IDEAS home Printed from https://ideas.repec.org/p/yor/hectdg/23-17.html
   My bibliography  Save this paper

Subjective Gender-Based Patterns in ADHD Diagnosis

Author

Listed:
  • Bertoni, M.;
  • Marin-Lopez, B.A.;
  • Sanz-de-Galdeano, A.;

Abstract

The increasing incidence of ADHD diagnosis and its uneven prevalence across demographic groups has sparked debates about misdiagnosis. We use data on individuals’ genetic predisposition to ADHD from the Add Health survey of U.S. schools to uncover relative standards in ADHD diagnosis. We estimate that students’ ordinal rank in the genetic predisposition to ADHD among their same-gender school peers has a positive, statistically significant, and substantial causal effect on ADHD diagnosis, holding students’ own genetic predisposition to ADHD constant. This effect is mainly driven by boys, contributing to explain the observed higher rate of diagnosis for boys relative to girls.

Suggested Citation

  • Bertoni, M.; & Marin-Lopez, B.A.; & Sanz-de-Galdeano, A.;, 2023. "Subjective Gender-Based Patterns in ADHD Diagnosis," Health, Econometrics and Data Group (HEDG) Working Papers 23/17, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:23/17
    as

    Download full text from publisher

    File URL: https://www.york.ac.uk/media/economics/documents/hedg/workingpapers/2023/2317.pdf
    File Function: Main text
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Marianne Bertrand & Jessica Pan, 2013. "The Trouble with Boys: Social Influences and the Gender Gap in Disruptive Behavior," American Economic Journal: Applied Economics, American Economic Association, vol. 5(1), pages 32-64, January.
    2. David Gill & Zdenka Kissová & Jaesun Lee & Victoria Prowse, 2019. "First-Place Loving and Last-Place Loathing: How Rank in the Distribution of Performance Affects Effort Provision," Management Science, INFORMS, vol. 65(2), pages 494-507, February.
    3. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," IZA Discussion Papers 14020, Institute of Labor Economics (IZA).
    4. Daniel J. Benjamin & David Cesarini & Christopher F. Chabris & Edward L. Glaeser & David I. Laibson & Vilmundur Guðnason & Tamara B. Harris & Lenore J. Launer & Shaun Purcell & Albert Vernon Smith & M, 2012. "The Promises and Pitfalls of Genoeconomics," Annual Review of Economics, Annual Reviews, vol. 4(1), pages 627-662, July.
      • Grankvist, Alexander & Benjamin, Daniel J. & Harris, Tamara B. & Launer, Lenore J. & Smith, Albert Vernon & Johannesson, Magnus & Atwood, Craig S. & Hebert, Benjamin Michael & Hultman, Christina M. & , 2012. "The Promises and Pitfalls of Genoeconomics," Scholarly Articles 10137000, Harvard University Department of Economics.
    5. Benjamin Elsner & Ingo E Isphording & Ulf Zölitz, 2021. "Achievement Rank Affects Performance and Major Choices in College [Gender, competitiveness, and socialization at a young age: evidence from a matrilineal and a patriarchal society]," The Economic Journal, Royal Economic Society, vol. 131(640), pages 3182-3206.
    6. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," CEPR Discussion Papers 15660, C.E.P.R. Discussion Papers.
    7. Michaela Paffenholz, 2023. "Adolescents’ Mental Health and Human Capital: The Role of Socioeconomic Rank," CESifo Working Paper Series 10248, CESifo.
    8. Currie, Janet & Stabile, Mark, 2006. "Child mental health and human capital accumulation: The case of ADHD," Journal of Health Economics, Elsevier, vol. 25(6), pages 1094-1118, November.
    9. Jason M. Fletcher, 2014. "The Effects Of Childhood Adhd On Adult Labor Market Outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 23(2), pages 159-181, February.
    10. Currie, Janet & Stabile, Mark & Jones, Lauren, 2014. "Do stimulant medications improve educational and behavioral outcomes for children with ADHD?," Journal of Health Economics, Elsevier, vol. 37(C), pages 58-69.
    11. Blakeley B. McShane & David Gal & Andrew Gelman & Christian Robert & Jennifer L. Tackett, 2019. "Abandon Statistical Significance," The American Statistician, Taylor & Francis Journals, vol. 73(S1), pages 235-245, March.
    12. Benjamin Elsner & Ingo E. Isphording, 2017. "A Big Fish in a Small Pond: Ability Rank and Human Capital Investment," Journal of Labor Economics, University of Chicago Press, vol. 35(3), pages 787-828.
