Nyarko Kwame A, Grosse Scott D, Danielson Melissa L, Holbrook Joseph R, Visser Susanna N, Shapira Stuart K
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention , Atlanta, Georgia .
J Child Adolesc Psychopharmacol. 2017 Oct;27(8):731-734. doi: 10.1089/cap.2016.0196. Epub 2017 Mar 22.
The purpose of this brief is to describe changes in the treated prevalence of medically managed attention-deficit/hyperactivity disorder (ADHD) among insured school-aged children and adolescents in the United States from 2009 to 2015. We examine the differences between those with employer-sponsored insurance (ESI) and with Medicaid insurance.
We utilized two large longitudinal administrative datasets containing medical and drug claims data on individuals with ESI and Medicaid insurance from Truven Health MarketScan Administrative Claims Databases. Treated prevalence was measured as the percentage of school-aged children and adolescents enrolled in a calendar year who met the criteria for medically managed ADHD in the same calendar year. Subjects were eligible for inclusion if they were aged 6-17 years and were continuously enrolled during a calendar year.
The annual prevalence of treated ADHD among school-aged children and adolescents with ESI increased from 4.5% in 2009 to 6.7% in 2015. Among those with Medicaid it increased from 11.3% in 2009 to 13.3% in 2012, and fell after 2012, remaining steady from 2013 through 2015.
Treated prevalence of ADHD increased continuously over time among school-aged children and adolescents with ESI, but declined slightly after 2012 among those in the Medicaid sample.
本简报旨在描述2009年至2015年美国参保学龄儿童和青少年中药物治疗注意力缺陷多动障碍（ADHD）的治疗患病率变化情况。我们研究了有雇主赞助保险（ESI）者和有医疗补助保险者之间的差异。
我们利用了两个大型纵向管理数据集，这些数据集包含来自Truven Health MarketScan管理索赔数据库的有关ESI和医疗补助保险个人的医疗和药物索赔数据。治疗患病率的衡量标准是在同一年符合药物治疗ADHD标准的学龄儿童和青少年在该日历年的参保百分比。如果受试者年龄在6至17岁之间且在一个日历年中持续参保，则符合纳入条件。
有ESI的学龄儿童和青少年中ADHD的年度治疗患病率从2009年的4.5%增至2015年的6.7%。有医疗补助保险者中，该患病率从2009年的11.3%增至2012年的13.3%，2012年后下降，2013年至2015年保持稳定。
有ESI的学龄儿童和青少年中ADHD的治疗患病率随时间持续上升，但医疗补助保险样本中的患病率在2012年后略有下降。
