DOES GEOGRAPHICAL REGION IMPACT PARENTS’ PERCEPTIONS TOWARDS YOUTH SPORT SPECIALIZATION?
Authors: Arnold Amanda , Zarzycki Ryan , Failla Mathew 
Published: July 2021

Background: Two billion U.S. healthcare dollars are spent on youth sports injuries each year. This staggering figure is projected to increase as athletes are sustaining more sport-related injuries and are specializing in a single sport at younger ages than ever before. Sport specialization is a modifiable injury risk factor unique to youth athlete populations. Parents are a group of key stakeholders whose knowledge and beliefs likely impact youth sport participation, however a paucity of research exists in this area. Purpose: To assess the differences in perceptions of parents on youth sport participation and specialization based on geographical region. Methods: Parents of children, ages 8-18 years, who participate in organized sports were surveyed for this study. Electronic surveys with a total of 40 questions were circulated via team/organization mailing lists and social media. Geographic regions were described as either South or North based on divisions from the U.S. Census Bureau. Sport specialization was defined as an athlete meeting >2 of the following 3 criteria: participates in one sport to the exclusion of other sports, participates in sport-specific lessons, participates on >2 teams in a single sport. Descriptive statistics and chi-square analyses were used to compare perceptions of parents with specialized and non-specialized athletes across different geographical regions. Results: Three-hundred and seventy-one responses were collected (South=204, North=167). Parents from the South reported a higher number of specialized athletes as compared to parents from the North (54% vs 38%; P=0.003). Regardless of geographical region, most parents did not think specialization had a positive impact on a youth athlete’s development ( P=0.307) or their future in that sport ( P=0.086) (Figures 1 & 2). Parents from the South did select ‘Potential to earn a college scholarship’ as a motivator for youth sport specialization more often when compared to parents from the North (30% vs 17%; P=0.002). Conclusion: Regional differences exist in the percentage of specialized youth athletes participating in organized sport. Parental knowledge of the risks and benefits of youth sport specialization does not appear to drive these observed differences. Earning a college scholarship was selected more frequently as a reason for specialization in the South, indicating that societal or socioeconomic factors may be present. Further research is needed to determine the underlying factors driving youth sport specialization in the U.S. Figures: [Figure: see text][Figure: see text] References: Bell DR PE, Trigsted SM, Hetzel S, McGuine TA and Brooks MA. Prevalence of Sport Specialization in High School Athletics: A 1-Year Observational Study. Am J Sports Med. 2016;44(6):1469-1474. Bell DR, Post EG, Trigsted SM, Schaefer DA, McGuine TA, Brooks MA. Parents’ Awareness and Perceptions of Sport Specialization and Injury Prevention Recommendations. Clin J Sport Med. 2018. Brooks MA, Post EG, Trigsted SM, et al. Knowledge, Attitudes, and Beliefs of Youth Club Athletes Toward Sport Specialization and Sport Participation. Orthop J Sports Med. 2018;6(5). Gregory S. How Kids’ Sports became a $15 Billion Industry. TIME. 2017;190(9). Jayanthi NA, LaBella CR, Fischer D, Pasulka J, Dugas LR. Sports-specialized intensive training and the risk of injury in young athletes: a clinical case-control study. Am J Sports Med. 2015;43(4):794-801. LaPrade RF, Agel J, Baker J, et al. AOSSM Early Sport Specialization Consensus Statement. Orthop J Sports Med. 2016;4(4). Malina RM. Early sport specialization: roots, effectiveness, risks. Curr Sports Med Rep. 2010;9(6):364-371. McGuine TA, Post EG, Hetzel SJ, Brooks MA, Trigsted S, Bell DR. A Prospective Study on the Effect of Sport Specialization on Lower Extremity Injury Rates in High School Athletes. Am J Sports Med. 2017;45(12): 2706-2712. Myer GD, Jayanthi N, Difiori JP, et al. Sport Specialization, Part I: Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes? Sports Health.2015;7(5):437-442. Pasulka J, Jayanthi N, McCann A, Dugas LR, LaBella C. Specialization patterns across various youth sports and relationship to injury risk. Phys Sportsmed. 2017;45(3):344-352. Post EG, Trigsted SM, Riekena JW, et al. The Association of Sport Specialization and Training Volume With Injury History in Youth Athletes. Am J Sports Med. 2017;45(6):1405-1412. U.S. Census Bureau. Census Bureau Regions and Divisions with State FIPS Codes. https://www2.census.gov/geo/pdfs/maps-data/maps/reference/us_regdiv.pdf . Accessed June 26, 2020.