School Population Research Articles

Study of physical activity in obese adolescents in Algeria.

Adolescents are meant to spend a large part of their time practicing a hobby or sport, but currently there is a decline in their level of physical activity and sport both inside and outside schools, which can lead to a risk of obesity. The objective of the present study was to examine physical activity in obese adolescents within the school establishments of the province of Bejaia (northeastern Algeria). To determine the physical activity level (PAL) in the school population, a sample of 3,038 students with obesity comprising 1,635 girls and 1,403 boys was selected. The study focused on (a) the comparison of the intensity of physical activities practiced by girls and boys, (ii) the determination of the duration, intensity, and level of physical activity. The results show that obese girls are less active than obese boys at all ages (from 11 to 23 years) and in all locations; PALs was steady with increasing age for girls, while PALs increase with age in boys from 17 to 21. We found that some factors are associated with a decrease in PAL, such as the time spent watching television. Doing only 30 min of physical activity once a week is associated with an increase in sedentary behavior. The mean PALs of middle school (1.54) and high school (1.50) girls were lower than those observed for middle school (1.75) and high school (1.65) boys. Our results show that obese girls are less active than obese boys and spend time watching television and practicing sports only at school.

Perception of Mental Health in the School Population After Confinement in the Department of Córdoba

Perception of Mental Health in the School Population After Confinement in the Department of Córdoba

Lack of correlation between school reopening and trends in adult COVID-19 hospitalisations and death rates during the Delta and early Omicron periods: an ecological analysis of five countries.

In this ecological study, we describe SARS-CoV-2 case incidence for school age and adult populations, COVID-19 hospitalisation and death rates during Delta and the early Omicron periods, before and after schools reopened in five countries. Data were extracted from government websites. Cases and COVID-19 hospitalisation and death incidence rates were calculated during the Delta and early Omicron periods in Australia, Canada, Denmark, Finland and the United Kingdom, for two weeks preceding and six weeks after schools reopened. We summarised stringency of public health measures (GRI), vaccination by age and testing rates. During Delta, cases increased in 2/7 sites after schools reopened, hospitalisations increased in 1/5 sites, while deaths decreased in one and increased then decreased in another. During Omicron, cases increased in 2/8 sites, hospitalisations increased in 1/6 sites and deaths increased in 1/4 sites. The hospitalisation and death rate trends that commenced before schools reopened continued on the same trajectory after schools reopened. Vaccination rates in ≥70-year-olds were 75-100% during Delta and 95-100% during Omicron. Wide variations in testing rates may explain differences in case incidence. GRI were higher during Delta with more variation than during Omicron. Reopening schools did not change the existing trajectory of COVID-19 rates.

A Digital Mental Health Solution to Improve Social, Emotional, and Learning Skills for Youth: Protocol for an Efficacy and Usability Study.

The COVID-19 pandemic has exposed a devastating youth mental health crisis in the United States, characterized by an all-time high prevalence of youth mental illness. This crisis is exacerbated by limited access to mental health services and the reduction of mental health support in schools. Mobile health platforms offer a promising avenue for delivering tailored and on-demand mental health care. To address the lack of youth mental health services, we created the Science Technology Engineering Math and Social and Emotional Learning (STEMSEL) study. Our aim was to investigate the efficacy of a digital mental health intervention, Neolth, in enhancing social and emotional well-being, reducing academic stress, and increasing mental health literacy and life skills among adolescents. The STEMSEL study will involve the implementation and evaluation of Neolth across 4 distinct phases. In phase 1, a comprehensive needs assessment will be conducted across 3 diverse schools, each using a range of teaching methods, including in-person, digital, and hybrid modalities. Following this, in phase 2, school administrators and teachers undergo intensive training sessions on Neolth's functionalities and intervention processes as well as understand barriers and facilitators of implementing a digital mental health program at their respective schools. Phase 3 involves recruiting middle and high school students aged 11-18 years from the participating schools, with parental consent and student assent obtained, to access Neolth. Students will then be prompted to complete an intake questionnaire, enabling the customization of available modules to address their specific needs. Finally, phase 4 will include a year-long pre- and posttest pilot study to rigorously evaluate the usability and effectiveness of Neolth in addressing the mental health concerns of students across the selected schools. Phase 1 was successfully completed in August 2022, revealing significant deficits in mental health resources within the participating schools. The needs assessment identified critical gaps in available mental health support services. We are currently recruiting a diverse group of middle and high school students to participate in the study. The study's completion is scheduled for 2024, with data expected to provide insights into the real-world use of Neolth among the adolescent population. It is designed to deliver findings regarding the intervention's efficacy in addressing the mental health needs of students. The STEMSEL study plays a crucial role in assessing the feasibility and adoption of digital mental health interventions within the school-aged youth population in the United States. The findings generated from this study have the potential to dismantle obstacles to accessing mental health assistance and broaden the availability of care through evidence-based strategies. DERR1-10.2196/59372.

