Prevalence and profile of Neurodevelopment and Fetal Alcohol Spectrum Disorder (FASD) amongst Australian Aboriginal children living in remote communities

Fitzpatrick, James; Latimer, Jane; Olson, Heather Carmichael; Carter, Maureen; Oscar, June; Lucas, Barbara R.; Doney, Robyn; Salter, Claire; Try, Julianne; Hawkes, Genevieve; Fitzpatrick, Emily; Hand, Marmingee; Watkins, Rochelle; Tsang, Tracey W; Bower, Carol; Ferreira, Manuela L; Boulton, John; Elliott, Elizabeth J

doi:10.1016/j.ridd.2017.04.001

Cited by 63 publications

(74 citation statements)

References 36 publications

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“…FASD is a complex condition to diagnose, regardless of the guidelines in many countries which describe only two specific categories: FASD with three sentinel facial features and FASD with less than three sentinel facial features 83 . As such, epidemiological research has determined the prevalence of FASD as greater than overt FAS, with conservative estimates of 5% in the United States 84 , and up to 19% in some regions of Australia impacted [84][85][86] .…”

Section: Alcohol Consumption During Pregnancymentioning

confidence: 99%

Prenatal alcohol exposure and developmental programming of mental illness

Burgess

2020

J Dev Orig Health Dis

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It is well established that high-dose alcohol consumption during pregnancy increases the risk for a plethora of adverse offspring outcomes. These include neurodevelopmental, cognitive and social deficits, as well as psychiatric illnesses, such as depression and anxiety. However, much less evidence is available on the effects of low- and early-dose alcohol exposure on mental health outcomes, regardless of the accumulating evidence that mental health outcomes should be considered in the context of the Developmental Origins of Health and Disease hypothesis. This review will discuss the evidence that indicates low-dose and early prenatal alcohol exposure can increase the risk of mental illness in offspring and discuss the mechanistic pathways that may be involved.

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Section: Alcohol Consumption During Pregnancymentioning

confidence: 99%

Prenatal alcohol exposure and developmental programming of mental illness

Burgess

2020

J Dev Orig Health Dis

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“…These studies have reported some of the highest rates of FASD in the world (i.e. any diagnosis on the FASD spectrum 194.4 per 1000 ; fetal alcohol syndrome and partial fetal alcohol syndrome 120.4 per 1000 children ). Similarly, high rates of FASD have been previously reported in South Africa (135.1–207.5 per 1000) .…”

Section: Prevalencementioning

confidence: 99%

Fetal alcohol spectrum disorder in Australia: What is the current state of affairs?

Reid

2018

Drug and Alcohol Review

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The term fetal alcohol spectrum disorder (FASD) is used to describe a wide range of difficulties that individuals who are exposed to alcohol prenatally can face. FASD is a significant public health concern that is currently under-recognised and consequently, under-diagnosed in Australia. A new Commonwealth FASD Strategy (2018-2028) is being developed and the Australian Government has announced significant funding for the expansion of FASD prevention, diagnostic and intervention services around Australia. Therefore, it is timely to consider what the current state of affairs regarding FASD in Australia is and describe areas for future research and service delivery.

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“…An Australian study in a selected high-risk population reported some of the highest rates of FASD in the world (i.e. any diagnosis on the FASD spectrum 194.4 per 1000 17 ; FAS and pFAS 120.4 per 1000 children). 18 The prevalence of FASD for vulnerable children in out-of-home care and in the youth justice system is considerably higher than the general population.…”

Section: Prevalencementioning

confidence: 99%

Responding to fetal alcohol spectrum disorder in Australia

Shelton

Reid

Till

et al. 2018

J Paediatrics Child Health

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Fetal alcohol spectrum disorder (FASD) is a significant public health issue in Australia that is poorly diagnosed, chronic and costly. FASD is a diffuse acquired brain injury secondary to prenatal alcohol exposure. The prevalence rate of FASD among the general population in Australia is currently unknown; however, an Australian study in a selected high‐risk population reported some of the highest rates of FASD in the world. A common misconception among clinicians is that a child must have ‘the face’ of FASD to have the disorder. This is incorrect. The three sentinel facial features only occur in the minority of individuals with FASD. FASD should be considered as a ‘whole body’ disorder as increased susceptibility to chronic health problems suggests suboptimal in utero environments places the individual at risk of later disease. Clinicians are reluctant to consider FASD as a possible diagnosis because of the concern of inducing stigma; however, this concern is neither supported by the evidence nor patient stories. The Australian Guide to the Diagnosis of FASD is now available to assist health professionals in providing timely and accurate diagnoses, which can lead to improved outcomes via evidence‐based intervention and is an important first step in future prevention.

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Prevalence and profile of Neurodevelopment and Fetal Alcohol Spectrum Disorder (FASD) amongst Australian Aboriginal children living in remote communities

Cited by 63 publications

References 36 publications

Prenatal alcohol exposure and developmental programming of mental illness

Prenatal alcohol exposure and developmental programming of mental illness

Fetal alcohol spectrum disorder in Australia: What is the current state of affairs?

Responding to fetal alcohol spectrum disorder in Australia

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