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Family Spillover Effects of Marginal Diagnoses: The Case of ADHD

Author

Listed:
  • Petra Persson
  • Xinyao Qiu
  • Maya Rossin-Slater
Abstract
The health care system commonly relies on information about family medical history in the allocation of screenings and in diagnostic processes. At the same time, an emerging literature documents that treatment for “marginally diagnosed” patients often has minimal impacts. This paper shows that reliance on information about relatives' health can perpetuate marginal diagnoses across family members, thereby raising caseloads and health care costs, but without improving patient well-being. We study Attention Deficit Hyperactivity Disorder (ADHD), the most common childhood mental health condition, and document that the younger siblings and cousins of marginally diagnosed children are also more likely to be diagnosed with and treated for ADHD. Moreover, we find that the younger relatives of marginally diagnosed children have no better adult human capital and economic outcomes than the younger relatives of those who are less likely to be diagnosed. Our analysis points to a simple adjustment to physician protocol that can mitigate these marginal diagnosis spillovers.

Suggested Citation

  • Petra Persson & Xinyao Qiu & Maya Rossin-Slater, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," NBER Working Papers 28334, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:28334
    Note: CH EH
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    Cited by:

    1. Gordon B. Dahl & Dan-Olof Rooth & Anders Stenberg, 2024. "Intergenerational and Sibling Spillovers in High School Majors," American Economic Journal: Economic Policy, American Economic Association, vol. 16(3), pages 133-173, August.
    2. Jill Furzer & Elizabeth Dhuey & Audrey Laporte, 2022. "ADHD misdiagnosis: Causes and mitigators," Health Economics, John Wiley & Sons, Ltd., vol. 31(9), pages 1926-1953, September.
    3. Seth M. Freedman & Kelli R. Marquardt & Dario Salcedo & Kosali I. Simon & Coady Wing, 2023. "Societal Disruptions And Child Mental Health: Evidence From ADHD Diagnosis During The COVID-19 Pandemic," NBER Working Papers 30909, National Bureau of Economic Research, Inc.
    4. Figlio, David N. & Karbownik, Krzysztof & Özek, Umut, 2023. "Sibling Spillovers May Enhance the Efficacy of Targeted School Policies," IZA Discussion Papers 16250, Institute of Labor Economics (IZA).
    5. Bertoni, M.; & Marin-Lopez, B.A.; & Sanz-de-Galdeano, A.;, 2023. "Subjective Gender-Based Patterns in ADHD Diagnosis," Health, Econometrics and Data Group (HEDG) Working Papers 23/17, HEDG, c/o Department of Economics, University of York.

    More about this item

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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