Epidemiology of fetal alcohol syndrome among American Indians of the southwest

May, Philip A.; Hymbaugh, Karen; Aase, Jon M.; Samet, Jonathan M.

doi:10.1080/19485565.1983.9988551

Cited by 90 publications

(80 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This rate contrasts with estimated FAS rates of 0.33-2.2 in the United States (Abel and Sokol, 1991;May and Gossage, 2001) and with an average for the developed world of 0.97 per 1,000 (Abel, 1998;Abel and Sokol, 1987). In a few high-risk American Indian reservation communities in the United States, the rate of FAS derived from active case ascertainment methods seldom exceeds 10 per 1,000 (Abel, 1995;May, 1991;May et al, 1983), with an average rate of 8 per 1,000 from 1970 to 1982 . The clinic-based rate of FAS for African Americans of low socioeconomic status (SES) from a few inner-city areas is 2.29 per 1000 (Abel, 1995(Abel, , 1998.…”

mentioning

confidence: 41%

“…In the United States, a much higher percentage of children with FAS are not raised by biological parents (May et al, 1983;Streissguth et al, 1985).…”

Section: Comparison Of These Findings With Those Of Other Studiesmentioning

confidence: 99%

“…Because mothers of FAS children often lead chaotic lives, death or mobility obviated some interviews (May et al, 1983;Streissguth et al, 1985). Specifically, 54 of the 64 mothers of the FAS children were contacted; 53 agreed to be interviewed.…”

Section: Maternal Datamentioning

confidence: 99%

See 2 more Smart Citations

Fetal alcohol syndrome epidemiology in a South African community: a second study of a very high prevalence area.

et al. 2005

View full text Add to dashboard Cite

ABSTRACT. Objective: The aim of the study was to determine the prevalence and characteristics of fetal alcohol syndrome (FAS) in a second primary school cohort in a community in South Africa. Method: Active case ascertainment, two-tier screening, and Institute of Medicine assessment methodology were employed among 857 first grade pupils, most born in 1993. Characteristics of children with FAS were contrasted with characteristics of a randomly selected control group from the same classrooms. Physical growth and development, dysmorphology and psychological characteristics of the children and measures of maternal alcohol use and smoking were analyzed. Results: The rate of FAS found in this study is the highest yet reported in any overall community in the world, 65.2-74.2 per 1,000 children in the first grade population. These rates are 33-148 times greater than U.S. estimates and higher than in a previous cohort study in this same community (40.5-46.4 per 1,000). Detailed documentation of physical features indicates that FAS children in South Africa have characteristics similar to those elsewhere: poor growth and development, facial and limb dysmorphology, and lower intellectual functioning. Frequent, severe episodic drinking of beer and wine is common among mothers and fathers of FAS children. Their lives are characterized by serious familial, social and economic challenges, compared with controls. Heavy episodic maternal drinking is significantly associated with negative outcomes of children in the area of nonverbal intelligence but even more so in verbal intelligence, behavior and overall dysmorphology (physical anomalies). Significantly more FAS exists among children of women who were rural residents (odds ratio: 7.36, 95% confidence interval: 3.31-16.52), usually among workers on local farms. Conclusion: A high rate of FAS was documented in this community. Given social and economic similarities and racial admixture, we suspect that other communities in the Western Cape have rates that also are quite high. (J. Stud. Alcohol 66: [593][594][595][596][597][598][599][600][601][602][603][604] 2005)

show abstract

mentioning

confidence: 41%

“…In the United States, a much higher percentage of children with FAS are not raised by biological parents (May et al, 1983;Streissguth et al, 1985).…”

Section: Comparison Of These Findings With Those Of Other Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Fetal alcohol syndrome epidemiology in a South African community: a second study of a very high prevalence area.

et al. 2005

View full text Add to dashboard Cite

show abstract

“…The pioneering work in this area was conducted by May and his colleagues (207,208). In a detailed comparative analysis of selected IHS service units and reservations on which there was adequate case-finding, May and his colleagues found that one group of Indians had a higher incidence of FAS than any that had been reported previously.…”

Section: Fetal Alcohol Syndromementioning

confidence: 99%

Indian Adolescent Mental Health

1990

PsycEXTRA Dataset

View full text Add to dashboard Cite

show abstract

“…The often cited estimates for general populations are believed to be underestimates; yet very high rates have been found in certain substrate populations. 2,3 Rates from high-risk subgroups cannot be extrapolated accurately to general populations. 4,5 The Centers for Disease Control and Prevention (CDC) has estimated that FAS occurs at a rate of 0.2 to 1.5 per 1000 children, 6,7 and the Institute of Medicine (IOM) estimates are 0.5 to 3.0 per 1000 children.…”

mentioning

confidence: 99%

Prevalence and Characteristics of Fetal Alcohol Spectrum Disorders

2014

PEDIATRICS

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Most studies of fetal alcohol syndrome and fetal alcohol spectrum disorders (FASD) prevalence in the general population of the United States have been carried out using passive methods (surveillance or clinicbased studies), which underestimate rates of FASD. WHAT THIS STUDY ADDS:Using active case ascertainment methods among children in a representative middle class community, rates of fetal alcohol syndrome and total FASD are found to be substantially higher than most often cited estimates for the general US population. abstract OBJECTIVES: To determine the prevalence and characteristics of fetal alcohol spectrum disorders (FASD) among first grade students (6-to 7-year-olds) in a representative Midwestern US community. METHODS:From a consented sample of 70.5% of all first graders enrolled in public and private schools, an oversample of small children (#25th percentile on height, weight, and head circumference) and randomly selected control candidates were examined for physical growth, development, dysmorphology, cognition, and behavior. The children's mothers were interviewed for maternal risk. RESULTS:Total dysmorphology scores differentiate significantly fetal alcohol syndrome (FAS) and partial FAS (PFAS) from one another and from unexposed controls. Alcohol-related neurodevelopmental disorder (ARND) is not as clearly differentiated from controls. Children who had FASD performed, on average, significantly worse on 7 cognitive and behavioral tests and measures. The most predictive maternal risk variables in this community are late recognition of pregnancy, quantity of alcoholic drinks consumed 3 months before pregnancy, and quantity of drinking reported for the index child's father. From the final multidisciplinary case findings, 3 techniques were used to estimate prevalence. FAS in this community likely ranges from 6 to 9 per 1000 children (midpoint, 7.5), PFAS from 11 to 17 per 1000 children (midpoint, 14), and the total rate of FASD is estimated at 24 to 48 per 1000 children, or 2.4% to 4.8% (midpoint, 3.6%). (Continued on last page) CONCLUSIONS:

show abstract

Epidemiology of fetal alcohol syndrome among American Indians of the southwest

Cited by 90 publications

References 23 publications

Fetal alcohol syndrome epidemiology in a South African community: a second study of a very high prevalence area.

Fetal alcohol syndrome epidemiology in a South African community: a second study of a very high prevalence area.

Indian Adolescent Mental Health

Prevalence and Characteristics of Fetal Alcohol Spectrum Disorders

Contact Info

Product

Resources

About