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Student-Perceived School Climate is Associated with ADHD Medication Treatment among Adolescents in Medicaid
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February 20 2015
Source: J Atten Disord. 23(3):234-245
[PDF-591.10 KB]
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Alternative Title:J Atten Disord
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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.
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Pubmed ID:25710947
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Pubmed Central ID:PMC4545416
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