title: Health-risk behaviors among high school athletes and preventive services provided during sports physicals.
abstract: BACKGROUND
  Preparticipation examinations (PPEs), or sports physicals, present opportunities for health care providers to identify and discuss common adolescent health-risk behaviors. We sought to examine the prevalence of health-risk behaviors among high school athletes and the proportion of providers who address these behaviors during PPEs.
  
  
  METHODS
  For this descriptive study we used data from two statewide surveys: a survey of adolescents (n = 46,492) and a survey of nurse practitioners and physicians (n = 561).
  
  
  RESULTS
  The most prevalent risk behaviors reported by student athletes were low levels of physical activity (70%), bullying perpetration (41%), and alcohol use (41%). Most providers (≥75%) addressed many common risk behaviors during PPEs but fewer addressed bullying, violence, and prescription drug use. Topics discussed differed by provider type and patient population.
  
  
  CONCLUSIONS
  Many providers addressed critical threats to adolescent health during PPEs, but findings suggest potential disconnects between topics addressed during PPEs and behaviors of athletes.
authors.forename: Karen E
authors.initials: KE
authors.lastname: Johnson
authors.forename: Annie-Laurie
authors.initials: AL
authors.lastname: McRee
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control; D056352:Athletes / Q000523:psychology*; D058445:Bullying / Q000517:prevention & control / Q000706:statistics & numerical data; D002648:Child; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008910:Minnesota / Q000453:epidemiology; D010808:Physical Examination / Q000379:methods*; D012309:Risk-Taking; D012572:School Health Services; D057185:Sedentary Behavior; D013177:Sports; D013334:Students / Q000523:psychology
keywords: Adolescent; health education; preventive services; risk behavior; sports