Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide Study
Introduction To ensure rational drug use, there is a need to continuously monitor the use of ADHD medication among children and adolescents. Objectives To describe the use of ADHD medication among Danish children and adolescents from 2010-2020. Methods Using the Danish national healthcare regist...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-06-01
|
| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822002498/type/journal_article |
| _version_ | 1797617336577949696 |
|---|---|
| author | M. Stoltz-Andersen R. Wesselhoeft M. Ernst L. Rasmussen |
| author_facet | M. Stoltz-Andersen R. Wesselhoeft M. Ernst L. Rasmussen |
| author_sort | M. Stoltz-Andersen |
| collection | DOAJ |
| description |
Introduction
To ensure rational drug use, there is a need to continuously monitor the use of ADHD medication among children and adolescents.
Objectives
To describe the use of ADHD medication among Danish children and adolescents from 2010-2020.
Methods
Using the Danish national healthcare registries, we extracted data on filled prescriptions of ADHD medication (including methylphenidate, atomoxetine, guanfacine, dexamphetamine, and lisdexamphetamine) among children (age 6-12 years) and adolescents (age 13-17 years) between 2010-2020. We examined the annual incidence rate and prevalence proportion of ADHD drug use, and the proportion of children and adolescents having an ADHD diagnosis when initiating ADHD medication.
Results
From 2010-2020, the incidence followed a u-shaped trend with an incidence rate of 4.9/1,000 children and 4.4/1,000 adolescents in 2010, decreasing to 3.2/1,000 children and 3.0/1,000 adolescents in 2013, and rising to 4.9/1,000 children and 4.8/1,000 adolescents in 2020. The prevalence for children showed a similar trend, shifting from 17/1,000 in 2010, to 15/1,000 in 2016, and peaking at 19/1,000 children in 2020. However, among adolescents the prevalence increased steadily from 19/1,000 in 2010 to 29/1,000 in 2020. 67% of children and 53% of adolescents initiating ADHD medication had an ADHD diagnosis.
Conclusions
After an initial decline in incidence rates of ADHD medication use among Danish children and adolescents, there has been a rise in use the last five years. The same trend applied for the prevalence among children, whereas the prevalence among adolescents increased steadily over the entire period. More than half of children and adolescents initiating ADHD medication were diagnosed with ADHD.
Disclosure
No significant relationships.
|
| first_indexed | 2024-03-11T07:53:26Z |
| format | Article |
| id | doaj.art-49de3cfcac5042d5900a6871c6ce9132 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:53:26Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-49de3cfcac5042d5900a6871c6ce91322023-11-17T05:06:09ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S82S8210.1192/j.eurpsy.2022.249Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide StudyM. Stoltz-Andersen0R. Wesselhoeft1M. Ernst2L. Rasmussen3University of Southern Denmark, Ist - Clinical Pharmacology, Pharmacy And Environmental Medicine, Odense M, DenmarkUniversity of Southern Denmark, Ist - Clinical Pharmacology, Pharmacy And Environmental Medicine, Odense M, DenmarkUniversity of Southern Denmark, Ist - Clinical Pharmacology, Pharmacy And Environmental Medicine, Odense M, DenmarkUniversity of Southern Denmark, Ist - Clinical Pharmacology, Pharmacy And Environmental Medicine, Odense M, Denmark Introduction To ensure rational drug use, there is a need to continuously monitor the use of ADHD medication among children and adolescents. Objectives To describe the use of ADHD medication among Danish children and adolescents from 2010-2020. Methods Using the Danish national healthcare registries, we extracted data on filled prescriptions of ADHD medication (including methylphenidate, atomoxetine, guanfacine, dexamphetamine, and lisdexamphetamine) among children (age 6-12 years) and adolescents (age 13-17 years) between 2010-2020. We examined the annual incidence rate and prevalence proportion of ADHD drug use, and the proportion of children and adolescents having an ADHD diagnosis when initiating ADHD medication. Results From 2010-2020, the incidence followed a u-shaped trend with an incidence rate of 4.9/1,000 children and 4.4/1,000 adolescents in 2010, decreasing to 3.2/1,000 children and 3.0/1,000 adolescents in 2013, and rising to 4.9/1,000 children and 4.8/1,000 adolescents in 2020. The prevalence for children showed a similar trend, shifting from 17/1,000 in 2010, to 15/1,000 in 2016, and peaking at 19/1,000 children in 2020. However, among adolescents the prevalence increased steadily from 19/1,000 in 2010 to 29/1,000 in 2020. 67% of children and 53% of adolescents initiating ADHD medication had an ADHD diagnosis. Conclusions After an initial decline in incidence rates of ADHD medication use among Danish children and adolescents, there has been a rise in use the last five years. The same trend applied for the prevalence among children, whereas the prevalence among adolescents increased steadily over the entire period. More than half of children and adolescents initiating ADHD medication were diagnosed with ADHD. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822002498/type/journal_articlechildren and adolescentdrug utilizationnationwideadhd |
| spellingShingle | M. Stoltz-Andersen R. Wesselhoeft M. Ernst L. Rasmussen Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide Study European Psychiatry children and adolescent drug utilization nationwide adhd |
| title | Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide Study |
| title_full | Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide Study |
| title_fullStr | Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide Study |
| title_full_unstemmed | Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide Study |
| title_short | Use of ADHD Medication Among Danish Children and Adolescents from 2010-2020 - A Nationwide Study |
| title_sort | use of adhd medication among danish children and adolescents from 2010 2020 a nationwide study |
| topic | children and adolescent drug utilization nationwide adhd |
| url | https://www.cambridge.org/core/product/identifier/S0924933822002498/type/journal_article |
| work_keys_str_mv | AT mstoltzandersen useofadhdmedicationamongdanishchildrenandadolescentsfrom20102020anationwidestudy AT rwesselhoeft useofadhdmedicationamongdanishchildrenandadolescentsfrom20102020anationwidestudy AT mernst useofadhdmedicationamongdanishchildrenandadolescentsfrom20102020anationwidestudy AT lrasmussen useofadhdmedicationamongdanishchildrenandadolescentsfrom20102020anationwidestudy |