Religion And Education in Teachers` Seminaries and Pedagogical Courses in the Caucasus During the Tsarist Era

The main goal of the research is to explain the function of teacher seminaries and pedagogical courses, to reveal the relationship between these educational institutions and religious education. At the same time, at the level of statistical data, we can observe the participation rate of the local Muslim population in Russian public schools, and thus the rate of Muslim teachers in the education system. In the study, the formation process of the educational system of Tsarist Russia was given a general overview, and it was seen that the Russian education system did not differ from the Azerbaijani education in terms of its close relationship with religion until the 18th century. This trend is an indication that the process of replacing religious education with secular education which corresponds to that period. The article provides information about the stages of the Russian education system, the purpose of creating teachers' seminaries and pedagogical courses in the secondary education category, statistics, curriculum, the place of religious education in these institutions, and the problems that manifest themselves here are described in a descriptive manner. When we look at the information related to religious education, it is seen that in the seminaries opened in accordance with the 1902 law, mother tongue and religious education was not given, but the objections of the local people were heard by the tsar officials and the teaching of these courses was started on the account of the charitable societies. Based on the report obtained on Islamic teaching, it is possible to say that Islamic history, Aqaid (creeds) and various prayers were taught in the seminary according to both sects. By the way, it is known that the mother tongue classes are also taught by religious teachers.

Text Messaging to Extend School-Based Suicide Prevention: Pilot Randomized Controlled Trial.

Suicide is the third-leading cause of death among US adolescents aged 10-19 years, and about 10% attempt suicide each year. School-based universal prevention may reduce youth suicidal behavior. Sources of Strength uses a peer leader network diffusion model to promote healthy norms across a school population. A key challenge within schoolwide programs is reaching a large and diverse array of students, especially those less engaged with their peers. Motivated by this challenge, we developed and field-tested Text4Strength-a program of automated text messages targeting help-seeking attitudes and norms, social coping resources, and emotion regulation skills. This study conducted a pilot randomized controlled trial of Text4Strength in 1 high school as an extension of an ongoing schoolwide program (Sources of Strength), to test its impact on targets that have the potential to reduce suicidal behavior. Students at an upstate New York high school (N=223) received 1-2 text messages per week for 9 weeks, targeting strategies for coping with difficult feelings and experiences through clarifying emotions and focusing on positive affect concepts, awareness, and strengthening of youth-adult relationships; and positive help-seeking norms, skills, and resources. Surveys were administered at baseline, immediately post intervention and 3 months after texting ended. We measured proximal intervention targets (methods of coping during stressful events, ability to make sense of their own emotions, feelings of powerlessness during emotion management and recovery, relations with trusted adults at school, and help-seeking behaviors), symptoms and suicide ideation, and student replies to messages. No significant effects were observed for any outcome at either follow-up time point. Results showed that if there is a true (but undetected) intervention effect, it is small. Students with fewer friend nominations did not interact any more or less with the text messages. Exploratory moderation analyses observed no interaction between the intervention condition and the number of friends or baseline suicide ideation at any time point. In contrast to a promising previous field test, these results suggest that Text4Strength is unlikely to have impacted the outcomes of interest and that undetected moderate or large effects can be ruled out with high confidence. Although motivated by the need to reach more isolated students, students with fewer friends did not engage more or show a greater effect than other participants. This study was conducted in a single high school that was already implementing Sources of Strength, so the bar for showing a distinct effect from texting alone was high. Many further channels for reaching youth through private messaging remain unexplored. Alternative delivery systems should be investigated, such as embedding messaging in gaming chat systems and other media. More sophisticated systems drawing on chatbots may also achieve better outcomes. ClinicalTrials.gov NCT03145363; https://clinicaltrials.gov/study/NCT03145363.

