Foetal alcohol spectrum disorder in Aotearoa, New Zealand: Estimates of prevalence and indications of inequity.

Simple item page
dc.citation.issue4
dc.citation.volume42
dc.contributor.authorRomeo JS
dc.contributor.authorHuckle T
dc.contributor.authorCasswell S
dc.contributor.authorConnor J
dc.contributor.authorRehm J
dc.contributor.authorMcGinn V
dc.coverage.spatialAustralia
dc.date.accessioned2024-07-04T02:24:56Z
dc.date.available2024-07-04T02:24:56Z
dc.date.issued2023-02-21
dc.description.abstractINTRODUCTION: Foetal alcohol spectrum disorder (FASD) is 100% caused by alcohol. The lifelong disability caused by prenatal alcohol exposure cannot be reversed. Lack of reliable national prevalence estimates of FASD is common internationally and true of Aotearoa, New Zealand. This study modelled the national prevalence of FASD and differences by ethnicity. METHODS: FASD prevalence was estimated from self-reported data on any alcohol use during pregnancy for 2012/2013 and 2018/2019, combined with risk estimates for FASD from a meta-analysis of case-ascertainment or clinic-based studies in seven other countries. A sensitivity analysis using four more recent active case ascertainment studies was performed to account for the possibility of underestimation. RESULTS: We estimated FASD prevalence in the general population to be 1.7% (95% confidence interval [CI] 1.0%; 2.7%) in the 2012/2013 year. For Māori, the prevalence was significantly higher than for Pasifika and Asian populations. In the 2018/2019 year, FASD prevalence was 1.3% (95% CI 0.9%; 1.9%). For Māori, the prevalence was significantly higher than for Pasifika and Asian populations. The sensitivity analysis estimated the prevalence of FASD in the 2018/2019 year to range between 1.1% and 3.9% and for Māori, from 1.7% to 6.3%. DISCUSSION AND CONCLUSIONS: This study used methodology from comparative risk assessments, using the best available national data. These findings are probably underestimates but indicate a disproportionate experience of FASD by Māori compared with some ethnicities. The findings support the need for policy and prevention initiatives to support alcohol-free pregnancies to reduce lifelong disability caused by prenatal alcohol exposure.
dc.description.confidentialfalse
dc.edition.editionMay 2023
dc.format.pagination859-867
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/36809679
dc.identifier.citationRomeo JS, Huckle T, Casswell S, Connor J, Rehm J, McGinn V. (2023). Foetal alcohol spectrum disorder in Aotearoa, New Zealand: Estimates of prevalence and indications of inequity.. Drug Alcohol Rev. 42. 4. (pp. 859-867).
dc.identifier.doi10.1111/dar.13619
dc.identifier.eissn1465-3362
dc.identifier.elements-typejournal-article
dc.identifier.issn0959-5236
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70083
dc.languageeng
dc.publisherJohn Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs
dc.publisher.urihttps://onlinelibrary.wiley.com/doi/10.1111/dar.13619
dc.relation.isPartOfDrug Alcohol Rev
dc.rights(c) 2023 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectalcohol consumption during pregnancy
dc.subjectfoetal alcohol spectrum disorder (FASD)
dc.subjectinequity Aotearoa/New Zealand
dc.subjectprevalence
dc.subjectHumans
dc.subjectFemale
dc.subjectPregnancy
dc.subjectFetal Alcohol Spectrum Disorders
dc.subjectPrevalence
dc.subjectMaori People
dc.subjectNew Zealand
dc.subjectPrenatal Exposure Delayed Effects
dc.subjectAlcohol Drinking
dc.subjectEthanol
dc.titleFoetal alcohol spectrum disorder in Aotearoa, New Zealand: Estimates of prevalence and indications of inequity.
dc.typeJournal article
pubs.elements-id459836
pubs.organisational-groupCollege of Health
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