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

Visser, Susanna N.; Kramer, Dennis; Snyder, Angela B.; Sebian, Joyce; McGiboney, Garry; Handler, Arden

doi:10.1177/1087054715569601

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

Published Date:

Feb 20 2015

Publisher's site:

http://dx.doi.org/10.1177/1087054715569601 New Site Icon

Source:

J Atten Disord. .

[PDF-460.50 KB]

Details:

Personal Authors:

Visser, Susanna N. ; Kramer, Dennis ; Snyder, Angela B. ; Sebian, Joyce ; McGiboney, Garry ; ... More ▼

Keywords:

[+]

Pubmed ID:

25710947

Pubmed Central ID:

PMC4545416

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.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

CC999999/Intramural CDC HHS/United States

Supporting Files:

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