| Attitudes and Beliefs of Sports Medicine Providers to Sickle Cell Trait Screening of Student Athletes. | |
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MedLine Citation:
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PMID: 21959797 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the attitudes of members of the American Medical Society for Sports Medicine (AMSSM) toward the new National Collegiate Athletic Association (NCAA) policy to require all Division I student athletes be screened for sickle cell trait (SCT), have prior evidence of testing, or sign a waiver. DESIGN: Cross-sectional survey of members of the AMSSM electronic mailing list was conducted. Descriptive, McNemar, and χ statistics were performed. SETTING: Internet survey. PARTICIPANTS: Of the 1765 AMSSM e-mail list members, 370 returned partial or completed surveys. MAIN OUTCOME MEASURES: Dependent variables included familiarity with the NCAA policy, support of universal or targeted screening programs, preferences regarding screening methodologies, and athletic restrictions or modifications for student athletes identified with SCT. Respondents' gender, race/ethnicity, and involvement as a NCAA team physician were independent variables. RESULTS: Of the respondents, 76% were men, 85% were whites, and 53% served as NCAA Division I team physicians. Ninety percent were aware of the policy. There was greater support for targeted (76%, 267 of 353) compared with universal (39%, 137 of 353; P <0.01) screening, with targeting based on race/ethnicity and sport. Respondents supported targeted screening of varsity and freshman athletes in all NCAA divisions, but most (88%) also supported waivers. Respondents favored using existing medical records (73%) or Sickledex screening (71%) methodologies despite concerns about inaccuracies (16% for each methodology). Most respondents agreed that discrimination in athletic participation and insurance. CONCLUSIONS: There is lack of consensus within the AMSSM regarding the current NCAA SCT screening policy. Implementation must take into consideration potential discrimination. |
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Authors:
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Kruti Acharya; Holly J Benjamin; Ellen W Clayton; Lainie F Ross |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-27 |
Journal Detail:
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Title: Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine Volume: - ISSN: 1536-3724 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9103300 Medline TA: Clin J Sport Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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*Departments of Medicine; and †Pediatrics ‡MacLean Center for Clinical Medical Ethics; Departments of§Surgery; and ‖Primary Care, Sports Medicine, University of Chicago, Chicago, Illinois ¶Department of Pediatrics #Law School **Center for Biomedical Ethics and Society, Vanderbilt University, Nashville, Tennessee. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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