Exploring the Outcomes and Experiences of Black and White Athletes Following a Sport-Related Concussion: A Retrospective Cohort Study

ObjectiveYoung American athletes, at risk of sport-related concussion (SRC), represent many races, however, it is unknown how race influences the experience and outcome of SRC. Our objective was to compare White and Black athletes' recovery and subjective experiences after SRC.BackgroundNA.Design/MethodsA retrospective study was performed using the Vanderbilt Sport Concussion registry. Self-reported White (n = 211) and Black (n = 36) athletes (ages 12–23) treated for SRC between 2012 and 15 were included. Athletes with learning disabilities or psychiatric conditions were excluded. Data was collected by EMR review and phone calls to athletes and parents/guardians. The primary outcomes were: (1) days to symptom resolution (SR), (2) days to return-to-school, (3) changes in any daily activity (binary), (4) and sport behavior (binary). Secondary outcomes were changes in specific activities such as sleep, schoolwork, television time, as well as equipment (binary), playing style (more reckless, unchanged, less reckless) and whether the athlete retired from sport. Descriptive analyses, multivariable Cox proportional hazards and logistic regression were performed.ResultsA retrospective study was performed using the Vanderbilt Sport Concussion registry. Self-reported White (n = 211) and Black (n = 36) athletes (ages 12–23) treated for SRC between 2012 and 15 were included. Athletes with learning disabilities or psychiatric conditions were excluded. Data was collected by EMR review and phone calls to athletes and parents/guardians. The primary outcomes were: (1) days to symptom resolution (SR), (2) days to return-to-school, (3) changes in any daily activity (binary), (4) and sport behavior (binary). Secondary outcomes were changes in specific activities such as sleep, schoolwork, television time, as well as equipment (binary), playing style (more reckless, unchanged, less reckless) and whether the athlete retired from sport. Descriptive analyses, multivariable Cox proportional hazards and logistic regression were performed.ConclusionsRacial differences appear to exist in the outcomes and experience of SRC for young athletes, as Black athletes reached symptom resolution and return-to-school sooner than White athletes. Race should be considered as an important social determinant in SRC treatment.

Mixed Method Examination of the Brain Health of Former NCAA Division I Football Players and Former NFL Players

ObjectiveYoung American athletes, at risk of sport-related concussion (SRC), represent many races; however, it is unknown how race influences the experience and outcome of SRC. Our objective was to compare White and Black athletes' recovery and subjective experiences after SRC.BackgroundNA.Design/MethodsA retrospective study was performed using the Vanderbilt Sport Concussion registry. Self-reported White (n = 211) and Black (n = 36) athletes (ages 12–23) treated for SRC between 2012 and 15 were included. Athletes with learning disabilities or psychiatric conditions were excluded. Data was collected by EMR review and phone calls to athletes and parents/guardians. The primary outcomes were: (1) days to symptom resolution (SR), (2) days to return-to-school, (3) changes in any daily activity (binary), (4) and sport behavior (binary). Secondary outcomes were changes in specific activities such as sleep, schoolwork, television time, as well as equipment (binary), playing style (more reckless, unchanged, less reckless) and whether the athlete retired from sport. Descriptive analyses, multivariable Cox proportional hazards and logistic regression were performed.ResultsA retrospective study was performed using the Vanderbilt Sport Concussion registry. Self-reported White (n = 211) and Black (n = 36) athletes (ages 12–23) treated for SRC between 2012 and 15 were included. Athletes with learning disabilities or psychiatric conditions were excluded. Data was collected by EMR review and phone calls to athletes and parents/guardians. The primary outcomes were: (1) days to symptom resolution (SR), (2) days to return-to-school, (3) changes in any daily activity (binary), (4) and sport behavior (binary). Secondary outcomes were changes in specific activities such as sleep, schoolwork, television time, as well as equipment (binary), playing style (more reckless, unchanged, less reckless) and whether the athlete retired from sport. Descriptive analyses, multivariable Cox proportional hazards and logistic regression were performed.ConclusionsRacial differences appear to exist in the outcomes and experience of SRC for young athletes, as Black athletes reached symptom resolution and return-to-school sooner than White athletes. Race should be considered as an important social determinant in SRC treatment.

