Student-Perceived School Climate is Associated with ADHD Medication Treatment among Adolescents in Medicaid

Details

• Alternative Title:
  J Atten Disord
• Personal Author:
  Visser, Susanna N. ; Kramer, Dennis ; Snyder, Angela B. ; Sebian, Joyce ; McGiboney, Garry ; Handler, Arden
• Description:
  Objective
  
  Evaluate the relationship between school climate and ADHD medication treatment among adolescents in Medicaid in Georgia (GA).
  
  Methods
  
  School climate and Medicaid claims data were aggregated for 159 GA counties. County-level school climate percentile and medicated ADHD prevalence were calculated. T-tests and regression evaluated the relationship between school climate, medicated ADHD, and demographics, weighted by county population. Poorer 2008 school climate (<25th percentile) was regressed on 2011 medicated ADHD prevalence, controlling for potential confounders.
  
  Results
  
  The prevalence of medicated ADHD was 7.8% among Medicaid-enrolled GA adolescents. The average county-level prevalence of medicated ADHD was 10.0% (SD=2.9%). Poorer school climate was associated with lower rates of medicated ADHD (p<0.0001) and with demographics accounted for 50% of the county variation in medicated ADHD.
  
  Conclusions
  
  School climate is associated with medicated ADHD among adolescents in Medicaid. Additional research may reveal whether high medicated ADHD may reflect a lack of access to non-pharmacological therapies.
• Keywords:
  • school climate
  • attention-deficit/hyperactivity disorder
  • ADHD
  • behavioral problems
  • health care utilization
  • medication treatment
  • Adolescent
  • Attention Deficit Disorder with Hyperactivity
  • Central Nervous System Stimulants
  • Child
  More +
• Source:
  J Atten Disord. 23(3):234-245
• Pubmed ID:
  25710947
• Pubmed Central ID:
  PMC4545416
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  23
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/33024/cdc_33024_DS1.pdf
• File Type:
  [PDF - 591.10 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c8c21bfffecb6e63366a936dc1cc165902c72f1ff9d0a640cd2f4a21eb986319