Ethical aspects of organized contact sports for children as participants
DOI:
https://doi.org/10.18203/2349-3291.ijcp20203047Keywords:
Children, Ethics, Football, Paternalism, Sports-related concussions, Traumatic brain injuryAbstract
This paper seeks to review the literature and address ethical implications of organized contact sports, such as American football and boxing, with significant child or adolescent participation. Child and adolescent sport participation act not only as a leisure activity, but also improves physical health and enhances psychological and social health outcomes. However, playing sports may also have negative physiological effects, such as sports-related concussions (SRCs) - a form of traumatic brain injury (TBI) - which are an emerging public health concern. This paper review and explores ethical implications of contact sports in the scientific literature and demonstrates challenged faced on philosophical deliberation on the ethical implications of SRCs and RHIs due to complexities of these conditions and their identification and treatment involving a wide variety of practical situations, which formal sports rules may not adequately address. Since scholarly literature has yet to arrive at a consensus concerning causal link(s) between contact sports participation and significant concussion-related brain damage, the paper argues in favor of strengthening concussion preventive measures, identification protocols and management procedures in contact sports. This article rejects ethical paternalism on the basis of inconclusive empirical evidence concerning associations between contact sports participation and heightened SRC risk. It also rejects Mill’s argumentation against consensualism and suggests prevention is a better solution over inadequately founded philosophical ethical proposals favoring drastically reforming contact sports.
References
Eime, Rochelle M, Young JA, Harvey JT, Charity MJ, Payne WR. A systematic review of the psychological and social benefits of participation in sport for children and adolescents: Informing development of a conceptual model of health through sport. The Int J Behav Nutrit Phy Activ. 2013;10:98.
Hebert, Jeffrey J, Møller NC, Andersen LB, Wedderkopp N. Organized sport participation is associated with higher levels of overall health-related physical activity in children (CHAMPS study-DK). PLoS One. 2015;10:e0134621.
Holt, Nicholas L, Kingsley BC, Tink LN, Scherer J. Benefits and challenges associated with sport participation by children and parents from low-income families. Psychol Sport Exercise. 2011;12:490-9.
Rosewater, Ann. Learning to play and playing to learn: organized sports and educational outcome. The Education Digest. 2009;75:50.
Ellis, Michael J, Leiter J, Hall T, McDonald PJ, Sawyer S, Silver N, et al. Neuroimaging findings in pediatric sports-related concussion. J Neurosurg Pediatr. 2015;16:241-7.
Abreu, Marcos A, Cromartie FJ, Spradley BD. Chronic traumatic encephalopathy (CTE) and former national football league player suicides. Sport J. 2016;21:1-12.
Kontos, Anthony P, Elbin RJ, Fazio-Sumrockn VC, Burkhart S, Swindell H, et al. Incidence of sports-related concussion among youth football players aged 8-12 years. The J Pediatr. 2013;163:717-20.
Faude O, Rössler R, Junge A, Aus der Fünten K, Chomiak J, Verhagen E, et al.mHead injuries in children′ s football-results from two prospective cohort studies in four European countries. Scand J Med Sci Sports. 2017;27(12):1986-92.
Lowrey KM, Morain SR, Baugh CM. Do ethics demand evaluation of public health laws? Shifting scientific sands and the case of youth sports-related traumatic brain injury laws. J Health Care Law Policy. 2016;19(1):99.
Dompier TP, Kerr ZY, Marshall SW, Hainline B, Snook EM, Hayden R, et al. Incidence of concussion during practice and games in youth, high school, and collegiate American football players. JAMA pediatr. 2015;169(7):659-65.
Miles SH, Prasad S. Medical ethics and school football. The Am J Bioethics. 2016;16(1):6-10.
Takagi M, Babl FE, Anderson N, Bressan S, Clarke CJ, Crichton A, et al. Protocol for a prospective, longitudinal, cohort study of recovery pathways, acute biomarkers and cost for children with persistent postconcussion symptoms: the Take CARe Biomarkers study. BMJ Open. 2019;9(2):e022098.
Giza CC, Stewart W, Prins ML. Building good policy from good science-the case for concussion and chronic traumatic encephalopathy. JAMA Pediatr. 2018;172(9):803-4.
Kroshus E, Rivara FP, Whitlock KB, Herring SA, Chrisman SP. Disparities in athletic trainer staffing in secondary school sport: implications for concussion identification. Clin J Sport Med. 2017;27(6):542-7.
Register-Mihalik J, Baugh C, Kroshus E, Y. Kerr Z, Valovich McLeod TC. A multifactorial approach to sport-related concussion prevention and education: application of the socioecological framework. J Athlet Train. 2017;52(3):195-205.
Alosco ML, Stern RA. Youth exposure to repetitive head impacts from tackle football and long-term neurologic outcomes: a review of the literature, knowledge gaps and future directions, and societal and clinical implications. InSeminars in Pediatric Neurol. 2019;30:107-16.
Haran HP, Bressan S, Oakley E, Davis GA, Anderson V, Babl FE. On-field management and return-to-play in sports-related concussion in children: Are children managed appropriately?. J Sci Med In Sport. 2016;19(3):194-9.
Guay JL, Lebretore BM, Main JM, DeFrangesco KE, Taylor JL, Amedoro SM. The era of sport concussion: Evolution of knowledge, practice, and the role of psychology. Am Psychol. 2016;71(9):875.
Fishman M, Taranto E, Perlman M, Quinlan K, Benjamin HJ, Ross LF. Attitudes and counseling practices of pediatricians regarding youth sports participation and concussion risks. The J Pediatr. 2017;184:19-25.
Simon, Robert L. Internalism and internal values in sport. J Philosop Sport. 2000;27:1-16.
Frias L, Javier F. The bloomsbury companion to the philosophy of sport. In Internalism, ed. Cesar. R. Torres, London: Bloomsbury Publishing Press. 2014;362-354.
MacIntyre, Alasdair. After virtue: a study in moral theory. London: Bloomsbury. Edition first published in 2013 by Bloomsbury academy. 2014.
Fraleigh WP. Right actions in sport. Ethics for contestants. 1984. Champaign IL: Human Kinetics Publishers. J Philosop Sport. 1985;11:83-8.
Suits B, Bernard Herbert. The grasshopper: Games, life, and utopia. Peterborough: Ontario: Broadview Press. 2014.
D'Agostino, Fred. The ethos of games. J Philosop Sport. 1981;8:7-18.
Morgan, William J. Broad internalism, deep conventions, moral entrepreneurs, and sport. J Philosop Sport. 2012;39:65-100.
Miah A. Genetically modified athletes: Biomedical ethics, gene doping and sport. Routledge; London and New York: Routledge; 2004.
Scott K. Competition, redemption, and hope. J Philosop Sport. 2012;39:101-16.
Sanford RJ. Are rules all an umpire has to work with? J Philosop Sport. 1981;26:27-49.
Frias L, Javier F, McNamee M. Ethics, brain injuries, and sports: Prohibition, reform, and prudence. Sport Ethics Philosop. 2017;11:264-80.
Stuart MJ. On liberty: With the subjection of women; and chapters on socialism. Cambridge: Cambridge University Press; 2016.
Angelo CJ. Should inter-collegiate football be eliminated? Assessing the arguments philosophically. Sport, Ethics Philosop. 2016;8:116-36.
Nicholas D. Boxing, paternalism, and legal moralism. Soc Theory Pract. 2001;27:323-44.
Pamela RS. Personal Foul: an evaluation of the moral status of football. J Philosop Sport. 2015;42:269-86.