Environmental Health Economic Analysis Annotated Bibliography
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ReviewAuthors
Pelham WE, Foster EM, and Robb JA
Journal
Ambulatory Pediatrics
Summary
The economic impact of attention-deficit/hyperactivity disorder (ADHD) in childhood and adolescence was estimated to be $14,576 per individual for an annual societal estimate of $52.4 billion, according to this review article. The results highlighted the public health importance of ADHD, and the authors argued for expansion of and additional research on evidence-based interventions for ADHD.
Population
Children and adolescents (≤ 17 years)
Health Outcomes
- Neurological/Cognitive outcomes
Health Outcome List:
- Reviewed publications that examined — neurological/cognitive outcomes (ADHD)
Environmental Agents
List of Environmental Agents:
- Not available
Source of Environmental Agents:
- Not available
Economic Evaluation / Methods and Source
Type:
- Cost analysis (CA)
Cost Measures:
- Reviewed publications that examined the following costs — healthcare costs (inpatient, outpatient)
- treatment costs (pharmacological treatment costs, psychosocial mental health treatment)
- educational costs (special education services)
- costs related to crime and delinquency (juvenile justice system utilization)
Potential Cost Measures:
- Impacts of ADHD children on parental and family function (e.g., distress depression, substance use)
- costs associated with disability/welfare for individuals within ADHD families
- costs associated with substance abuse/use
- costs associated with risky behaviors
Benefits Measures:
- Not available
Potential Benefits Measures:
- Not available
Location:
- Not available
Models Used:
- Not available
Models References:
- Not available
Methods Used:
- The authors performed a review of aggregated data from recently published articles that studied the economic costs of ADHD. The authors — 1) selected thirteen studies based on their relevance to the economic costs associated with ADHD; and 2) provided a summed estimate of total ADHD costs across different sectors (e.g., health/mental health, education, crime and delinquency).
Sources Used:
- Utilization and cost of health care services for children with attention-deficit/hyperactivity disorder (Guevera et al., 2001); Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder (Leibson et al., 2001); Health care use and costs for children with attention-deficit/hyperactivity disorder — national estimates from the Medical Expenditure Panel Survey (Chan et al., 2002); The attention-deficit hyperactivity disorder paradox — 2. Phenotypic variability in prevalence and cost of comorbidity (Burd et al., 2003a,b); Medical expenditures among children with psychiatric disorders in a Medicaid population (Mandell et al., 2003); Incidence and costs of accidents among attention-deficit/hyperactivity disorder patients (Swensen et al., 2004); Cost-effectiveness of ADHD treatments — findings from the Multimodal Treatment Study of Children with ADHD (Jensen et al., 2005); Consumer Price Index (2005); additional sources cited in publication
Economic Citation / Fundings
Citation:
- Pelham WE, Foster EM, and Robb JA. The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. Ambulatory Pediatrics. 2007. 7; Suppl 1.
- Pubmed
- DOI
NIEHS Funding:
- Not available
Other Funding: Not available