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

Annika C. Montag, Rhonda Romero, Toni Jensen, Amiyonette Goodblanket, Ami Admire, Conner Whitten, Daniel Calac, Natacha Akshoomoff, Maria Sanchez, MarLa Zacarias, Jennifer A. Zellner, Miguel del Campo, Kenneth Lyons Jones and Christina D. Chambers
Additional contact information
Annika C. Montag: Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0828, USA
Rhonda Romero: Southern California Tribal Health Clinic
Toni Jensen: Southern California Tribal Health Clinic
Amiyonette Goodblanket: Southern California Tribal Health Clinic
Ami Admire: Southern California Tribal Health Clinic
Conner Whitten: Southern California Tribal Health Clinic
Daniel Calac: Southern California Tribal Health Clinic
Natacha Akshoomoff: Department of Psychiatry, University of California San Diego, La Jolla, CA 92093-0828, USA
Maria Sanchez: Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0828, USA
MarLa Zacarias: Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0828, USA
Jennifer A. Zellner: Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0828, USA
Miguel del Campo: Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0828, USA
Kenneth Lyons Jones: Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0828, USA
Christina D. Chambers: Department of Pediatrics, University of California San Diego, La Jolla, CA 92093-0828, USA

IJERPH, 2019, vol. 16, issue 12, 1-10

Abstract: 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.

Keywords: fetal alcohol spectrum disorder; prevalence; American Indian Alaska Native (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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