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教师报告的加拿大幼儿园内胎儿酒精谱系障碍的流行率:与儿童发育和家庭问题的关系。

Teacher-Reported Prevalence of FASD in Kindergarten in Canada: Association with Child Development and Problems at Home.

机构信息

Department of Educational Psychology, University of Alberta, 6-131 Education North, Edmonton, AB, T6G 2G5, Canada.

Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, ON, Canada.

出版信息

J Autism Dev Disord. 2021 Feb;51(2):433-443. doi: 10.1007/s10803-020-04545-w.

DOI:10.1007/s10803-020-04545-w
PMID:32472249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7835185/
Abstract

The prevalence of Fetal Alcohol Spectrum Disorder (FASD) may be underestimated as it can be difficult to diagnose in early childhood possibly reflecting unique developmental trajectories relative to other Neurodevelopmental Disabilities (NDDs). Using data collected via the Early Development Instrument (EDI) between 2010 and 2015, we examined the prevalence of kindergarten children with FASD and their concurrent developmental outcomes. We found that the prevalence of FASD ranged from 0.01 to 0.31%. A greater percentage of children with FASD had teacher-reported home problems that interfered with their classroom functioning. Overall children with FASD had higher mean scores on the developmental domains compared to children with NDDs. Results of the current study can inform strategies and policies for early identification and intervention.

摘要

胎儿酒精谱系障碍(FASD)的患病率可能被低估了,因为在幼儿期可能很难诊断,这可能反映了与其他神经发育障碍(NDD)相比独特的发展轨迹。本研究使用 2010 年至 2015 年期间通过早期发展工具(EDI)收集的数据,检查了幼儿园儿童中 FASD 的患病率及其并发的发育结果。我们发现,FASD 的患病率从 0.01 到 0.31%不等。有更多的 FASD 儿童有老师报告的家庭问题,这些问题干扰了他们的课堂功能。总体而言,与 NDD 儿童相比,FASD 儿童在发育领域的平均得分更高。本研究的结果可以为早期识别和干预提供策略和政策依据。

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BMJ Open. 2022 Aug 30;12(8):e065005. doi: 10.1136/bmjopen-2022-065005.
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FASD prevalence among children and youth: results from the 2019 Canadian Health Survey on Children and Youth.胎儿酒精谱系障碍在儿童和青少年中的流行率:来自 2019 年加拿大儿童和青年健康调查的结果。
Health Promot Chronic Dis Prev Can. 2021 Sep;41(9):272-276. doi: 10.24095/hpcdp.40.9.05.
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Population-Level Data on Child Development at School Entry Reflecting Social Determinants of Health: A Narrative Review of Studies Using the Early Development Instrument.反映健康社会决定因素的入学儿童发展的人群水平数据:使用早期发展工具的研究的叙述性综述。
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本文引用的文献

1
Population-based prevalence of fetal alcohol spectrum disorder in Canada.基于人群的加拿大胎儿酒精谱系障碍流行率。
BMC Public Health. 2019 Jun 28;19(1):845. doi: 10.1186/s12889-019-7213-3.
2
Mental Health and Affect Regulation Impairment in Fetal Alcohol Spectrum Disorder (FASD): Results from the Canadian National FASD Database.胎儿酒精谱系障碍(FASD)中的心理健康和情感调节障碍:来自加拿大国家 FASD 数据库的结果。
Alcohol Alcohol. 2019 Jan 9;54(5):545-550. doi: 10.1093/alcalc/agz049.
3
Characterizing adverse prenatal and postnatal experiences in children.描述儿童不良产前和产后经历。
Birth Defects Res. 2019 Jul 15;111(12):848-858. doi: 10.1002/bdr2.1464. Epub 2019 Jan 28.
4
Validation of the Early Development Instrument for children with special health needs.针对有特殊健康需求儿童的早期发育工具的验证
J Paediatr Child Health. 2019 Jun;55(6):659-665. doi: 10.1111/jpc.14264. Epub 2018 Oct 10.
5
Physical health in children with neurodevelopmental disorders.儿童神经发育障碍患者的身体健康。
J Autism Dev Disord. 2019 Jan;49(1):83-95. doi: 10.1007/s10803-018-3697-4.
6
Establishing a protocol for building a pan-Canadian population-based monitoring system for early childhood development for children with health disorders: Canadian Children's Health in Context Study (CCHICS).为患有健康障碍的儿童建立一个基于全加拿大人口的幼儿发展监测系统的方案:加拿大儿童健康背景研究(CCHICS)。
BMJ Open. 2018 May 29;8(5):e023688. doi: 10.1136/bmjopen-2018-023688.
7
Psychometric properties and parental reported utility of the 19-item 'About My Child' (AMC-19) measure.19项“关于我的孩子”(AMC - 19)量表的心理测量特性及家长报告的效用
BMC Pediatr. 2018 May 25;18(1):174. doi: 10.1186/s12887-018-1147-2.
8
Prevalence of Fetal Alcohol Spectrum Disorders in 4 US Communities.美国4个社区胎儿酒精谱系障碍的患病率
JAMA. 2018 Feb 6;319(5):474-482. doi: 10.1001/jama.2017.21896.
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Ethical aspects of diagnosis and interventions for children with fetal alcohol Spectrum disorder (FASD) and their families.胎儿酒精谱系障碍(FASD)患儿及其家庭的诊断与干预中的伦理问题。
BMC Med Ethics. 2018 Jan 5;19(1):1. doi: 10.1186/s12910-017-0242-5.
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Diagnosis of fetal alcohol spectrum disorder: current practices and future considerations.胎儿酒精谱系障碍的诊断:当前实践与未来考量
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