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- Title
Neighborhood Socioeconomic Characteristics and Utilization of ADHD Medication in Schoolchildren: A Population Multilevel Study in Stockholm County.
- Authors
Jablonska, Beata; Kosidou, Kyriaki; Ponce de Leon, Antonio; Wettermark, Björn; Magnusson, Cecilia; Dal, Henrik; Dalman, Christina
- Abstract
Objective: To examine the effects of neighborhood socioeconomic disadvantage and ethnic composition on the utilization of ADHD medication in schoolchildren after accounting for individual- and family-level characteristics. Method: A cohort of all schoolchildren living in Stockholm County was prospectively followed for new prescriptions of ADHD medication (N = 276,955). Three-level logistic regression models were used with individual/family characteristics (e.g., immigrant background) at the first level and small area market statistics (SAMS) and municipality characteristics (i.e., socioeconomic disadvantage and ethnic composition) at the second and third level. Results: SAMS socioeconomic disadvantage was associated with increased utilization of ADHD medication. The utilization of ADHD medication was lower among immigrant children as compared with natives, and their odds of not utilizing medication increased as the degree of concentration of foreign-born increased. Conclusion: These results suggest that interventions at the neighborhood level may offer an additional route for the prevention of the disorder and/or alleviation of its consequences.
- Subjects
SOCIOECONOMICS; SCHOOL children; MINORITIES; SOCIAL drift; SWEDISH schools
- Publication
Journal of Attention Disorders, 2020, Vol 24, Issue 2, p265
- ISSN
1087-0547
- Publication type
Article
- DOI
10.1177/1087054716643257