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The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community

The prevalence of fetal alcohol spectrum disorders (FASD) differs among populations and is largely unknown among minority populations. Prevalence and characterization of FASD is necessary for prevention efforts and allocation of resources for treatment and support. However, prevalence data are lacki...

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Autores principales: Montag, Annika C., Romero, Rhonda, Jensen, Toni, Goodblanket, Amiyonette, Admire, Ami, Whitten, Conner, Calac, Daniel, Akshoomoff, Natacha, Sanchez, Maria, Zacarias, MarLa, Zellner, Jennifer A., del Campo, Miguel, Jones, Kenneth Lyons, Chambers, Christina D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617116/
https://www.ncbi.nlm.nih.gov/pubmed/31226736
http://dx.doi.org/10.3390/ijerph16122179
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author Montag, Annika C.
Romero, Rhonda
Jensen, Toni
Goodblanket, Amiyonette
Admire, Ami
Whitten, Conner
Calac, Daniel
Akshoomoff, Natacha
Sanchez, Maria
Zacarias, MarLa
Zellner, Jennifer A.
del Campo, Miguel
Jones, Kenneth Lyons
Chambers, Christina D.
author_facet Montag, Annika C.
Romero, Rhonda
Jensen, Toni
Goodblanket, Amiyonette
Admire, Ami
Whitten, Conner
Calac, Daniel
Akshoomoff, Natacha
Sanchez, Maria
Zacarias, MarLa
Zellner, Jennifer A.
del Campo, Miguel
Jones, Kenneth Lyons
Chambers, Christina D.
author_sort Montag, Annika C.
collection PubMed
description The prevalence of fetal alcohol spectrum disorders (FASD) differs among populations and is largely unknown among minority populations. Prevalence and characterization of FASD is necessary for prevention efforts and allocation of resources for treatment and support. However, prevalence data are lacking, including among many minority populations. The aim of this study was to obtain an FASD prevalence estimate in a Southern California American Indian community employing active case-ascertainment. In 2016, American Indian children aged 5–7 years and their caregivers were recruited in collaboration with Southern California Tribal Health Clinic. Children were assessed using physical examinations and neurobehavioral testing. Parent or guardian interviews assessed child behavior and prenatal exposures including alcohol. Of 488 children identified as eligible to participate, 119 families consented and 94 completed assessments to allow a classification for FASD. Participating children (n = 94) were an average of 6.61 ± 0.91 years old and half were female. Most interviews were conducted with biological mothers (85.1%). Less than one third (29.8%) of mothers reported consuming any alcohol in pregnancy and 19.1% met study criteria for risky alcohol exposure prior to pregnancy recognition. Overall 20 children met criteria for FASD, resulting in an estimated minimum prevalence of 41.0 per 1000 (4.1%). No cases of fetal alcohol syndrome (FAS) were identified; 14 (70.0%) met criteria for alcohol related neuro- developmental disorder (ARND). Minimum prevalence estimates found in this sample are consistent with those noted in the general population.
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spelling pubmed-66171162019-07-18 The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community Montag, Annika C. Romero, Rhonda Jensen, Toni Goodblanket, Amiyonette Admire, Ami Whitten, Conner Calac, Daniel Akshoomoff, Natacha Sanchez, Maria Zacarias, MarLa Zellner, Jennifer A. del Campo, Miguel Jones, Kenneth Lyons Chambers, Christina D. Int J Environ Res Public Health Article The prevalence of fetal alcohol spectrum disorders (FASD) differs among populations and is largely unknown among minority populations. Prevalence and characterization of FASD is necessary for prevention efforts and allocation of resources for treatment and support. However, prevalence data are lacking, including among many minority populations. The aim of this study was to obtain an FASD prevalence estimate in a Southern California American Indian community employing active case-ascertainment. In 2016, American Indian children aged 5–7 years and their caregivers were recruited in collaboration with Southern California Tribal Health Clinic. Children were assessed using physical examinations and neurobehavioral testing. Parent or guardian interviews assessed child behavior and prenatal exposures including alcohol. Of 488 children identified as eligible to participate, 119 families consented and 94 completed assessments to allow a classification for FASD. Participating children (n = 94) were an average of 6.61 ± 0.91 years old and half were female. Most interviews were conducted with biological mothers (85.1%). Less than one third (29.8%) of mothers reported consuming any alcohol in pregnancy and 19.1% met study criteria for risky alcohol exposure prior to pregnancy recognition. Overall 20 children met criteria for FASD, resulting in an estimated minimum prevalence of 41.0 per 1000 (4.1%). No cases of fetal alcohol syndrome (FAS) were identified; 14 (70.0%) met criteria for alcohol related neuro- developmental disorder (ARND). Minimum prevalence estimates found in this sample are consistent with those noted in the general population. MDPI 2019-06-20 2019-06 /pmc/articles/PMC6617116/ /pubmed/31226736 http://dx.doi.org/10.3390/ijerph16122179 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Montag, Annika C.
Romero, Rhonda
Jensen, Toni
Goodblanket, Amiyonette
Admire, Ami
Whitten, Conner
Calac, Daniel
Akshoomoff, Natacha
Sanchez, Maria
Zacarias, MarLa
Zellner, Jennifer A.
del Campo, Miguel
Jones, Kenneth Lyons
Chambers, Christina D.
The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community
title The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community
title_full The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community
title_fullStr The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community
title_full_unstemmed The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community
title_short The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community
title_sort prevalence of fetal alcohol spectrum disorders in an american indian community
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617116/
https://www.ncbi.nlm.nih.gov/pubmed/31226736
http://dx.doi.org/10.3390/ijerph16122179
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