Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Prevalence of fetal alcohol syndrome in a population-based sample of children living in remote Australia: The Lililwan Project

    Access Status
    Fulltext not available
    Authors
    Fitzpatrick, J.
    Latimer, J.
    Carter, M.
    Oscar, J.
    Ferreira, M.
    Olson, H.
    Lucas, B.
    Doney, Robyn
    Salter, C.
    Try, J.
    Hawkes, G.
    Fitzpatrick, E.
    Hand, M.
    Watkins, R.
    Martiniuk, A.
    Bower, C.
    Boulton, J.
    Elliott, E.
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Fitzpatrick, J. and Latimer, J. and Carter, M. and Oscar, J. and Ferreira, M. and Olson, H. and Lucas, B. et al. 2015. Prevalence of fetal alcohol syndrome in a population-based sample of children living in remote Australia: The Lililwan Project. Journal of Paediatrics and Child Health. 51 (4): pp. 450-457.
    Source Title
    Journal of Paediatrics and Child Health
    DOI
    10.1111/jpc.12814
    ISSN
    1034-4810
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/46238
    Collection
    • Curtin Research Publications
    Abstract

    Aim: Aboriginal leaders concerned about high rates of alcohol use in pregnancy invited researchers to determine the prevalence of fetal alcohol syndrome (FAS) and partial fetal alcohol syndrome (pFAS) in their communities. Methods: Population-based prevalence study using active case ascertainment in children born in 2002/2003 and living in the Fitzroy Valley, in Western Australia (April 2010-November 2011) (n = 134). Socio-demographic and antenatal data, including alcohol use in pregnancy, were collected by interview with 127/134 (95%) consenting parents/care givers. Maternal/child medical records were reviewed. Interdisciplinary assessments were conducted for 108/134 (81%) children. FAS/pFAS prevalence was determined using modified Canadian diagnostic guidelines. Results: In 127 pregnancies, alcohol was used in 55%. FAS or pFAS was diagnosed in 13/108 children, a prevalence of 120 per 1000 (95% confidence interval 70-196). Prenatal alcohol exposure was confirmed for all children with FAS/pFAS, 80% in the first trimester and 50% throughout pregnancy. Ten of 13 mothers had Alcohol Use Disorders Identification Test scores and all drank at a high-risk level. Of children with FAS/pFAS, 69% had microcephaly, 85% had weight deficiency and all had facial dysmorphology and central nervous system abnormality/impairment in three to eight domains. Conclusions: The population prevalence of FAS/pFAS in remote Aboriginal communities of the Fitzroy Valley is the highest reported in Australia and similar to that reported in high-risk populations internationally. Results are likely to be generalisable to other age groups in the Fitzroy Valley and other remote Australian communities with high-risk alcohol use during pregnancy. Prevention of FAS/pFAS is an urgent public health challenge.

    Related items

    Showing items related by title, author, creator and subject.

    • Heavy maternal alcohol consumption and cerebral palsy in the offspring
      O'Leary, Colleen marie; Watson, L.; D'antoine, Heather; Stanley, F.; Bower, C. (2012)
      AIM The aim of this study was to investigate the association between heavy maternal alcoholconsumption and pre- peri- and postneonatally acquired cerebral palsy (CP).METHOD The records of all mothers with an International ...
    • The Lililwan project: neurodevelopmental outcomes and fetal alcohol spectrum disorders in remote Australian aboriginal children
      Fitzpatrick, J.; Latimer, J.; Carter, M.; Oscar, J.; Olson, H.; Lucas, B.; Doney, Robyn Michelle; Salter, C.; Watkins, R.; Elliott, E. (2015)
      Introduction and Aims: Aboriginal leaders in remote Western Australian communities, concerned about the impact of high levels of alcohol consumption in pregnancy, invited researchers to collaborate in The Lililwan Project ...
    • Prenatal Alcohol Consumption Between Conception and Recognition of Pregnancy
      McCormack, C.; Hutchinson, D.; Burns, L.; Wilson, J.; Elliott, E.; Allsop, Steve; Najman, J.; Jacobs, S.; Rossen, L.; Olsson, C.; Mattick, R. (2017)
      Background: Current estimates of the rates of alcohol-exposed pregnancies may underestimate prenatal alcohol exposure if alcohol consumption in early trimester 1, prior to awareness of pregnancy, is not considered. Extant ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.