ADHD and later-life labor market outcomes in the United States

Eur J Health Econ. 2019 Sep;20(7):949-967. doi: 10.1007/s10198-019-01055-0. Epub 2019 May 2.

Abstract

This study analyzes the relation between attention-deficit hyperactivity disorder (ADHD) and later-life labor market outcomes in the United States and whether these relationships are mediated by educational attainment. To overcome endogeneity concerns in the estimation of these relationships, we exploit the polygenic risk score (PRS) for ADHD in a cohort where the diagnosis of and treatment for ADHD were generally not available. We find that an increase in the PRS for ADHD reduces the likelihood of employment, individual income, and household wealth. Moreover, it increases the likelihood of receiving social security disability benefits, unemployment or worker compensation, and other governmental transfers. We provide evidence that educational attainment mediates these relationships to a considerable extent (14-58%).

Keywords: ADHD; Educational attainment; Labor market outcomes; Polygenic risk score.

MeSH terms

  • Attention Deficit Disorder with Hyperactivity*
  • Educational Status
  • Employment*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Multifactorial Inheritance
  • United States