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Discussion Papers
Innovation and Entrepreneurship Research

Pediatric Drug Adherence and Parental Attention: Evidence from Comprehensive Claims Data

Feng, Josh; Higgins, Matthew John; Patel, Elena (2025). Pediatric Drug Adherence and Parental Attention: Evidence from Comprehensive Claims DataNBER Working Paper 30968. Cambridge, MA: National Bureau of Economic Research.

Using comprehensive U.S. drug claims data, we show that pediatric drug adherence declined during the COVID-19 pandemic. Focusing on asthma, we find that young children exhibited a 40 percent decrease in adherence by the end of 2020. The responses were less negative for older children and positive for adults. We provide evidence that parental attention played a key role in driving this decrease, even accounting for air quality changes, school closures, and other socioeconomic and COVID-related factors. Policy implications for future macroeconomic shocks are discussed.

https://www.nber.org/system/files/working_papers/w30968/revisions/w30968.rev2.pdf

Also published in: Health Economics 2026, 35, :346–359