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Section III: Population Dynamics

Table 3. The increase in stimulant prevalence from four U.S. and one Canadian population-based studies
Increase1 Prevalence Change2 Period of Change3 Youth Age (years) Author
4.0-fold 0.52 → 2.4 survey 1987-1996 ≤18 Olfson et al. 2002
3.4-fold 1.2 → 4.1 survey 1987-1996 6-14 Olfson et al. 2002
2.2-fold 4.4 → 9.5 Medicaid 1992-1998 6-14 Rushton and Whitmire 2001
3.7-fold 1.0 → 3.7 Medicaid 1987-1996 <20 Zito et al. 2003
7.0-fold 0.4 → 2.5 HMO
4.0-fold 1.7 → 6.8 Medicaid 1987-1996 5-14 Zito et al. 2003
5.9-fold 0.7 → 4.1 HMO
1.3-fold 2.3 → 3.0 IPA 1995-1999 <20 Shatin and Drinkard 2002
5.8-fold 0.2 → 4.1 total province 19901996 <20 Miller et al. 2001
1 Fold-increase across the time interval measured.
2 Prevalence estimates were defined as the proportion of youths with one or more prescription records for a stimulant per 100 enrolled youths from start year to end year. Separate estimates for population-based national survey, Medicaid, HMO, and IPA enrollees and Canadian provincial residents.
3 Start and end years assessed during the period of change.

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