Prevalence of Fetal Alcohol Spectrum Disorders (FASD) among Children Adopted from Eastern European Countries: Russia and Ukraine

Author

Colom-Farran, Joan

Segura-García, Lidia

Bastons-Compta, Adriana

Astals Vizcaíno, Marta

Andreu Fernandez, Vicente

Barcons, Natalia

Vidal Estrada, Raquel

Ibar, Ana I.

Fumadó-Pérez, Victòria

Gómez Barros, Núria

Russiñol, Agnès

Garcia-Algar, Oscar

Other authors

[Colom J, Segura-García L] Program on Substance Abuse, Public Health Agency of Catalonia, Department of Health, Generalitat de Catalunya, Barcelona, Spain. Maternal and Child Health and Development Network (Red SAMID), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Bastons-Compta A] Maternal and Child Health and Development Network (Red SAMID), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. Neonatology Unit, ICGON, IDIBAPS, Hospital Clínic-Maternitat, BCNatal, Barcelona, Spain. [Astals M, Garcia-Algar O] Maternal and Child Health and Development Network (Red SAMID), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. Neonatology Unit, ICGON, IDIBAPS, Hospital Clínic-Maternitat, BCNatal, Barcelona, Spain. Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, University of Barcelona, Barcelona, Spain. [Andreu-Fernandez V] Maternal and Child Health and Development Network (Red SAMID), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. Neonatology Unit, ICGON, IDIBAPS, Hospital Clínic-Maternitat, BCNatal, Barcelona, Spain. Departament of Nutrition and Health, Valencian International University (VIU), Valencia, Spain. [Barcons N] Pediatrics Service, Hospital Sant Joan de Déu, Barcelona, Spain. [Vidal R, Gómez N] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca en Psiquiatria, Salut Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain. Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Ibar AI] Program on Substance Abuse, Public Health Agency of Catalonia, Department of Health, Generalitat de Catalunya, Barcelona, Spain. [Fumadó V] Pediatrics Service, Hospital Sant Joan de Déu, Barcelona, Spain. [Russiñol A] Department of Labour, Social Affairs and Families, Catalan Institute for Fostering and Adoption, Barcelona, Spain

Departament de Salut

Publication date

2021-03-05T12:05:21Z

2021-03-05T12:05:21Z

2021-02-03

Abstract

Fetal alcohol spectrum disorders; Adopted children; Cognitive disorder


Trastornos del espectro alcohólico fetal; Niño adoptado; Trastorno cognitivo


Trastorns de l'espectre alcohòlic fetal; Nens adoptats; Trastorn cognitiu


Fetal alcohol spectrum disorder (FASD) is a leading cause of neurodevelopmental disorders. Children adopted internationally from countries where alcohol consumption during pregnancy is very high are at greater risk for FASD. Lack of expertise in diagnosing FASD and mixed neurodevelopmental and behavioral signs due to abandonment complicate a timely diagnosis. The aim of this study was to determine the prevalence of FASD in adopted children. Children between the ages of 8 and 24 adopted from Russia and Ukraine were evaluated for clinical and historical features of FASD. Of the 162 children evaluated, 81 (50%) met FASD diagnostic criteria. Thirty-three (20.4%) children had fetal alcohol syndrome (FAS), 28 (17.2%) had partial FAS, 2 (1.2%) had alcohol-related birth defects (ARBD) and 18 (11.1%) had alcohol-related neurodevelopmental disorder (ARND). Of the 81 children in which fetal alcohol exposure could not be confirmed, many had manifestations that would have established a diagnosis of FASD if a history of maternal alcohol consumption was confirmed. In a population of children with a high risk of prenatal alcohol exposure (adoptees from Eastern European countries), at least 50% showed manifestations associated with FASD. The reported prevalence in this study is in line with the results obtained in a previous study as well as in orphanages of origin.

Document Type

Article
Published version

Language

English

Subjects and keywords

Infants amb trastorn de l'espectre alcohòlic fetal; Fills adoptius; DISEASES::Female Urogenital Diseases and Pregnancy Complications::Pregnancy Complications::Fetal Diseases::Fetal Alcohol Spectrum Disorders; NAMED GROUPS::Persons::Child, Adopted; ENFERMEDADES::enfermedades de los genitales femeninos y complicaciones del embarazo::complicaciones del embarazo::enfermedades fetales::trastornos del espectro alcohólico fetal; DENOMINACIONES DE GRUPOS::personas::niño adoptado

Publisher

MDPI

Related items

International Journal of Environmental Research and Public Health;18(4)

Rights

Attribution-NonCommercial-NoDerivatives 4.0 International

http://creativecommons.org/licenses/by-nc-nd/4.0/

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