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PMID- 29411031
OWN - NLM
STAT- MEDLINE
DCOM- 20180215
LR  - 20180215
IS  - 1538-3598 (Electronic)
IS  - 0098-7484 (Linking)
VI  - 319
IP  - 5
DP  - 2018 Feb 6
TI  - Prevalence of Fetal Alcohol Spectrum Disorders in 4 US Communities.
PG  - 474-482
LID - 10.1001/jama.2017.21896 [doi]
AB  - Importance: Fetal alcohol spectrum disorders are costly, life-long disabilities. 
      Older data suggested the prevalence of the disorder in the United States was 10
      per 1000 children; however, there are few current estimates based on larger,
      diverse US population samples. Objective: To estimate the prevalence of fetal
      alcohol spectrum disorders, including fetal alcohol syndrome, partial fetal
      alcohol syndrome, and alcohol-related neurodevelopmental disorder, in 4 regions
      of the United States. Design, Setting, and Participants: Active case
      ascertainment methods using a cross-sectional design were used to assess children
      for fetal alcohol spectrum disorders between 2010 and 2016. Children were
      systematically assessed in the 4 domains that contribute to the fetal alcohol
      spectrum disorder continuum: dysmorphic features, physical growth,
      neurobehavioral development, and prenatal alcohol exposure. The settings were 4
      communities in the Rocky Mountain, Midwestern, Southeastern, and Pacific
      Southwestern regions of the United States. First-grade children and their parents
      or guardians were enrolled. Exposures: Alcohol consumption during pregnancy. Main
      Outcomes and Measures: Prevalence of fetal alcohol spectrum disorders in the 4
      communities was the main outcome. Conservative estimates for the prevalence of
      the disorder and 95% CIs were calculated using the eligible first-grade
      population as the denominator. Weighted prevalences and 95% CIs were also
      estimated, accounting for the sampling schemes and using data restricted to
      children who received a full evaluation. Results: A total of 6639 children were
      selected for participation from a population of 13146 first-graders (boys, 51.9%;
      mean age, 6.7 years [SD, 0.41] and white maternal race, 79.3%). A total of 222
      cases of fetal alcohol spectrum disorders were identified. The conservative
      prevalence estimates for fetal alcohol spectrum disorders ranged from 11.3 (95%
      CI, 7.8-15.8) to 50.0 (95% CI, 39.9-61.7) per 1000 children. The weighted
      prevalence estimates for fetal alcohol spectrum disorders ranged from 31.1 (95%
      CI, 16.1-54.0) to 98.5 (95% CI, 57.5-139.5) per 1000 children. Conclusions and
      Relevance: Estimated prevalence of fetal alcohol spectrum disorders among
      first-graders in 4 US communities ranged from 1.1% to 5.0% using a conservative
      approach. These findings may represent more accurate US prevalence estimates than
      previous studies but may not be generalizable to all communities.
FAU - May, Philip A
AU  - May PA
AD  - University of North Carolina at Chapel Hill, Gillings School of Global Public
      Health, Chapel Hill.
AD  - University of New Mexico, Center on Alcoholism, Substance Abuse and Addictions,
      Albuquerque.
FAU - Chambers, Christina D
AU  - Chambers CD
AD  - University of California San Diego School of Medicine, La Jolla.
AD  - Rady Children's Hospital-San Diego, San Diego, California.
FAU - Kalberg, Wendy O
AU  - Kalberg WO
AD  - University of New Mexico, Center on Alcoholism, Substance Abuse and Addictions,
      Albuquerque.
FAU - Zellner, Jennifer
AU  - Zellner J
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Feldman, Haruna
AU  - Feldman H
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Buckley, David
AU  - Buckley D
AD  - University of New Mexico, Center on Alcoholism, Substance Abuse and Addictions,
      Albuquerque.
FAU - Kopald, David
AU  - Kopald D
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Hasken, Julie M
AU  - Hasken JM
AD  - University of North Carolina at Chapel Hill, Gillings School of Global Public
      Health, Chapel Hill.
FAU - Xu, Ronghui
AU  - Xu R
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Honerkamp-Smith, Gordon
AU  - Honerkamp-Smith G
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Taras, Howard
AU  - Taras H
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Manning, Melanie A
AU  - Manning MA
AD  - Stanford University School of Medicine, Stanford, California.
FAU - Robinson, Luther K
AU  - Robinson LK
AD  - State University of New York Buffalo School of Medicine, Buffalo.
FAU - Adam, Margaret P
AU  - Adam MP
AD  - University of Washington School of Medicine, Seattle.
FAU - Abdul-Rahman, Omar
AU  - Abdul-Rahman O
AD  - University of Nebraska Medical Center, Omaha.
FAU - Vaux, Keith
AU  - Vaux K
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Jewett, Tamison
AU  - Jewett T
AD  - Wake Forest University School of Medicine, Winston-Salem, North Carolina.
FAU - Elliott, Amy J
AU  - Elliott AJ
AD  - Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota.
FAU - Kable, Julie A
AU  - Kable JA
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Akshoomoff, Natacha
AU  - Akshoomoff N
AD  - University of California San Diego School of Medicine, La Jolla.
FAU - Falk, Daniel
AU  - Falk D
AD  - National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland.
FAU - Arroyo, Judith A
AU  - Arroyo JA
AD  - National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland.
FAU - Hereld, Dale
AU  - Hereld D
AD  - National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland.
FAU - Riley, Edward P
AU  - Riley EP
AD  - San Diego State University, Center for Behavioral Teratology, San Diego,
      California.
FAU - Charness, Michael E
AU  - Charness ME
AD  - VA Boston Healthcare System, Boston, Massachusetts.
AD  - Harvard Medical School, Boston, Massachusetts.
AD  - Boston University School of Medicine, Boston, Massachusetts.
FAU - Coles, Claire D
AU  - Coles CD
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Warren, Kenneth R
AU  - Warren KR
AD  - National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland.
FAU - Jones, Kenneth Lyons
AU  - Jones KL
AD  - University of California San Diego School of Medicine, La Jolla.
AD  - Rady Children's Hospital-San Diego, San Diego, California.
FAU - Hoyme, H Eugene
AU  - Hoyme HE
AD  - University of Arizona College of Medicine, Tucson.
AD  - Sanford Research, University of South Dakota Sanford School of Medicine,
      Vermillion.
LA  - eng
GR  - U01 AA019879/AA/NIAAA NIH HHS/United States
GR  - U01 AA019894/AA/NIAAA NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - JAMA
JT  - JAMA
JID - 7501160
SB  - AIM
SB  - IM
CIN - JAMA. 2018 Feb 6;319(5):448-449. PMID: 29411016
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Fetal Alcohol Spectrum Disorders/*epidemiology/ethnology
MH  - Humans
MH  - Male
MH  - Mothers
MH  - Prevalence
MH  - Sampling Studies
MH  - Socioeconomic Factors
MH  - United States/epidemiology
EDAT- 2018/02/08 06:00
MHDA- 2018/02/16 06:00
CRDT- 2018/02/08 06:00
PHST- 2018/02/08 06:00 [entrez]
PHST- 2018/02/08 06:00 [pubmed]
PHST- 2018/02/16 06:00 [medline]
AID - 2671465 [pii]
AID - 10.1001/jama.2017.21896 [doi]
PST - ppublish
SO  - JAMA. 2018 Feb 6;319(5):474-482. doi: 10.1001/jama.2017.21896.