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The youngest get the pill: ADHD misdiagnosis in Germany, its regional correlates and international comparison

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  • Schwandt, Hannes
  • Wuppermann, Amelie

Abstract

Attention Deficit/Hyperactivity Disorder (ADHD) is a leading diagnosed health condition among children in many developed countries but the causes underlying these high levels of ADHD remain highly controversial. Recent research for the U.S., Canada and some European countries shows that children who enter school relatively young have higher ADHD rates than their older peers, suggesting that ADHD may be misdiagnosed in the younger children due to their relative immaturity. Using rich administrative health insurance claims data from Germany we study the effects of relative school entry age on ADHD risk in Europe's largest country and relate the effects for Germany to the international evidence. We further analyze different mechanisms that may drive these effects, focusing on physician supply side and demand side factors stemming from the production of education. We find robust evidence for school-entry age related misdiagnosis of ADHD in Germany. Within Germany and internationally, a higher share of misdiagnoses are related to a higher overall ADHD level, suggesting that misdiagnoses may be a driving factor of high ADHD levels. Furthermore, the effects in Germany seem to be driven by teachers and parents in an attempt to facilitate and improve the production of education. (C) 2016 Published by Elsevier B.V.

Suggested Citation

  • Schwandt, Hannes & Wuppermann, Amelie, 2016. "The youngest get the pill: ADHD misdiagnosis in Germany, its regional correlates and international comparison," Munich Reprints in Economics 43485, University of Munich, Department of Economics.
    • Handle: RePEc:lmu:muenar:43485
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    References listed on IDEAS

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    1. 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.
    2. Anna Aizer, 2008. "Peer Effects and Human Capital Accumulation: the Externalities of ADD," NBER Working Papers 14354, National Bureau of Economic Research, Inc.
    3. Jürges Hendrik & Schneider Kerstin, 2011. "Why Young Boys Stumble: Early Tracking, Age and Gender Bias in the German School System," German Economic Review, De Gruyter, vol. 12(4), pages 371-394, December.
    4. 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.
    5. Moses, Tally, 2010. "Being treated differently: Stigma experiences with family, peers, and school staff among adolescents with mental health disorders," Social Science & Medicine, Elsevier, vol. 70(7), pages 985-993, April.
    6. Kelly Bedard & Elizabeth Dhuey, 2006. "The Persistence of Early Childhood Maturity: International Evidence of Long-Run Age Effects," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(4), pages 1437-1472.
    7. 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.
    8. 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.
    9. Andrea M. Mühlenweg & Patrick A. Puhani, 2010. "The Evolution of the School-Entry Age Effect in a School Tracking System," Journal of Human Resources, University of Wisconsin Press, vol. 45(2).
    10. 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.
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