是否有所不同。设计横断面研究。设置邮件调查和电子邮件调查。患者或其他参与者威斯康星州402所中学的高中运动指导和AT。主要结果指标受访者提供了有关学校是否使用AT服务以及学校现场设有AT的每周小时数的信息。每个AT小时的运动员人数是通过将学校的运动员总人数除以每周AT覆盖小时数得出的。每所学校的社会经济状况是根据免费午餐或减价午餐的学生所占百分比以及县中位数家庭收入(MHI)来确定的。结果没有现场AT的学校位于MHI较低的县(P <.001),并且有更多学生有资格获得免费或廉价午餐(P <.001)。在县三菱重工最低的三分之一的学校中,观察到较低的AT接入水平(每周较少的AT接入时间,每个AT每小时有更多的运动员),并且有三分之一的学生有资格获得免费或廉价午餐(P <.001)。结论在获得AT服务方面存在社会经济差异。无论社会经济地位如何,都需要新的模型来集中精力为所有学生运动员提供高水平的AT接入。

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