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Incremental Employee Health Benefit Costs, Absence Days, and Turnover Among Employees With ADHD and Among Employees With Children With ADHD

Kleinman, Nathan L. PhD; Durkin, Michael MS; Melkonian, Arthur MD; Markosyan, Karine PhD, MPH

Journal of Occupational and Environmental Medicine: November 2009 - Volume 51 - Issue 11 - p 1247-1255
doi: 10.1097/JOM.0b013e3181bca68c
Original Articles
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CME

Objective: To assess employer economic burden of attention-deficit/hyperactivity disorder (ADHD) for employees with ADHD and employee caregivers of children with ADHD.

Methods: A large multi-employer database was used to compare: 1) employees diagnosed with ADHD versus employees without ADHD and 2) employee caregivers of children with ADHD versus employee caregivers of children without ADHD. Regression modeling compared many employer-relevant outcomes.

Results: The study found significantly higher annual health benefit costs ($6885 versus $4242), absence days (8.86 versus 7.16), and turnover (8.99% versus 5.26%) for employees with ADHD (n = 539) versus employees without ADHD (n = 93,722), respectively (all P < 0.01). Similar results were found for employee caregivers of children with ADHD.

Conclusions: Employees with ADHD and those caring for children with ADHD are associated with a significantly higher burden in employer-relevant outcomes such as health benefit costs, absences, and terminations.

From the Human Capital Management Services (Dr Kleinman, Dr Melkonian, Dr Markosyan), Cheyenne, Wyo; and Ortho-McNeil Janssen Scientific Affairs, LLC (Dr Durkin), Titusville, NJ.

CME Available for this Article at ACOEM.org

Nathan Kleinman and coauthors received funding for this research from McNeil Pediatrics, Inc., and Ortho-McNeil Janssen Scientific Affairs, LLC.

The JOEM Editorial Board and planners have no financial interest related to this research.

Address correspondence to: Nathan L. Kleinman, Human Capital Management Services, 1800 Carey Ave, Suite 300, Cheyenne, WY 82001; E-mail: nathan_kleinman@hcmsgroup.com.

©2009The American College of Occupational and Environmental Medicine