Corporate Colonization of Blackness – The Representation of Blackness in the National Basketball Association from 1984 to 2005

In light of current social justice dynamics, this article examines marketing strategies employed by the NBA (and associated companies) to sell predominantly Black athletes to a chiefly White audience. Through historical contextualization and critical analysis, the NBA’s development from a non-profitable and scorned circus to a multi-faceted and multi-billion-dollar global attraction is explored. From the earliest league structures until the 1980s, a dichotomy between Black and White players (and the values/stigma they embodied) dominated the sport of Basketball. This however changed with the rise of Michael Jordan to fame. Jordan became the first basketball player who transcended these racial lines in terms of associated values and/or stigmas. Simultaneously, His Airness’ rise to global fame let the NBA’s popularity soared into astronomical spheres. A shiny Black Superhero was born, yet his public image is predominantly inspired by corporate considerations – a case of corporate colonization of Black bodies. Black players’ transgressions and the NBA’s reactions to those – as happened in the Malice in the Palace (2005) incident – highlight the conflicting lines along which the NBA constructs and presents its players with a clear tendency towards corporate colonization, a concept which will be outlined in the paper. Through critical historical reading of past corporate efforts, this article re- and deconstructs the strategic illustration of Black athletes.

Does sport media raise her name? Examining intersectional representation in media narratives

PurposeThe purpose of this research was to examine the role of intersectionality (multiple marginalized identities) in narratives used within online media coverage of women's sports. The authors adopted an intersectionality lens and drew from sports media literature to explore the representation of Black athletes in women's sport.Design/methodology/approachThe authors conducted a quantitative content analysis of online articles from ESPN, CBS Sports and Sports Illustrated from the 2020 WNBA Season. The authors coded the number of times an athlete was mentioned in an article, the athlete's race, publicly disclosed sexual orientation and gender expression. The authors used hierarchical regression to examine the relationship between an athlete's social identities and frequency of media mentions.FindingsWithin mainstream online sport media, Black WNBA athletes receive less media attention than white WNBA athletes. Black athletes who do not present in traditionally feminine ways receive the least amount of media attention, while white athletes have the freedom to express their gender in a variety of ways and still capture media interest. Within league press releases, however, there is no difference in media mentions based on race, sexual orientation or gender expression.Practical implicationsThe findings in this research are important for sport media professionals who write stories and player-activists who are pursuing racial justice. Outlets should commit to antiracist storytelling practices. Players, player agents and players' associations—all of whom have shown their power to create change for a more equitable industry and society—should also advocate for and organize around practices that create more equitable media coverage.Originality/valueThis study is one of the few empirical investigations of women's professional sport that examines the influence of intersecting social identities.

Exploring the outcomes and experiences of Black and White athletes following a sport-related concussion: a retrospective cohort study

OBJECTIVE Young American athletes, at risk of sport-related concussion (SRC), represent many races; however, it is unknown how race may influence the experience and outcome of SRC. The authors’ objective was to compare White and Black athletes’ recovery and subjective experiences after SRC. METHODS A retrospective study was performed using the Vanderbilt Sports Concussion registry. Self-reported White and Black young athletes (ages 12–23 years) who had been treated for SRC between 2012 and 2015 were included. Athletes with learning disabilities or psychiatric conditions were excluded. Data were collected by electronic medical record review and phone calls to athletes and parents or guardians. The primary outcomes were as follows: 1) days to symptom resolution (SR), 2) days to return to school, and changes in 3) any daily activity (binary) and 4) sport behavior (binary). Secondary outcomes were changes (more, unchanged, or less) in specific activities such as sleep, schoolwork, and television time, as well as equipment (binary) or playing style (more reckless, unchanged, or less reckless) and whether the athlete retired from sport. Descriptive analyses, multivariable Cox proportional hazards models, and logistic regression were performed. RESULTS The final cohort included 247 student-athletes (36 Black, 211 White). Black athletes were male (78% vs 58%) more often than White athletes, but both races were similar in age, sport, and medical/family histories. Black athletes more frequently had public insurance (33.3% vs 5.7%) and lived in areas with a low median income (41.2% vs 26.6%). After adjusting for age, sex, concussion history, insurance status, and zip code median income, Black athletes reached an asymptomatic status (HR 1.497, 95% CI 1.014–2.209, p = 0.042) and returned to school earlier (HR 1.522, 95% CI 1.020–2.270, p = 0.040). Black athletes were less likely to report a change in any daily activity than White athletes (OR 0.368, 95% CI 0.136–0.996, p = 0.049). Changes in sport behavior were comparable between the groups. CONCLUSIONS Racial differences appear to exist in the outcomes and experience of SRC for young athletes, as Black athletes reached SR and return to school sooner than White athletes. Race should be considered as an important social determinant in SRC treatment.

