Evidence map›Paper›PMID 40852961›Full record

ArticleJournal of attention disorders2025

Self-Reported ADHD Diagnosis and Illicit Drug Use and Prescription Medication Misuse Among U.S. Working-Age Adults.

Andrew S London, Kevin M Antshel, Joshua Grove, Iliya Gutin, Shannon M Monnat

Abstract read
In one paragraph

Article in Journal of attention disorders, 2025. 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

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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

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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. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Andrew S LondonSyracuse University, NY, USA.ORCID 0000-0001-6339-4279
Kevin M AntshelSyracuse University, NY, USA.ORCID 0000-0002-1139-7790
Joshua GroveSyracuse University, NY, USA.ORCID 0009-0006-9449-0021
Iliya GutinSyracuse University, NY, USA.ORCID 0000-0003-4216-8963
Shannon M MonnatSyracuse University, NY, USA.ORCID 0000-0003-0920-8230

Funding

States' COVID-19 Mitigation Policies and Psychological Health, Drug Overdose, and Suicide among U.S. AdultsU01DA055972 · NIDA · SYRACUSE UNIVERSITY · PI MONNAT, SHANNON M · 2021 to 2025
$2.0M
NIDA NIH HHS U01 DA055972
6 · The paper itself

Abstract

objectiveTo estimate differences by self-reported lifetime ADHD diagnosis status in the percentage of U.S. working-age (18- to 64-year-old) adults in 2023 who report lifetime and past-year use or misuse of 11 different categories of illicit drugs and prescription medications, overall and among those without a self-reported drug use disorder (DUD).

methodWe analyze data from the 2023 National Wellbeing Survey (total sample unweighted

resultsIn 2023, lifetime and past-year use or misuse of all 11 categories of drugs and medications was significantly higher among working-age adults with ADHD than among those without ADHD. Statistically significant differences by self-reported ADHD status persisted in multivariable models that controlled for demographic characteristics, with adjusted odds ratios (AORs) ranging from 1.77 for lifetime misuse of prescription sedatives to 3.08 for lifetime misuse of prescription stimulants, and from 1.63 for past-year use of crack cocaine to 3.33 for past-year misuse of prescription stimulants. Among those with no DUD, results indicated significantly higher lifetime use or misuse among persons with ADHD than among persons without ADHD for all 11 categories of drugs and mediations, with AORs ranging from 1.69 for misuse of prescription opioids to 2.87 for prescription stimulants. Past-year use or misuse among working-age adults never diagnosed with a DUD was significantly higher for 7 of 11 categories of drugs and medications among persons with ADHD relative to persons without ADHD, with statistically significant AORs ranging from 1.54 for use of heroin to 3.48 for misuse of prescription stimulants.

conclusionResults suggest that ADHD is a risk factor for higher illicit drug use and prescription medication misuse among U.S. working-age adults, even in the absence of a DUD. Clinicians working with adults with ADHD should assess use and misuse of a broad range of drugs and medications regardless of whether the person with ADHD has a co-occurring DUD diagnosis, and engage in therapeutic interventions when appropriate. Future national data collection efforts that include measures of drug use and medication misuse (e.g., NSDUH, NHIS, and BRFSS) should include measures of lifetime and current ADHD diagnosis, symptoms, and treatment history.

Indexed as

Attention Deficit Disorder with HyperactivityIllicit DrugsPrescription Drug MisuseSubstance-Related DisordersAdolescentAdultFemaleHumansMaleMiddle AgedSelf ReportUnited StatesYoung AdultIllicit DrugsADHDdrug usesocial epidemiologysubstance use disorderworking-age adults

Identifiers

PMID40852961
PMCPMC12444879

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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.