Prevalence of fetal alcohol spectrum disorder in foster care: A scoping review

被引：1

作者：

Engesether, Bailey ^{[1
]}

Hoffner, Mercedes ^{[1
]}

Johnson, Erika ^{[1
]}

Klug, Marilyn G. ^{[1
]}

Popova, Svetlana ^{[2
,3
,4
,5
,6
]}

Burd, Larry ^{[1
]}

机构：

[1] Univ North Dakota, North Dakota Fetal Alcohol Syndrome Ctr, Sch Med, 1301 N Columbia Rd, Grand Forks, ND 58202 USA

[2] Inst Mental Hlth Policy Res, Ctr Addict & Mental Hlth, Toronto, ON, Canada

[3] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[4] Univ Toronto, Inst Med Sci, Fac Med, Toronto, ON, Canada

[5] Univ Toronto, Factor Inwentash Fac Social Work, Toronto, ON, Canada

[6] Surrey Pl, Toronto, ON, Canada

来源：

ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH | 2024年 / 48卷 / 08期

关键词：

adoption; fetal alcohol spectrum disorder; fetal alcohol syndrome; foster care; prevalence; scoping literature review; CHILDREN; CHALLENGES; EXPOSURE;

D O I：

10.1111/acer.15394

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

The prevalence of fetal alcohol spectrum disorder (FASD) has been reported to be disproportionately high among children in foster care compared with the general population. However, updated prevalence estimates of infants and children with FASD in foster care or the prevalence of placement of children with FASD in foster care make this unclear. This study examines two questions. Firstly, what is the prevalence of FASD among infants and children in foster care? Secondly, what is the likelihood of placement in foster care for infants and children with FASD? This review was designed using PRISMA-SCR and JBI scoping review guidelines. Three databases were searched for the period June 2012 to June 2023: PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Google Scholar for all countries. Overall prevalence estimates were calculated using a complementary log-log link model along with 95% confidence intervals. Firstly, the estimated prevalence of FASD among infants and children in foster care was 18.8%. Secondly, among children diagnosed with FASD 30.5% are placed into foster care, reflecting greatly increased risk of placement of infants and children with FASD in foster care. We conclude that routine screening for FASD is needed to improve the identification of infants and children with FASD. Increased attention is also needed on developing strategies for FASD prevention. Recognition that nearly one of every three children with FASD will enter foster care demonstrates the need for increased funding, enhanced training and greater availability of services for families and children impacted by FASD. Studies reporting on rates of fetal alcohol spectrum disorder (FASD) among children in foster show a greatly increased prevalence of the condition. Using a systematic review, the prevalence of FASD among infants and children in foster care was 18.8%. Among children with FASD 30.5% are placed into foster care. FASD is recurrent among siblings and increases risk for adverse outcomes over the lifespan. Systematic screening, early identification and diagnosis-informed treatment may improve outcomes for these children and their families.image

引用

页码：1443 / 1450

页数：8

共 34 条

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