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J Occup Environ Med. 2009 Nov;51(11):1247-55. doi: 10.1097/JOM.0b013e3181bca68c.

Incremental employee health benefit costs, absence days, and turnover among employees with ADHD and among employees with children with ADHD.

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  • 1Human Capital Management Services, Cheyenne, Wyo 82001, USA.



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


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.


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.


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.

[PubMed - indexed for MEDLINE]
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