    13. Kelly Bedard & Allison Witman, 2020. "Family structure and the gender gap in ADHD," Review of Economics of the Household, Springer, vol. 18(4), pages 1101-1129, December.
    14. Adam S. Booij & Edwin Leuven & Hessel Oosterbeek, 2017. "Ability Peer Effects in University: Evidence from a Randomized Experiment," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 84(2), pages 547-578.
    15. Elder, Todd E., 2010. "The importance of relative standards in ADHD diagnoses: Evidence based on exact birth dates," Journal of Health Economics, Elsevier, vol. 29(5), pages 641-656, September.
    16. Janet Currie & Mark Stabile & Phongsack Manivong & Leslie L. Roos, 2010. "Child Health and Young Adult Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    17. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," Research Papers 3926, Stanford University, Graduate School of Business.
    18. Abdel Abdellaoui & Karin J. H. Verweij, 2021. "Dissecting polygenic signals from genome-wide association studies on human behaviour," Nature Human Behaviour, Nature, vol. 5(6), pages 686-694, June.
    19. Schwandt, Hannes & Wuppermann, Amelie, 2016. "The youngest get the pill: ADHD misdiagnosis in Germany, its regional correlates and international comparison," Labour Economics, Elsevier, vol. 43(C), pages 72-86.
    20. Charles F. Manski, 1993. "Identification of Endogenous Social Effects: The Reflection Problem," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 60(3), pages 531-542.
    21. Bertoni, Marco & Nisticò, Roberto, 2023. "Ordinal rank and the structure of ability peer effects," Journal of Public Economics, Elsevier, vol. 217(C).
    22. Dalsgaard, Søren & Humlum, Maria Knoth & Nielsen, Helena Skyt & Simonsen, Marianne, 2012. "Relative standards in ADHD diagnoses: The role of specialist behavior," Economics Letters, Elsevier, vol. 117(3), pages 663-665.
    23. Rodríguez-Planas, Nuria & Sanz-de-Galdeano, Anna & Terskaya, Anastasia, 2022. "Gender norms in high school: Impacts on risky behaviors from adolescence to adulthood," Journal of Economic Behavior & Organization, Elsevier, vol. 196(C), pages 429-456.
    24. Caroline M. Hoxby, 2000. "Does Competition among Public Schools Benefit Students and Taxpayers?," American Economic Review, American Economic Association, vol. 90(5), pages 1209-1238, December.
    25. Frank Dudbridge, 2013. "Power and Predictive Accuracy of Polygenic Risk Scores," PLOS Genetics, Public Library of Science, vol. 9(3), pages 1-17, March.
    26. Marco Bertoni & Giorgio Brunello & Lorenzo Cappellari, 2020. "Who benefits from privileged peers? Evidence from siblings in schools," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 35(7), pages 893-916, November.
    27. Fletcher, Jason & Wolfe, Barbara, 2008. "Child mental health and human capital accumulation: The case of ADHD revisited," Journal of Health Economics, Elsevier, vol. 27(3), pages 794-800, May.
    28. Fabrizio Mazzonna & Franco Peracchi, 2017. "Unhealthy Retirement?," Journal of Human Resources, University of Wisconsin Press, vol. 52(1), pages 128-151.
    29. Dilnoza Muslimova & Rita Dias Pereira & Stephanie Hinke & Hans Kippersluis & Cornelius A. Rietveld & S. Fleur W. Meddens, 2023. "Rank concordance of polygenic indices," Nature Human Behaviour, Nature, vol. 7(5), pages 802-811, May.
    30. Evans, William N. & Morrill, Melinda S. & Parente, Stephen T., 2010. "Measuring inappropriate medical diagnosis and treatment in survey data: The case of ADHD among school-age children," Journal of Health Economics, Elsevier, vol. 29(5), pages 657-673, September.
    31. Lukas Kiessling & Jonathan Norris, 2023. "The Long-Run Effects of Peers on Mental Health," The Economic Journal, Royal Economic Society, vol. 133(649), pages 281-322.
    32. Petra Persson & Xinyao Qiu & Maya Rossin-Slater, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," NBER Working Papers 28334, National Bureau of Economic Research, Inc.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jill Furzer & Elizabeth Dhuey & Audrey Laporte, 2022. "ADHD misdiagnosis: Causes and mitigators," Health Economics, John Wiley & Sons, Ltd., vol. 31(9), pages 1926-1953, September.
