Objective:Indigenous youth are vulnerable to concussion when playing hockey. A clear characterisation of sex differences among Indigenous youth could assist in tailoring future education programmes for prevention and management of concussion. The purpose of this study was to compare and contrast concussion knowledge, attitudes and resources in First Nations girls and boys playing recreational hockey.Method:The cross-sectional survey was conducted in partnership with a First Nations’ chief, other Indigenous community leaders and a tertiary care head injury clinic. In Canada, researchers engaging with Indigenous peoples are expected to adhere to principles of Ownership, Control, Access and Possessions. The study included Indigenous boys and girls between the ages of 10 and 18 years of age.Results:More girls attending the hockey tournament participated in the study as compared to boys (girlsn= 46, boysn= 29). More girls reported they had never experienced a concussion (73.9%), as compared to boys (58.6%) self-reports. Less than half of all study participants were able to identify some signs and symptoms of concussion such as vomiting/nausea, memory problems, fatigue and blurred vision and recognition of several concussion symptoms varied by sex.Conclusions:We created a unique partnership between Indigenous leaders and tertiary care clinic staff. Among Indigenous youth reasons for not reporting concussion symptoms to the coach varied by sex (although not reaching statistical significance), suggesting concussion education warrants tailoring for girls and boys.

中文翻译：

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探索年轻第一民族曲棍球运动员在脑震荡知识、态度和资源方面的性别差异：加拿大安大略省的一项横断面调查

目的：土著青年在打曲棍球时容易受到脑震荡的影响。对土著青年之间性别差异的明确描述有助于制定未来的预防和管理脑震荡的教育计划。本研究的目的是比较和对比打休闲曲棍球的原住民女孩和男孩的脑震荡知识、态度和资源。方法：横断面调查是与原住民酋长、其他土著社区领袖和三级护理头部损伤诊所。在加拿大，与原住民接触的研究人员应遵守所有权、控制权、访问权和财产权的原则。该研究包括 10 至 18 岁的土著男孩和女孩。结果：n= 46，男孩n= 29)。与男孩 (58.6%) 的自我报告相比，更多女孩报告她们从未经历过脑震荡 (73.9%)。不到一半的研究参与者能够识别出一些脑震荡的体征和症状，例如呕吐/恶心、记忆力问题、疲劳和视力模糊，以及识别因性别而异的几种脑震荡症状。结论：我们在土著领导人之间建立了独特的伙伴关系和三级保健诊所工作人员。在土著青年中，不向教练报告脑震荡症状的原因因性别而异（尽管没有达到统计学意义），这表明脑震荡教育需要针对女孩和男孩进行量身定制。