Evaluating Concussion Nondisclosure in College Athletes using a Health Disparities Framework and Appreciation for Social Determinants of Health

Context: There is limited research concerning the relationship between social determinants of health, including race, healthcare access, socioeconomic status (SES), and physical environment; and, concussion nondisclosure in college-athletes. However, in high school athletes, disparities have been noted, with Black athletes attending under-resourced schools and lacking access to an athletic trainer (AT) disclosing fewer concussions. Objective: To investigate whether concussion nondisclosure disparities exist by 1) race, 2) SES, and 3) AT healthcare access prior to college; and to understand the differential reasons for concussion nondisclosure between Black and White college-athletes. Design: Cross-sectional Setting: College athletics Participants: 735 college-athletes (84.6% White, 15.4% Black) Main Outcome Measures: Participants completed a questionnaire that directly assessed concussion nondisclosure, including reasons for not reporting a suspected concussion. With the premise of investigating social determinants of health, race was the primary exposure of interest. The outcome of interest, nondisclosure, was assessed with a binary (yes/no) question, “Have you ever sustained a concussion that you did not report to your coach, athletic trainer, parent, teammate, or anyone else?” Results: Overall, among White and Black athletes 15.6% and 17.7% respectively reported a history of concussion nondisclosure. No significant differences were found by race for distributions of history of concussion nondisclosure (p=0.57). Race was not associated with concussion nondisclosure when evaluated as an effect modification measure or confounder; and, no significant associations were noted by SES or high school AT access. Differences by race for reported reasons for nondisclosure were found for: “At the time I did not think it was a concussion” (p=0.045) and “I thought my teammates would think I am weak” (p=0.03) with Black athletes reporting these more frequently than White athletes. Conclusions: These data help to contextualize race and its intersection with other social determinants of health that could influence concussion nondisclosure outcomes in college-athletes.

‘He needs pulling down a peg or two’: Assessing online fan responses to racialized discourse in sports broadcasting

Although overt expressions of racism are increasingly rare within the sport media, implicit and conscious/unconscious racial bias, on the other hand, is a common feature within contemporary sports reporting. A comprehensive body of research has illustrated that Black athletes are more likely to be praised for their supposed innate biological superiority while White athletes are more likely to be credited for their work ethic and intelligence. In addition, Black, Asian and minoritized ethnic athletes, such as Lewis Hamilton and Raheem Sterling, have often been criticized for being too ‘flashy’ by some sections of the UK press, which conjures up images of undeserved riches. These representations are symptomatic of a wider culture in which minoritized communities are ‘othered’. This article, then, focuses on one example of racial bias from BBC Radio Derby’s Sports Scene podcast from February 2020. Former professional footballer turned pundit, Craig Ramage, suggested that ‘all the young Black lads’ needed ‘pulling down a peg or two’ and needed to work harder. This work empirically investigated three online post titles across Facebook, Instagram and a forum to critically examine how contemporary football audiences reacted to such comments. The analysis illustrated that online participants were: (1) divided over whether Ramage’s comments were racist or not, (2) unsure of who was to blame, (3) unsure of who the victim was. The article concludes by outlining preventative measures to avoid such reoccurrences and emphasizes the importance of educational training around equality and diversity within the sport media.

The Legacies of Tennis Champions Althea Gibson, Arthur Ashe, and the Williams Sisters Show the Persistence of America’s Race Obstacles

Black athletes have had to express a double consciousness of being American and being Black. By exploring the biographies of pioneering tennis figures—Althea Gibson, Arthur Ashe, and the Williams sisters—Venus and Serena—one can look at their encounters with racism and their quests for self-respect and explore the social implications of race in the USA. To understand race and its complications on the world in which black tennis players navigate, we broadly look at racial discrimination in their lives using the lens of sociological concepts such as “the color line” hypersegregation and “American Apartheid;” the controlling image thesis and respectability politics, and class mobility in and outside the black community. The concepts connect to illuminate the racial constructs and structures the players operated in and which shaped in the process of becoming a sports champion. Through their biographies, we argue that it is possible to interrogate the ways in which America’s longstanding racial policies, prejudices, and perspectives have had a persistent impact on not only the lives of black tennis players, but the lives of black Americans.

Do Americans Really Support Black Athletes Who Kneel During the National Anthem? Estimating the True Prevalence and Strength of Sensitive Racial Attitudes in the Context of Sport

Professional athletes in the United States have protested racism in various ways for decades. Kneeling during the national anthem became a prominent form of such activism, ever since American football player Colin Kaepernick popularized the practice in 2016. “Anthem protests” gained renewed attention after the police killing of George Floyd and nationwide unrest in the summer of 2020. This article explores whether public approval of those protests was weaker than scholars and journalists suggested, because survey respondents were reluctant to admit that they considered the protesters disrespectful. A list experiment confirms hidden opposition to anthem protests, especially among people of color, who may feel heightened pressure to support racialized protesters. A second experiment reveals that social desirability bias persists even after respondents hear reassurance that nobody will judge their views. These findings indicate that mainstream surveys misrepresent attitudes toward contemporary racial issues, and that anthem protests have yet to gain wide acceptance in the general U.S. population.