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Does attention‐deficit hyperactivity disorder medication reduce entrepreneurship?

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  • Juhana Peltonen
  • Edvard Johansson
  • Joakim Wincent

Abstract

Attention‐deficit hyperactivity disorder (ADHD) is a highly inheritable condition with a rather stable prevalence over time and geography, and it is associated with a broad range of negative life outcomes. Increasing knowledge on the condition has led to a growing trend of dampening ADHD symptoms through medication. Although this development has led to many positive outcomes, the broader societal implications are still poorly understood. In particular, person‐level studies suggest that ADHD‐like behavior may possess some advantages for engaging in entrepreneurship and the initiation of new businesses, which is considered a key activity for economic development. Using recent panel data from 11 countries and one special administrative region (SAR), we investigate if the increasing use of ADHD medication in adults is associated with an unintended outcome of reducing entrepreneurship. We find that a roughly one unit increase in the prevalence of adult ADHD medication is associated with a one unit decrease in limited liability company registrations per working age population. In practical terms, the effect of a one within‐country/SAR standard deviation increase of adult ADHD medication prevalence corresponds to a decrease in new business formation of 20% of its mean in the sample.

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  • Juhana Peltonen & Edvard Johansson & Joakim Wincent, 2020. "Does attention‐deficit hyperactivity disorder medication reduce entrepreneurship?," Health Economics, John Wiley & Sons, Ltd., vol. 29(9), pages 1071-1077, September.
  • Handle: RePEc:wly:hlthec:v:29:y:2020:i:9:p:1071-1077
    DOI: 10.1002/hec.4120
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    1. Fairlie, Robert W. & Kapur, Kanika & Gates, Susan, 2011. "Is employer-based health insurance a barrier to entrepreneurship?," Journal of Health Economics, Elsevier, vol. 30(1), pages 146-162, January.
    2. Nabamita Dutta & Russell Sobel, 2016. "Does corruption ever help entrepreneurship?," Small Business Economics, Springer, vol. 47(1), pages 179-199, June.
    3. Roy Thurik & Anis Khedhaouria & Olivier Torrès & Ingrid Verheul, 2016. "ADHD Symptoms and Entrepreneurial Orientation of Small Firm Owners," Post-Print hal-02013741, HAL.
    4. Christian Bjørnskov & Nicolai Foss, 2010. "Economic Freedom and Entrepreneurial Activity: Some Cross-Country Evidence," Springer Books, in: Andreas Freytag & Roy Thurik (ed.), Entrepreneurship and Culture, chapter 0, pages 201-225, Springer.
    5. Wiklund, Johan & Yu, Wei & Tucker, Reginald & Marino, Louis D., 2017. "ADHD, impulsivity and entrepreneurship," Journal of Business Venturing, Elsevier, vol. 32(6), pages 627-656.
    6. Boudreaux, Christopher J. & Escaleras, Monica P. & Skidmore, Mark, 2019. "Natural disasters and entrepreneurship activity," Economics Letters, Elsevier, vol. 182(C), pages 82-85.
    7. Bradley T. Heim & Lang Kate Yang, 2017. "The impact of the Affordable Care Act on self‐employment," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 256-273, December.
    8. Wennekers, Sander & Thurik, Roy, 1999. "Linking Entrepreneurship and Economic Growth," Small Business Economics, Springer, vol. 13(1), pages 27-55, August.
    9. Holtz-Eakin, Douglas & Penrod, John R. & Rosen, Harvey S., 1996. "Health insurance and the supply of entrepreneurs," Journal of Public Economics, Elsevier, vol. 62(1-2), pages 209-235, October.
    10. Kristina Nyström, 2008. "The institutions of economic freedom and entrepreneurship: evidence from panel data," Public Choice, Springer, vol. 136(3), pages 269-282, September.
    11. Ruta Aidis & Saul Estrin & Tomasz Mickiewicz, 2012. "Size matters: entrepreneurial entry and government," Small Business Economics, Springer, vol. 39(1), pages 119-139, July.
    12. Daniel A. Lerner & Ingrid Verheul & Roy Thurik, 2019. "Entrepreneurship and attention deficit/hyperactivity disorder: a large-scale study involving the clinical condition of ADHD," Small Business Economics, Springer, vol. 53(2), pages 381-392, August.
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    Cited by:

    1. Jill Furzer & Maripier Isabelle & Boriana Miloucheva & Audrey Laporte, 2023. "Public drug insurance, moral hazard and children's use of mental health medication: Latent mental health risk‐specific responses to lower out‐of‐pocket treatment costs," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 518-538, February.
    2. Kristina Willeke & Patrick Janson & Katharina Zink & Carolin Stupp & Sarah Kittel-Schneider & Anne Berghöfer & Thomas Ewert & Ryan King & Peter U. Heuschmann & Andreas Zapf & Manfred Wildner & Thomas , 2021. "Occurrence of Mental Illness and Mental Health Risks among the Self-Employed: A Systematic Review," IJERPH, MDPI, vol. 18(16), pages 1-25, August.
    3. Jill Furzer & Maripier Isabelle & Boriana Miloucheva & Audrey Laporte, 2021. "Public drug insurance and children’s use of mental health medication: Risk-specific responses to lower out-of-pocket treatment costs," CIRANO Working Papers 2021s-34, CIRANO.
    4. Rajah, Nasir & Bamiatzi, Vassiliki & Williams, Nick, 2021. "How childhood ADHD-like symptoms predict selection into entrepreneurship and implications on entrepreneurial performance," Journal of Business Venturing, Elsevier, vol. 36(3).

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