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Fetal alcohol syndrome in Alaska, 1977 through 1992

An administrative prevalence derived from multiple data sources

Bibliographic Data

ID11030355
AuthorsGrace M Egeland (0000-0003-4475-5440, National Center for Environmental Health), Katherine A Perham-Hester, Bradford D Gessner (0000-0002-6216-7194), D Ingle, D E Ingle, Juan Enrique Berner (0000-0003-2178-5161), John P Middaugh
Year1998
Volume88
Issue5
Pages781-786
Publication date1998-05-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.88.5.781
PMID9585745
OpenAlexW2050840168
LanguageEN
Citations received3
References cited15

OBJECTIVES: The prevalence and characteristics of fetal alcohol syndrome cases and the usefulness of various data sources in surveillance were examined in Alaska to guide prevention and future surveillance efforts. METHODS: Sixteen data sources in Alaska were used to identify children with fetal alcohol syndrome. Medical charts were reviewed to verify cases, and records were reviewed to provide descriptive data. RESULTS: Fetal alcohol syndrome rates varied markedly by birth year and race, with the highest prevalence (4.1 per 1000 live births) found among Alaska Natives born between 1985 and 1988. Screening and referral programs to diagnostic clinics identified 70% of all recorded cases. The intervention program for children 0 to 3 years of age detected 29% of age-appropriate cases, and Medicaid data identified 11% of all cases; birth certificates detected only 9% of the age-appropriate cases. CONCLUSIONS: Our findings indicate a high prevalence of fetal alcohol syndrome in Alaska and illustrate that reliance on any one data source would lead to underestimates of the extent of fetal alcohol syndrome in a population

Environmental health · Family medicine · Fetal alcohol · Fetal alcohol syndrome · Medical record · Population · Pregnancy · Referral · Alcoholism and Thiamine Deficiency · Demography · Medicine · Neonatal and fetal brain pathology · Prenatal Substance Exposure Effects · Surgery · Pediatrics

  • Prevalence of Children with Severe Fetal Alcohol Spectrum Disorders in Communities Near Rome, Italy

    Open Access•P A May, Daniela Fiorentino et al.•International Journal of…•2011

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    Open Access•Ian Freckelton•Ethics Medicine and Public Health•2016

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    Open Access•Grace M Egeland, Peter Berti et al.•Canadian Journal of Public Health•2004

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  • Epidemiology of fetal alcohol syndrome among American Indians of the southwest

    P A May, Karen J Hymbaugh et al.•Biodemography and Social Biology•1983

Citations per year0.14
Citation span2004 - 2016 (13)
Highly citedNo

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