Abstract Background: Properly fitted equipment remains a critical element in reducing the risk of concussion in American football.Objective: To assess helmet fitting characteristics and contributing risk factors for improper fit in a sample of youth American football athletes.Design: Cross-sectional studySetting: University-sanctioned youth football campParticipants: Data were collected for 69 youth football athletes aged 8–14 years in June 2023.Interventions: Parents/guardians answered questions …