Sandtorv Lisbeth B, Haugland Siren, Elgen Irene
1 Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
2 Department of Clinical Medicine, University of Bergen, Norway.
Scand J Public Health. 2017 Dec;45(8):782-788. doi: 10.1177/1403494817713544. Epub 2017 Jul 7.
Prenatal exposure to substances, including alcohol, opiates, and a number of illicit drugs, may have a negative impact on fetal development. Studies have shown that substance exposure can influence a child's neurodevelopment and the need for care and supportive measures. In this study, we aimed to investigate the care status and the level of supportive measures in school-aged children prenatally exposed to alcohol and other substances.
This study included children aged between 6 and 14 years who were referred to Haukeland University Hospital in Norway with developmental impairment and a history of prenatal substance exposure. Participants were classified according to their main prenatal exposure to either alcohol or other substances. Information on care status and supportive measures was obtained from medical records and participants' caregivers. We also compared the use of supportive measures for children placed into foster care before and after 1 year of age.
A total of 111 (87% of 128 referrals) eligible children participated in the study. Of these 111 children, 96 (86%) were in foster care, of whom 29 (30%) were placed into foster care during their first year of life and 83 out of 90 (92%) had supportive measures, including reinforced foster care and school or social support.
A high proportion of the sample lived in foster care and received supportive measures. Findings may reflect an increased need of care and support in school-aged children with prenatal substance exposure, highlighting the importance of awareness among caregivers and public agencies.
孕期接触包括酒精、阿片类药物及多种非法药物在内的物质，可能会对胎儿发育产生负面影响。研究表明，接触这些物质会影响儿童的神经发育以及对护理和支持措施的需求。在本研究中，我们旨在调查产前接触酒精和其他物质的学龄儿童的护理状况及支持措施水平。
本研究纳入了6至14岁因发育障碍及有产前物质接触史而被转诊至挪威豪克兰大学医院的儿童。参与者根据其主要的产前接触物质分为酒精组或其他物质组。从医疗记录和参与者的照料者处获取有关护理状况和支持措施的信息。我们还比较了1岁之前和之后被送入寄养家庭的儿童使用支持措施的情况。
共有111名（128例转诊儿童中的87%）符合条件的儿童参与了研究。在这111名儿童中，96名（86%）生活在寄养家庭，其中29名（30%）在其生命的第一年被送入寄养家庭，90名中有83名（92%）接受了支持措施，包括强化寄养护理以及学校或社会支持。
样本中的很大一部分儿童生活在寄养家庭并接受了支持措施。研究结果可能反映出产前接触物质的学龄儿童对护理和支持的需求增加，凸显了照料者和公共机构提高意识的重要性。
