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波兰学童中的胎儿酒精谱系障碍患病率。

FASD Prevalence among Schoolchildren in Poland.

作者信息

Okulicz-Kozaryn Katarzyna, Borkowska Magdalena, Brzózka Krzysztof

机构信息

State Agency for Prevention of Alcohol-Related Problems, Warsaw, Poland.

出版信息

J Appl Res Intellect Disabil. 2017 Jan;30(1):61-70. doi: 10.1111/jar.12219. Epub 2015 Oct 1.

Abstract

BACKGROUND

Prenatal Alcohol Exposure is a major cause of brain damage and developmental delay, known as Fetal Alcohol Spectrum Disorders (FASD) but in Poland is rarely diagnosed and the scale of problem is not known.

METHODS

An active case ascertainment approach was applied to estimate the prevalence of FASD among 7-9 years olds. Pre-screening was conducted in 113 randomly selected regular and special schools. In the screening phase participated 280 children (54% from the risk group, 60% boys). The entire number of eligible students (N = 2500) was taken as a denominator.

RESULTS

The prevalence of FASD is not lower than 2%, including 0.4% of Fetal Alcohol Syndrome.

CONCLUSIONS

Neurodevelopmental disorders associated with PAE are a serious challenge for the public health system. Development of procedures and services to diagnose and to support individuals affected by PAE and their families is an urgent need in Poland.

摘要

背景

产前酒精暴露是脑损伤和发育迟缓的主要原因,被称为胎儿酒精谱系障碍(FASD),但在波兰很少被诊断出来,问题的严重程度也不清楚。

方法

采用主动病例确诊方法来估计7至9岁儿童中FASD的患病率。在113所随机选择的普通学校和特殊学校进行了预筛查。筛查阶段有280名儿童参与(54%来自风险组,60%为男孩)。以符合条件的学生总数(N = 2500)作为分母。

结果

FASD的患病率不低于2%,其中胎儿酒精综合征占0.4%。

结论

与产前酒精暴露相关的神经发育障碍对公共卫生系统构成严峻挑战。在波兰,迫切需要制定诊断程序和服务,以支持受产前酒精暴露影响的个人及其家庭。

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