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Subjective Gender-Based Patterns in ADHD Diagnosis

Author

Listed:
  • Bertoni, Marco

    (University of Padova)

  • Marin-Lopez, Blas A.

    (Universidad de Alicante)

  • Sanz-de-Galdeano, Anna

    (Universidad de Alicante)

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, Marco & Marin-Lopez, Blas A. & Sanz-de-Galdeano, Anna, 2023. "Subjective Gender-Based Patterns in ADHD Diagnosis," IZA Discussion Papers 16634, IZA Network @ LISER.
    • Handle: RePEc:iza:izadps:dp16634
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    11. Delaney, Judith M. & Devereux, Paul J., 2021. "High School Rank in Math and English and the Gender Gap in STEM," Labour Economics, Elsevier, vol. 69(C).
    12. 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.
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    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

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