Prevalence of fetal alcohol spectrum disorder among special subpopulations: a systematic review and meta‐analysis.

Aim: To collate prevalence estimates of fetal alcohol spectrum disorder (FASD) among special subpopulations (defined by service use). Design Systematic literature review and meta‐analysis of original, quantitative studies published between 1 November 1973 and 1 December 2018. The PRISMAGATHER were a...

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Publicado en:Addiction Vol. 114; no. 7; pp. 1150 - 1173
Autores principales: Popova, Svetlana, Lange, Shannon, Shield, Kevin, Burd, Larry, Rehm, Jürgen
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Prevalence of fetal alcohol spectrum disorder among special subpopulations: a systematic review and meta‐analysis.
      aug:
        au:
          Popova, Svetlana
          Lange, Shannon
          Shield, Kevin
          Burd, Larry
          Rehm, Jürgen
        affil: Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto ON, Canada
      sug:
        subj:
          Fetal Alcohol Syndrome Epidemiology
          Special Populations
          Geographic Factors
          Human
          Systematic Review
          Meta Analysis
          Prevalence
          Fetal Alcohol Syndrome Diagnosis
          Australia
          Brazil
          Canada
          Chile
          Europe, Eastern
          Moldova
          Romania
          Ukraine
          Germany
          Israel
          Lithuania
          Netherlands
          Poland
          Russia
          South Korea
          Spain
          Sweden
          United States
          Child Care
          Education, Special
          World Health
          Indigenous Peoples
      ab: Aim: To collate prevalence estimates of fetal alcohol spectrum disorder (FASD) among special subpopulations (defined by service use). Design Systematic literature review and meta‐analysis of original, quantitative studies published between 1 November 1973 and 1 December 2018. The PRISMAGATHER were adhered to. The review protocol [includes FASD prevalence in (a) general and (b) special populations] is available on PROSPERO (registration number: CRD42016033837). Prevalence estimates were collated for all included studies with country‐, disorder‐ [FASD and fetal alcohol syndrome (FAS)] and population‐specific random‐effects meta‐analyses conducted. Setting and Participants: A number of service‐defined subpopulations globally (see Findings). Measurements The main outcome was the prevalence of FASD among special subpopulations. The critical appraisal of each study was conducted using the Joanna Briggs Institute tool. Findings We identified 69 studies, comprising 6177 individuals diagnosed with FASD from 17 countries: Australia (n = 5), Brazil (n = 2), Canada (n = 15), Chile (n = 4), eastern Europe (Moldova, Romania and Ukraine; n = 1), Germany (n = 1), Israel (n = 1), Lithuania (n = 1), the Netherlands (n = 1), Poland (n = 1), Russia (n = 9), South Korea (n = 1), Spain (n = 1), Sweden (n = 1) and United States (n = 25). FAS and FASD prevalence rates were collated for the following five subpopulations: children in care, correctional, special education, specialized clinical and Aboriginal populations. The estimated prevalence of FASD in these special subpopulations was 10–40 times higher compared with the 7.7 per 1000 (95% confidence interval = 4.9–11.7) global FASD prevalence in the general population. Conclusions: Global subpopulations of children in care, correctional, special education, specialized clinical and Aboriginal populations have a significantly higher prevalence of fetal alcohol spectrum disorder compared with the general population, which poses a substantial global health problem.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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