Revisión sistemática: Expectativas de carrera y acción de elección en el interés de los estudiantes por disciplinas STEM

The choice of a career is a complex process influenced by various factors, with expectations about the professional future being particularly significant. Historically, it has been found that STEM disciplines are underrepresented compared to others. Additionally, it has been observed that most students who choose these disciplines are male. The objective of this systematic review was to identify empirical studies on students' career expectations and their influence on the decision to pursue careers related to STEM disciplines. This systematic review is limited to studies conducted on high school and undergraduate student populations, published between 2018 and 2024, using databases such as SCOPUS, Dialnet, ERIC, Springer, Core, and DOAJ. Inclusion and exclusion criteria were considered. It was found that few studies address career expectations and their influence on students' decision-making regarding these disciplines.

고령사회에서의 대학 역할 재정립에 대한 소고 : 고령친화대학(AFU) 관점에서

This study explores the possibility of introducing the Age-Friendly University (AFU) model as a new role for universities from a lifelong education perspective and its implementation strategies in Korean society, which is facing rapid aging. Through literature review, the concept and principles of the AFU model were examined, and advanced overseas cases were analyzed. The results showed that the AFU model could have positive effects in various aspects, including strengthening universities' social responsibility, responding to the decrease in school-age population, expanding lifelong learning opportunities for the elderly, and promoting intergenerational integration. Implementation strategies for a Koreanstyle AFU model were presented, including institutional support measures, directions for curriculum and program development, and universitycommunity cooperation models. This study is significant in that it contributes to the paradigm shift in university education by presenting a new role for universities as lifelong education institutions in an aging society, and provides practical guidelines for policymakers and university officials. Further research is suggested for empirical verification of the AFU model and development of a model reflecting Korea's cultural and social characteristics.

고등직업교육거점지구[HiVE]사업 추진과정에서 나타난 패러독스 현상 연구

In South Korea, the government has pushed forward the Higher Vocational Education[HiVE] project which envisions the development of vocational colleges in a win-win relationship with the community by "turning vocational colleges into bases for local-based higher vocational education." As part of the policy to innovate vocational colleges, this project reacts to local extinction and the decreasing school-age population and reeducates and enhances the middle-aged wishing for reemployment in the community by cultivating a labor force for the areas of local specialization and supporting the local settlement of young talents. This study aims to investigate paradox phenomena in a process to push forward a HiVE project and find their implications for educational policies. For these purposes, the study traced paradoxical phenomena involving different results from the ultimate goal of the project and each of its items or different arguments that are hard to coexist. The findings found paradox phenomena in every area of the project. For each area of a HiVE project, the addition of new courses customized for local settlement led to the phenomena of clashing subcomponents and contexts due to concept application errors. The area of lifelong education to advance lifelong vocations had a paradox of contradicting policy needs. The area of lifelong education for general courses had a paradox with the legitimacy of policy needs. The area of projects contributing to the community had a paradox of interpretational gaps. In conclusion, there were paradoxes across all the areas of pushing forward the policy. These paradoxes provide two major implications. First, there is a concern that it will be difficult to implement a HiVE project in the way that it is intended. It is true that there should be selective and temporary financial support policies to achieve the goals, but the issues involving the crisis of local colleges are long-term and require government-wide joint measures. Secondly, the paradoxes of HiVE projects imply a need to expand programs to develop lifetime competencies and promote the employment and start-up of the middle-aged by graduating from the current emphasis on the local settlement of young talents.

Prevalence of Oral Diseases and the Influence of the Presence of Overweight/Obesity in Schoolchildren Population in Mallorca.

Background: The pediatric population is one of the social groups most affected by oral pathology, and overweight and/or obesity is increasingly frequently observed. This work presents a study of the prevalence of oral disease in the school population in Mallorca and its relationship with overweight/obesity. Methods: A cross-sectional study was carried out with a sample of 718 students aged 5-6 (n = 255), 12 (n = 230) and 15 years (n = 233). The WHO criteria for diagnosing and coding examined teeth and overweight/obesity prevalence values. To explore the differences in data, the mean was analyzed using the Student's t-test or a one-way analysis of variance followed by the Bonferroni post hoc analysis. Results: Results found that students aged 15 years have a caries prevalence rate of 45.49%, higher than those aged 12 (27.39%). The presence of dental calculus in 15-year-old students is 52.8%, even higher than in 12-year-olds (30%). Students aged 6 and 12 with lower weight percentiles have fewer healthy teeth than those with higher percentiles. Conclusions: The schoolchildren have experienced a decrease in caries and an increase in periodontitis, with weight percentile potentially influencing the number of healthy teeth.

