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

Author

Listed:
  • 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
    Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA 92093-0828, USA)

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.

Suggested Citation

  • Annika C. Montag & Rhonda Romero & Toni Jensen & Amiyonette Goodblanket & Ami Admire & Conner Whitten & Daniel Calac & Natacha Akshoomoff & Maria Sanchez & MarLa Zacarias & Jennifer A. Zellner & Migue, 2019. "The Prevalence of Fetal Alcohol Spectrum Disorders in An American Indian Community," IJERPH, MDPI, vol. 16(12), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2179-:d:241405
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    References listed on IDEAS

    as
    1. Montag, A.C. & Brodine, S.K. & Alcaraz, J.E. & Clapp, J.D. & Allison, M.A. & Calac, D.J. & Hull, A.D. & Gorman, J.R. & Jones, K.L. & Chambers, C.D., 2015. "Effect of depression on risky drinking and response to a screening, brief intervention, and referral to treatment intervention," American Journal of Public Health, American Public Health Association, vol. 105(8), pages 1572-1576.
    2. Beals, J. & Spicer, P. & Mitchell, C.M. & Novins, D.K. & Manson, S.M. & Big Crow, C.K. & Buchwald, D. & Chambers, B. & Christensen, M.L. & Dillard, D.A. & DuBray, K. & Espinoza, P.A. & Fleming, C.M. &, 2003. "Racial Disparities in Alcohol Use: Comparison of 2 American Indian Reservation Populations with National Data," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1683-1685.
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