Abstract

Prescription medication use for attention-deficit hyperactivity disorder among children, adolescents, and young adults aged 5–29 — United States, 2015–March 2020

David Carranza, PharmD, MHSc, Lara Akinbami, MD, Duong Nguyen, DO and Brian Kit, MD, MPH
Centers for Disease Control and Prevention, Hyattsville, MD

APHA 2023 Annual Meeting and Expo

Background: Attention-deficit/hyperactivity disorder (ADHD) is a common condition, with 9.8% of U.S. children aged 3–17 years ever receiving a diagnosis. According to a 2019–2020 mail survey, 60% of U.S. children aged 2–17 years diagnosed with ADHD take medication for its treatment. Prevalence of medications taken for ADHD is less studied in adults, a concern because central nervous system (CNS) stimulants carry a risk for overdose and illicit transferals. Using National Health and Nutrition Examination Survey (NHANES) January 2015–March 2020 data, prevalence of taking medication for ADHD in the U.S. civilian, non-institutionalized population aged 5–29 years was estimated.

Methods: Self-reported prescription medication use within the prior 30 days, including for ADHD, was analyzed. To account for the complex survey design, R survey packages were used to calculate national prevalence estimates of recent medication use for ADHD. Pairwise T-tests were used to compare prevalence by age group, sex, and race/ethnicity.

Results: Overall, 5.6% (95% CI: 4.7–6.7%) of children, adolescents, and young adults aged 5–19 years and 2.6% (95% CI: 1.4–4.5%) of adults aged 20–29 years took a medication for ADHD, with the highest use among Non-Hispanic White males (8.0%; 95% CI: 6.3–10.0%). CNS stimulants were the most common medications taken among individuals aged 5–19 years (5.6%; 95% CI: 4.7–6.7%), though 2.6% (95% CI: 1.3–4.5%) of adults aged 20–29 years took a CNS stimulant.

Conclusions: Nearly all medications used for ADHD are CNS stimulants. Though CNS stimulant use decreases with age, the risk for overdose and illicit transferals persist into adulthood.

Epidemiology Public health or related research