Development and validation of the academic hope scale (AcHS) for students

Since the majority of hope-related instruments constructed so far assessed the domain-general concept of hope, developing the domain-specific hope scale can provide valuable information in academic fields. The present study aimed at developing and validating the academic hope scale (AcHS). This scale consisted of 27 items which were extracted from the results of interviews with students and based on the theoretical foundations of Snyder’s (The psychology of hope: you can get there from here, 1994) and Pekrun’s theories (Educ Psychol Rev 18(4):315–341, 2006). The psychometric properties of AcHS were examined in two studies. For the first study, 241 high school students and for the second study, 566 undergraduate students were selected using the multi-stage random cluster sampling method. The results of an exploratory factor analysis in the first study showed that there were 4 components of AcHS, namely hope to gain opportunities, hope to gain life skills, hope in school’s usefulness, and hope to gain competency. In the second study, the results of the confirmatory factor analysis confirmed the existence of the 4 components of AcHS. The Cronbach’s Alpha (α) and McDonald’s Omega (ω) coefficients in both studies indicate high levels of scale reliability. The results provide evidence that the AcHS has appropriate reliability and validity in both high school and university populations.

The alternative education pathway to higher education in non-anglophone contexts: themes and implications from a systematic scoping review on IBDP

ABSTRACT As an exemplary alternative education pathway to higher education, the International Baccalaureate Diploma Programme (IBDP) has gained significant global traction, with an increasing number of graduates in non-Anglophone contexts. Employing a systematic review method to analyse studies in emerging contexts from the past 20 years, this research examined IBDP’s contributions to higher education, including university preparation, academic performance, and post-graduation trajectories. The findings highlight themes pertinent to other international education frameworks: (1) higher education outcomes are largely influenced by school environments and student demographics, (2) tensions exist between globalised curricula and localised educational systems, and (3) the dual examination requirements within national university admission processes pose obstacles to the programme’s successful implementation and scaling-up. This study recommends that future research and policy on international and alternative education programmes should focus on the following: less advantaged school populations, long-term impacts, and admission recognition processes within national higher education institutions and systems.

Umbrella review of meta-analyses on the risk factors, protective factors, consequences and interventions of cyberbullying victimization.

The increasing prevalence of cyberbullying victimization has become a commonplace issue globally. Although research has explored various predictors and consequences of cyberbullying victimization, most focus on a narrow range of variables or contexts, highlighting the need to comprehensively review and synthesize the wealth of empirical findings. We conducted a systematic review of meta-analyses on cyberbullying victimization, incorporating 56 meta-analyses and 296 effect sizes (sample size range 421-1,136,080, sample size median 53,183; searched via EBSCOhost ERIC, EBSCOhost PsycInfo, PubMed, Scopus, Web of Science, 13 cyberbullying-related journals, Google Scholar and ProQuest Dissertations and Theses) to address the following critical questions: (1) What are the crucial sociodemographic and psychological profiles of cyberbullying victims? (2) What critical contextual and environmental factors are associated with cyberbullying victimization? (3) What are the key psychological and behavioural consequences of cyberbullying victimization? (4) How effective are existing interventions in mitigating impacts of cyberbullying? Included meta-analyses had to focus on cyberbullying victimization and report at least one predictor or consequence. A quality assessment was conducted using the Joanna Briggs Institute Critical Appraisal Instrument for Systematic Reviews and Research Syntheses. Findings suggest that females, school-aged populations, traditional bullying victims and frequent internet users were more likely to be cyberbullied. Unregulated school environments and unsupportive parental relationships were also associated with increased cyberbullying victimization. Cyberbullying victimization was consistently associated with negative psychological outcomes, lower school performance and maladaptive coping behaviours. More importantly, the current review found that cyberbullying intervention programmes show promising results. The current review underscores the importance of devoting adequate resources to mitigating cyberbullying victimization.

