Prevalence of fetal alcohol spectrum disorder in foster care: A scoping review

IF 3 Q2 SUBSTANCE ABUSE
Bailey Engesether, Mercedes Hoffner, Erika Johnson, Marilyn G. Klug, Svetlana Popova, Larry Burd
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Abstract

The prevalence of fetal alcohol spectrum disorder (FASD) has been reported to be disproportionately high among children in foster care compared with the general population. However, updated prevalence estimates of infants and children with FASD in foster care or the prevalence of placement of children with FASD in foster care make this unclear. This study examines two questions. Firstly, what is the prevalence of FASD among infants and children in foster care? Secondly, what is the likelihood of placement in foster care for infants and children with FASD? This review was designed using PRISMA-SCR and JBI scoping review guidelines. Three databases were searched for the period June 2012 to June 2023: PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Google Scholar for all countries. Overall prevalence estimates were calculated using a complementary log–log link model along with 95% confidence intervals. Firstly, the estimated prevalence of FASD among infants and children in foster care was 18.8%. Secondly, among children diagnosed with FASD 30.5% are placed into foster care, reflecting greatly increased risk of placement of infants and children with FASD in foster care. We conclude that routine screening for FASD is needed to improve the identification of infants and children with FASD. Increased attention is also needed on developing strategies for FASD prevention. Recognition that nearly one of every three children with FASD will enter foster care demonstrates the need for increased funding, enhanced training and greater availability of services for families and children impacted by FASD.

Abstract Image

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寄养家庭中胎儿酒精谱系障碍的患病率:范围界定审查
据报道,与普通人群相比,寄养儿童中胎儿酒精谱系障碍(FASD)的患病率高得不成比例。然而,关于寄养机构中患有 FASD 的婴儿和儿童的最新患病率估计或将患有 FASD 的儿童安置在寄养机构中的患病率还不清楚。本研究探讨了两个问题。首先,FASD 在寄养婴幼儿中的流行率是多少?其次,患有 FASD 的婴幼儿被寄养的可能性有多大?本综述的设计采用了 PRISMA-SCR 和 JBI 范围综述指南。检索了 2012 年 6 月至 2023 年 6 月期间的三个数据库:PubMed、Cumulative Index to Nursing and Allied Health Literature (CINAHL) 和 Google Scholar。采用互补对数-对数联系模型计算总体患病率估计值以及 95% 的置信区间。首先,寄养婴幼儿的 FASD 患病率估计为 18.8%。其次,在被诊断出患有 FASD 的儿童中,有 30.5% 被送往寄养机构,这反映出患有 FASD 的婴幼儿被送往寄养机构的风险大大增加。我们的结论是,需要对 FASD 进行常规筛查,以更好地识别患有 FASD 的婴幼儿。此外,还需要加强对制定 FASD 预防策略的关注。我们认识到,每三个患有 FASD 的儿童中就有一个会进入寄养家庭,这表明我们需要增加资金投入,加强培训,为受 FASD 影响的家庭和儿童提供更多的服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
5.40
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0.00%
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