COVID-19大流行期间的社会扰动与儿童ADHD诊断
Societal Disruptions and Childhood ADHD Diagnosis during the COVID-19 Pandemic
Journal of Human Resources · 2023 · [{"name": "Seth Freedman", "affiliation": ["National Bureau of Economic Research", "Indiana University Bloomington", "American Society of Health Economists"]}, {"name": "Kelli Marquardt", "affiliation": ["National Bureau of Economic Research", "Indiana University Bloomington", "American Society of Health Economists", "Federal Reserve Bank of Chicago"]}, {"name": "Dario Salcedo", "affiliation": ["Indiana University Bloomington"]}, {"name": "Kosali Simon", "affiliation": ["National Bureau of Economic Research", "Indiana University Bloomington"]}, {"name": "Coady Wing", "affiliation": ["Indiana University Bloomington"]}]
中文摘要
我们研究COVID-19大流行造成的社会扰动如何影响一种常见儿童心理健康问题——注意缺陷多动障碍（ADHD）的诊断。我们同时使用全国性私人健康保险理赔数据和某一州的综合电子健康记录，将经历大流行的儿童与大流行前的同龄儿童进行比较。我们发现，截至2021年2月，大流行使全美男孩新增ADHD诊断减少8.6%，女孩减少11.0%。我们进一步发现，2020年秋季较高程度的线下到校学习缓和了女孩诊断数量的下降，但对男孩没有调节作用。
Abstract
<h3>Abstract</h3> We study how the societal disruptions of the COVID-19 pandemic impacted diagnosis of a prevalent childhood mental health condition, Attention Deficit Hyperactivity Disorder (ADHD). Using both nationwide private health insurance claims and a single state’s comprehensive electronic health records, we compare children exposed to the pandemic to same aged children prior to the pandemic. We find the pandemic reduced new ADHD diagnoses by 8.6% among boys and 11.0% among girls nationwide through February 2021. We further show that higher levels of in-person schooling in Fall 2020 dampened the decline for girls but had no moderating effect for boys.