The Comparative Study of Bilingualism in East and Southeast Asia

The comparative study of bilingualism in East (Taiwan) and Southeast Asia (Vietnam) includes two interrelated investigations. This study provides valuable insights into the processes of language and literacy development among children from minority groups and examine patterns of language acquisition within school-age populations in bilingual communities. The research contributes to a deeper understanding of how bilingualism affects educational outcomes in these distinct cultural and linguistic contexts. Study A involved in-depth interviews with 62 Vietnamese immigrant participants and aimed to explore their language learning experiences and related issues of adaptation to Taiwanese culture. Study B, which was located in the Thái-speaking district of Bá Thước in Thanh Hóa province, involved fieldwork that primarily focused on the development of bilingual children in first grade. In the Chinese-speaking community of Taiwan, evidence suggests that immigrant parents make significant progress in the second language learning of Chinese. In turn, first generation children appear to be making progress that is parallel to that of their Chinese native-speaking peers. Similarly, in the Thái-speaking communities, progress in mastering the national language, Vietnamese, as a second language is comparable to that in Vietnamese-speaking communities (Kinh monolingual children).

Resurgence of Pertussis in the Gyeongnam Region of South Korea in 2023 and 2024.

Background/Objectives: Pertussis continues to pose a substantial global health challenge despite widespread vaccination programs. This study aimed to analyze the epidemiological characteristics of recent pertussis cases in the Gyeongnam region of South Korea. Methods: We analyzed 419 pertussis cases in the Gyeongnam region of South Korea between October 2023 and April 2024, using data collected from epidemiological investigation reports, medical records, and interviews with health officials and school staff. Results: Our analysis revealed a distinct age distribution pattern with minimal cases in infants (0.2% under 1 year) and young children (7.9% in ages 1-6 years), while school-aged children showed the highest incidence (31.8% in ages 7-9 years, 36.0% in ages 10-12 years). The outbreak pattern demonstrated a progressive shift from preschool and elementary school students to middle and high school students. The time from symptoms onset to diagnosis varied significantly across age groups, with a median of 3.0 days (1.0-6.0) overall; notably, this was longer in high school students at 5.0 days (2.3-8.0) (p = 0.023). While 92.4% (365/395) of cases were fully vaccinated, substantial delays were observed in third and fourth dose administration (18.2% and 25.8%, respectively), with considerable timing variability for the fifth and sixth doses. Conclusions: Our findings highlight the changing epidemiology of pertussis in South Korea, characterized by an age shift toward older children. These results emphasize the need for enhanced surveillance focusing on school-aged populations and the reassessment of vaccination strategies, particularly regarding booster dose timings and adherence.

PET-Recebe: health education in the teaching of parasitology

Health education is important for building knowledge and modifying behaviors in the school population, as well as contributing to a humanized and ethical academic formation. The PET-Parasitology Group conducts health education activities for high school and elementary students, aiming to fill gaps in the understanding of parasitology teaching. Through theoretical-practical workshops, students were instructed on the biology of parasites, their infections, transmission, prophylaxis, diagnosis, and treatment. The students reported popular knowledge that was addressed scientifically, revealing understanding of the topic and its preventions. The use of effective tools and teaching laboratory infrastructure are crucial for the success of health education actions, highlighting their importance in parasitology teaching and academic formation.

Comparing Behavioral Health of Lesbian, Gay, Bisexual, Questioning, and Heterosexual Middle School Students.

Purpose: Lesbian, gay, bisexual, and questioning (LGBQ) high schoolers experience high prevalence of poor behavioral health, but little is known about LGBQ middle schoolers. We sought to quantify behavioral health disparities of LGBQ middle school students. Methods: Using 2021 New Mexico Middle School Youth Risk and Resiliency Survey data (N = 12,400), we estimated the size of the LGBQ middle school population and calculated adjusted risk ratios to investigate behavioral health disparities between LGBQ and heterosexual youth. Results: A quarter of the sample identified as LGBQ. These youth reported significantly more suicidal behaviors and poorer mental health than heterosexual youth. LGBQ youth were more likely to use most substances compared with heterosexual youth. Conclusion: LGBQ middle school students demonstrated high prevalence of poor behavioral health. These findings show that disparities begin earlier than previously assumed and underscore that sociocultural landscapes for sexually diverse youth remain challenging.

Assessing Individual and Interpersonal Attitudes and Behavior Associated with School Outcomes in a Predominantly Low Income, Latino, and Immigrant High School Population.

Assessing Individual and Interpersonal Attitudes and Behavior Associated with School Outcomes in a Predominantly Low Income, Latino, and Immigrant High School Population.

Evaluating the Impact of a Virtual Skin Cancer Awareness Workshop for 16-19-Year-Olds.

