Evidence map›Paper›PMID 37691973›Full record

ArticleSSM - population health2023

Sustainable labour market participation among working young adults with diagnosed attention deficit/hyperactivity disorder (ADHD).

Magnus Helgesson, Linnea Kjeldgård, Emma Björkenstam, Syed Rahman, Klas Gustafsson, Heidi Taipale, Antti Tanskanen, Lisa Ekselius, Ellenor Mittendorfer-Rutz

Abstract read
In one paragraph

Article in SSM - population health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Magnus HelgessonDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.
Linnea KjeldgårdDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.
Emma BjörkenstamDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.
Syed RahmanDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.
Klas GustafssonDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.
Heidi TaipaleDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.
Antti TanskanenDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.
Lisa EkseliusDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Ellenor Mittendorfer-RutzDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, SE-17177, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The aims were to study the sustainability of labour-market participation five years after an incident diagnosis of attention-deficit/hyperactivity disorder (ADHD) among young adults with gainful employment, and to examine the impact of sociodemographic-, work- and health-related factors on these findings. Methods: Swedish registers identified 2517 individuals, 19-29 years old, with an incident diagnosis of ADHD and gainful employment during 2006-2011. Labour-market participation was measured by the core-peripheral model, a model that measures the connection to the labour market from a weak connection (peripheral) to a strong connection (core). Sequence analysis analysed clusters of labour-market participation, from one year before and up to five years after diagnosis. Odds ratios (OR) with 95% confidence intervals (CI) between sociodemographic factors, comorbid disorders, and the identified clusters were analysed by multinomial logistic regression. Results: Five clusters of labour-market participation were identified: 60% of individuals belonged to a cluster that maintained labour-market participation throughout the study period (core, close to core); 20% belonged to a cluster with a transition to a weak connection to the labour market (close to peripheral, peripheral); and 20% belonged to a cluster with "middle" labour-market participation, characterised by having long periods of sick leave and unemployment. Individuals with elementary school as highest attained education (OR:4.03;CI:2.35-6.93), comorbid mental disorders (OR:2.77;CI:2.10-3.66), or living in villages/small cities (OR:1.77;CI:1.25-2.51) were most likely to belong to a cluster transitioning towards a "peripheral" labour-market participation. Men were less likely to have peripheral labour-market participation than women (OR:0.55;CI:0.40-0.75). Conclusions: Over half of working individuals with ADHD maintain a strong attachment to the labour market several years after their first diagnosis of ADHD. Therefore, it is important to target those who have problems maintaining a position in the labour market, including women, those with low educational levels, and those living outside large cities.

Indexed as

ADHDAttention-deficit/hyperactivity disorderCore-peripheral theoryDisability pensionLabour market participationSequence analysisSick leaveSocial welfare

Identifiers

PMID37691973
PMCPMC10492158

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.