Fetal alcohol spectrum disorders: preventing collateral damage from COVID-19

Sher, Jonathan P.

doi:10.1016/s2468-2667(20)30159-6

Cited by 15 publications

(11 citation statements)

References 4 publications

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“…“Although we might soon enter a post-COVID era, new cases of FASD will persist for decades and permanently compromise the lives and life chances of those affected. FASD is both predictable and largely preventable but has been consistently ignored” [ 81 ].…”

Section: Covid-19 Pandemic Lockdown and Alcohol Consumption: Connectmentioning

confidence: 99%

COVID-19 pandemic and alcohol consumption: Impacts and interconnections

et al. 2021

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Section: Covid-19 Pandemic Lockdown and Alcohol Consumption: Connectmentioning

confidence: 99%

COVID-19 pandemic and alcohol consumption: Impacts and interconnections

et al. 2021

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“…In an editorial, Sher (2020) discusses the “collateral damage” caused by COVID-19 and expresses the concern that the heightened risk related to alcohol consumption (e.g., FASD and AEP) has not been addressed. As noted in the editorial, “Although we might soon enter a post-COVID era, new cases of FASD will persist for decades and permanently compromise the lives and life chances of those affected” [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Alcohol Consumption during COVID among Women with an Existing Alcohol-Use Disorder

Hanson

Noonan

Harris

et al. 2021

IJERPH

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Prior to the pandemic, our research team implemented a randomized controlled trial of an intervention to reduce risk for alcohol-exposed pregnancy (AEP) in American Indian women. When active recruitment for the in-person trial was paused due to COVID, the research team moved to conducting follow-up surveys with participants who had completed the intervention to better understand changes to their alcohol use during the pandemic. We collected surveys from 62 American Indian women who had completed the Native CHOICES intervention. Baseline data collected pre-COVID included demographics and scores on the Alcohol Use Disorders Identification Test (AUDIT). Follow-up surveys conducted during the active pandemic period included a self-reported questionnaire about changes in drinking patterns. At pre-COVID baseline, all participants were engaged in heavy or binge drinking. At follow-up during COVID, 24.2% reported drinking more, and over half had at least one binge drinking episode. Approximately half reported reduced drinking. We found that risky drinking remained an issue during the pandemic for many American Indian women who had engaged in this behavior pre-COVID, while others reported reducing their alcohol consumption. As the pandemic abates, concerted efforts must be made to reach those with identified alcohol use disorders to offer resources and intervention as needed.

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“…Though a global assessment of alcohol use among pregnant women during the pandemic has yet to be conducted, there is some evidence to suggest that the COVID-19 pandemic has been associated with increased alcohol use among women of childbearing age in some countries [6][7][8]. Higher than usual rates of alcohol use, combined with unplanned pregnancies, places many pregnancies at increased risk of alcohol exposure and therefore, many infants at risk of harm [9]. Changes to substance use during the pandemic may be mediated by mental health status; for example, pregnant women's psychological distress in the United States was predictive of the number of substances they used [10], whereas a Canadian study found no such association [11].…”

Section: Introductionmentioning

confidence: 99%

Alcohol’s Impact on the Fetus

et al. 2021

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Background: Alcohol is a teratogen and prenatal exposure may adversely impact the developing fetus, increasing risk for negative outcomes, including Fetal Alcohol Spectrum Disorder (FASD). Global trends of increasing alcohol use among women of childbearing age due to economic development, changing gender roles, increased availability of alcohol, peer pressure and social acceptability of women’s alcohol use may put an increasing number of pregnancies at risk for prenatal alcohol exposure (PAE). This risk has been exacerbated by the ongoing COVID-19 pandemic in some countries. Method: This literature review presents an overview on the epidemiology of alcohol use among childbearing age and pregnant women and FASD by World Health Organization regions; impact of PAE on fetal health, including FASD; associated comorbidities; and social outcomes. Results/Conclusion: The impact of alcohol on fetal health and social outcomes later in life is enormous, placing a huge economic burden on countries. Prevention of prenatal alcohol exposure and early identification of affected individuals should be a global public health priority.

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Fetal alcohol spectrum disorders: preventing collateral damage from COVID-19

Cited by 15 publications

References 4 publications

COVID-19 pandemic and alcohol consumption: Impacts and interconnections

COVID-19 pandemic and alcohol consumption: Impacts and interconnections

Alcohol Consumption during COVID among Women with an Existing Alcohol-Use Disorder

Alcohol’s Impact on the Fetus

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