In addition to concussions, football players are also believed to receive repeated microtrauma from running into each other repeatedly, which contributes to CTE.
Football is a full contact sport. It is inherently more dangerous. Collisions in soccer happen accidentally. They happen intentionally in football.
In addition there are new restrictions on heading the ball in soccer for younger kids, which will likely make the game a bit safer.
I don't have stats available for middle school, but earlier than that the players don't hit nearly as hard, as they have considerable lower mass and speed.
Not sure where your 3x number comes from, but I don't think we need to include YMCA recreational league soccer any more than we need to include flag football.
I didn't see that your study was high school and college only.
It seems that girls suffer much higher rates of concussions in all sports likely do to less developed neck muscles according to this [1].
So you'd have to compare concussion rate in football vs boys soccer to get a real comparison.
[1] https://www.washingtonpost.com/news/recruiting-insider/wp/20...
>So 40.5% of concussions in football and 36.9% in combined boys/girls soccer.
If 21.5% of girls (~6270) and 15.4% of boys (~3223) get concussions then 9493 (6270 + 3223) received concussions out of 50096 (20929 + 29167) total participants. 18.9% (9493 / 50096) for soccer vs 40.5% for football.
Or, if you can figure out the relative difference between the number of boys and girls who play soccer, you can do a weighted average of the percentages.
Either way, adding the percentages is completely incorrect.
EDIT: http://www.usyouthsoccer.org/media_kit/keystatistics/ suggests that the split is roughly equal -- in 2008 it was 52% boys and 48% girls.
With that said, the correct weighted value is more like 21.5x.48 + 15.4x.52 = 18.3%, which is significantly less than the 40.5% you quoted for football.
55007 for football - 40.5% of 135901
20929 for boys soccer - 15.4% of 135901
29167 for girls soccer - 21.5% of 135901
50096 combined soccer
50096/135901 = 36.9% of all concussions were from soccer.
So if I have something wrong here, please educate me. I am willing to learn. And see my other comment, n isn't a sample size, at least not in that paragraph.
"Based on the national estimate, the majority of concussions resulted from participation in football (40.5%, n = 55 007), followed by girls' soccer (21.5%, n = 29 167), boys' soccer (15.4%, n = 20 929),..."
So 40.5% of concussions in football and 36.9% in combined boys/girls soccer.
source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2140075/