Student-Perceived School Climate Is Associated With ADHD Medication Treatment Among Adolescents in Medicaid.
ADHD
behavioral problems
health care utilization
medication treatment
school climate
Journal
Journal of attention disorders
ISSN: 1557-1246
Titre abrégé: J Atten Disord
Pays: United States
ID NLM: 9615686
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
pubmed:
25
2
2015
medline:
5
6
2020
entrez:
25
2
2015
Statut:
ppublish
Résumé
The objective of this study was to evaluate the relationship between school climate and ADHD medication treatment among adolescents in Medicaid in Georgia. School climate and Medicaid claims data were aggregated for 159 GA counties. County-level school climate percentile and medicated ADHD prevalence were calculated. The t tests and regression models 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. 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 < .0001); along with demographics, these factors accounted for 50% of the county variation in medicated ADHD. 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 in some communities.
Identifiants
pubmed: 25710947
pii: 1087054715569601
doi: 10.1177/1087054715569601
pmc: PMC4545416
mid: NIHMS699108
doi:
Substances chimiques
Central Nervous System Stimulants
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
234-245Subventions
Organisme : Intramural CDC HHS
ID : CC999999
Pays : United States
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