Introduction The incidence of malignant melanoma (MM) in the United Kingdom (UK) has significantly increased in recent yearsand is expected to continue to rise over the next decade. Despite the preventable nature of most MM cases, existing evidence suggests that public health education around skin cancer and sun safety is often suboptimal, particularly for secondary school populations. Unlike primary school curricula, there is no national guidance to mandate the teachingof this topic in secondary school. Early intervention through education can encourage sun-safe practices,and therefore potentially reduce the risk of MM developing.The primary aim of this study was to improve awareness of skin cancer, including its risk factors and preventive measures, amongst sixth-form students. Methods An online workshop was organised by In2MedSchool, a national widening access charitable scheme for aspiring medical students, in collaboration with the Karen Clifford Skin Cancer Charity. Plan-Do-Study-Act methodology was utilised to design and evaluate a skin cancer awareness and sun safety workshop. It addressed key topics such as MM risk factors, preventive measures, and the widely used 'ABCDE' assessment of MM. A total of 73 students from across the UK attended the virtual workshop. To maximise engagement, visual aids, low-stakes quizzing, and an interactive chat function were utilised. Participants completed anonymous pre- and post-intervention questionnaires, assessing their confidence and knowledge in understanding skin cancer risk factors and sun-safe behaviours. Confidence levels were measured using a seven-point Likert scale, and knowledge was evaluated through a ten-question assessment. Statistical analyses, including averages, medians, interquartile ranges (IQR), and Wilcoxon signed-rank tests were performed to assess the changes in participants' knowledge and confidence. Results Before the intervention, participants reported an average confidence score of 4.07 in understanding skin cancer risk factors, which significantly improved to 6.39 after the workshop, representing a 57.09% increase (p < 0.00001). Confidence in applying protective measures increased by 45.67%, from 4.51 to 6.57 (p < 0.00001). In addition, most students expressed feeling underprepared by existing sun safety programs at both primary and secondary school levels. Knowledge assessments demonstrated significant improvement, with average scores increasing from 7.49 pre-intervention to 9.10 post-intervention (21.46% improvement, p < 0.00001). The median score increased from 8 (IQR: 3) to 9 (IQR: 1) following the workshop, demonstrating a notable increase in understanding of skin cancer risk factors, protective behaviours, and early detection methods. Conclusion Our findings indicate that many secondary school students feel unprepared regarding existing skin cancer awareness and sun safety programs in school. This study provides evidence to suggest that targeted, interactive workshops have the potential to improve awareness and knowledge of this important topic in the short term. However, participants in this cohort are likely to have an established interest in medicine and healthcare, beyond that of their wider peer group. This limits the broader application of our findings.Further research thatexplores the longer-term impact of such interventions, including changes in attitudes and behaviours, is recommended.

National estimates of nonurgent emergency department utilization for sportsrelated injuries in high school-age population.

Athletic trainers (ATs) can manage nonurgent, musculoskeletal emergency department (ED) visits. Little is known about what populations are most likely to use the ED for nonurgent, sports-related musculoskeletal injuries. Our object is to provide national-level evidence on whether high-school age population with public insurance or lower socioeconomic status were more likely to have ED visits for nonurgent injuries. Cross-sectional study. Secondary data analysis of the 2017-2019 Nationwide Emergency Department Sample (NEDS). ED visits for high school-age patients with a sports-related musculoskeletal injury. We used a multi-step process and AT scope of care threshold to classify ED visits for musculoskeletal injuries as urgent and nonurgent. National estimates of the proportions of visit, patient, and hospital characteristics by urgent, nonurgent, and total injury ED visits were reported. Survey weighted logistic regression was used to calculate odds ratios of an ED visit being for a nonurgent injury based on a patient's insurance type and socioeconomic status. For ED visits for musculoskeletal injuries in a high school-age, sports exposed population, 52.93% (95% CI: 51.11, 54.73) were for nonurgent injuries. Patients with public insurance were more likely (OR = 1.39; 95% CI: 1.35, 1.44) to have an ED visit for a nonurgent injury compared to ED visits for patients with private insurance. Patients from the lowest estimated neighborhood income quartiles were more likely (OR = 1.10; 95% CI: 1.02, 1.20) to have an ED visit for a nonurgent injury compared to ED visits for patients in the highest estimated income quartile. Our results suggest opportunities to reduce nonurgent ED use using AT services exist, especially in high school-age athletes from vulnerable populations.