Incremental employee health benefit costs, absence days, and turnover among employees with ADHD and among employees with children with ADHD.
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.
Human Capital Management Services, Cheyenne, Wyo 82001, USA. nathan_kleinman@hcmsgroup.com
Nathan L
NL
Kleinman
Michael
M
Durkin
Arthur
A
Melkonian
Karine
K
Markosyan
D000041:Absenteeism; D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity; D017028:Caregivers; D019992:Databases as Topic; D005260:Female; D006264:Health Benefit Plans, Employee / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged