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