    2. Seth Freedman & Kelli Marquardt & Dario Salcedo & Kosali Simon & Coady Wing, 2023. "Societal Disruptions and Child Mental Health: Evidence from ADHD Diagnosis During the Covid-19 Pandemic," Working Paper Series WP 2023-04, Federal Reserve Bank of Chicago.
    3. Bertoni, Marco & Marin-Lopez, Blas A. & Sanz-de-Galdeano, Anna, 2023. "Subjective Gender-Based Patterns in ADHD Diagnosis," IZA Discussion Papers 16634, Institute of Labor Economics (IZA).
    4. Kelly Bedard & Allison Witman, 2020. "Family structure and the gender gap in ADHD," Review of Economics of the Household, Springer, vol. 18(4), pages 1101-1129, December.
    5. Dalsgaard, Søren & Nielsen, Helena Skyt & Simonsen, Marianne, 2014. "Consequences of ADHD medication use for children's outcomes," Journal of Health Economics, Elsevier, vol. 37(C), pages 137-151.
    6. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," IZA Discussion Papers 14020, Institute of Labor Economics (IZA).
    7. Cornelius A. Rietveld & Pankaj C. Patel, 2019. "ADHD and later-life labor market outcomes in the United States," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(7), pages 949-967, September.
    8. Kelly Chen & Nicole Fortin & Shelley Phipps, 2015. "Young in class: Implications for inattentive/hyperactive behaviour of Canadian boys and girls," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 48(5), pages 1601-1634, December.
    9. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," CEPR Discussion Papers 15660, C.E.P.R. Discussion Papers.
    10. Chen, Kelly & Phipps, Shelley, 2021. "“Why can't you sit still?”The effect of daily physical activity on childhood inattention/hyperactivity and the educational gender gap," Social Science & Medicine, Elsevier, vol. 284(C).
    11. Gordon B. Dahl & Dan-Olof Rooth & Anders Stenberg, 2020. "Intergenerational and Sibling Spillovers in High School Majors," NBER Working Papers 27618, National Bureau of Economic Research, Inc.
    12. Michael Bahrs & Mathias Schumann, 2020. "Unlucky to be young? The long-term effects of school starting age on smoking behavior and health," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(2), pages 555-600, April.
    13. Bahrs, Michael & Schumann, Mathias, 2016. "Unlucky to Be Young? The Long-Term Effects of School Starting Age on Smoking Behaviour and Health," hche Research Papers 13, University of Hamburg, Hamburg Center for Health Economics (hche).
    14. Bertoni, Marco & Nisticò, Roberto, 2023. "Ordinal rank and the structure of ability peer effects," Journal of Public Economics, Elsevier, vol. 217(C).
    15. Carneiro, Pedro & Cruz Aguayo, Yyannu & Salvati, Francesca & Schady, Norbert, 2023. "The Effect of Classroom Rank on Learning throughout Elementary School: Experimental Evidence from Ecuador," IZA Discussion Papers 16384, Institute of Labor Economics (IZA).
    16. Bertoni, Marco & Nistico, Roberto, 2019. "Ordinal Rank and Peer Composition: Two Sides of the Same Coin?," IZA Discussion Papers 12789, Institute of Labor Economics (IZA).
    17. Wennberg, Karl & Norgren, Axel, 2021. "Models of Peer Effects in Education," Working Papers 21/3, Stockholm School of Economics, Center for Educational Leadership and Excellence.
    18. Peña, Pablo A., 2020. "Relative age and investment in human capital," Economics of Education Review, Elsevier, vol. 78(C).
    19. Kvist, Anette Primdal & Nielsen, Helena Skyt & Simonsen, Marianne, 2013. "The importance of children's ADHD for parents' relationship stability and labor supply," Social Science & Medicine, Elsevier, vol. 88(C), pages 30-38.
    20. Petra Thiemann, 2022. "The Persistent Effects of Short-Term Peer Groups on Performance: Evidence from a Natural Experiment in Higher Education," Management Science, INFORMS, vol. 68(2), pages 1131-1148, February.

    More about this item

    Keywords

    mental health; ADHD; gender; ADHD polygenic scores; interpersonal comparisons; subjective diagnosis;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:yor:hectdg:23/17. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Jane Rawlings (email available below). General contact details of provider: https://edirc.repec.org/data/deyoruk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.