IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i5p522-d98496.html
   My bibliography  Save this article

Replication of High Fetal Alcohol Spectrum Disorders Prevalence Rates, Child Characteristics, and Maternal Risk Factors in a Second Sample of Rural Communities in South Africa

Author

Listed:
  • Philip A. May

    (Nutrition Research Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 28081, USA
    Department of Psychiatry, Stellenbosch University, Stellenbosch 7599, South Africa
    Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM 87131, USA)

  • Marlene M. De Vries

    (Department of Psychiatry, Stellenbosch University, Stellenbosch 7599, South Africa)

  • Anna-Susan Marais

    (Department of Psychiatry, Stellenbosch University, Stellenbosch 7599, South Africa)

  • Wendy O. Kalberg

    (Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM 87131, USA)

  • David Buckley

    (Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM 87131, USA)

  • Colleen M. Adnams

    (Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7700, South Africa)

  • Julie M. Hasken

    (Nutrition Research Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 28081, USA)

  • Barbara Tabachnick

    (Emerita of Psychology, California State University, Northridge, Los Angeles, CA 91330, USA)

  • Luther K. Robinson

    (Department of Pediatrics, State University of New York, Buffalo, NY 14222, USA)

  • Melanie A. Manning

    (Departments of Pathology and Pediatrics, School of Medicine, Stanford University, Stanford, CA 94305, USA)

  • Heidre Bezuidenhout

    (Department of Psychiatry, Stellenbosch University, Stellenbosch 7599, South Africa)

  • Margaret P. Adam

    (Department of Pediatrics, School of Medicine, University of Washington, Seattle, WA 98195, USA)

  • Kenneth L. Jones

    (Department of Pediatrics, School of Medicine, University of California San Diego, La Jolla, CA 92093, USA)

  • Soraya Seedat

    (Department of Psychiatry, Stellenbosch University, Stellenbosch 7599, South Africa)

  • Charles D.H. Parry

    (Department of Psychiatry, Stellenbosch University, Stellenbosch 7599, South Africa
    Alcohol, Tobacco, and Other Drug Research Unit, South African Medical Research Council, Cape Town 7501, South Africa)

  • H. Eugene Hoyme

    (Department of Pediatrics, University of South Dakota Sanford School of Medicine, Sioux Falls, SD 57105, USA
    Sanford Research, Sioux Falls, SD 57104, USA
    Department of Pediatrics, College of Medicine, University of Arizona, Tucson, AZ 85724, USA)

Abstract

Background : Prevalence and characteristics of fetal alcohol syndrome (FAS) and total fetal alcohol spectrum disorders (FASD) were studied in a second sample of three South African rural communities to assess change. Methods : Active case ascertainment focused on children with height, weight and/or head circumference ≤25th centile and randomly-selected children. Final diagnoses were based on dysmorphology, neurobehavioral scores, and maternal risk interviews. Results : Cardinal facial features, head circumference, and total dysmorphology scores differentiated specific FASD diagnostic categories in a somewhat linear fashion but all FASD traits were significantly worse than those of randomly-selected controls. Neurodevelopmental delays were significantly worse for children with FASD than controls. Binge alcohol use was clearly documented as the proximal maternal risk factor for FASD, and significant distal risk factors were: low body mass, education, and income; high gravidity, parity, and age at birth of the index child. FAS rates continue to extremely high in these communities at 89–129 per 1000 children. Total FASD affect 196–276 per 1000 or 20–28% of the children in these communities. Conclusions : Very high rates of FASD persist in these general populations where regular, heavy drinking, often in a binge fashion, co-occurs with low socioeconomic conditions.

Suggested Citation

  • Philip A. May & Marlene M. De Vries & Anna-Susan Marais & Wendy O. Kalberg & David Buckley & Colleen M. Adnams & Julie M. Hasken & Barbara Tabachnick & Luther K. Robinson & Melanie A. Manning & Heidre, 2017. "Replication of High Fetal Alcohol Spectrum Disorders Prevalence Rates, Child Characteristics, and Maternal Risk Factors in a Second Sample of Rural Communities in South Africa," IJERPH, MDPI, vol. 14(5), pages 1-22, May.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:5:p:522-:d:98496
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/5/522/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/5/522/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Giorgie Petković & Ingeborg Barišić, 2013. "Prevalence of Fetal Alcohol Syndrome and Maternal Characteristics in a Sample of Schoolchildren from a Rural Province of Croatia," IJERPH, MDPI, vol. 10(4), pages 1-15, April.
    2. May, P.A. & Gossage, J.P. & Brooke, L.E. & Snell, C.L. & Marais, A.-S. & Hendricks, L.S. & Croxford, J.A. & Viljoen, D.L., 2005. "Maternal risk factors for fetal alcohol syndrome in the Western Cape Province of South Africa: A population-based study," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1190-1199.
    3. King, A.C., 1994. "Enhancing the self-report of alcohol consumption in the community: Two questionnaire formats," American Journal of Public Health, American Public Health Association, vol. 84(2), pages 294-296.
    4. May, P.A. & Brooke, L. & Gossage, J.P. & Croxford, J. & Adnams, C. & Jones, K.L. & Robinson, L. & Viljoen, D., 2000. "Epidemiology of fetal alcohol syndrome in a South African community in the Western Cape Province," American Journal of Public Health, American Public Health Association, vol. 90(12), pages 1905-1912.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Melissa Lubbe & Corné Van Walbeek & Nicole Vellios, 2017. "The Prevalence of Fetal Alcohol Syndrome and Its Impact on a Child’s Classroom Performance: A Case Study of a Rural South African School," IJERPH, MDPI, vol. 14(8), pages 1-10, August.
    2. Philip A. May & Anna-Susan Marais & Marlene De Vries & Julie M. Hasken & Julie M. Stegall & Dixie M. Hedrick & Cudore L. Snell & Soraya Seedat & Charles D.H. Parry, 2019. "“The Dop System of Alcohol Distribution is Dead, but It’s Legacy Lives On….”," IJERPH, MDPI, vol. 16(19), pages 1-17, October.
    3. Babatope O. Adebiyi & Ferdinand C. Mukumbang & Lizahn G. Cloete & Anna-Marie Beytell, 2019. "Policymakers’ Perspectives Towards Developing a Guideline to Inform Policy on Fetal Alcohol Spectrum Disorder: A Qualitative Study," IJERPH, MDPI, vol. 16(6), pages 1-20, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Morojele, Neo K. & London, Leslie & Olorunju, Steve A. & Matjila, Maila J. & Davids, Adlai S. & Rendall-Mkosi, Kirstie M., 2010. "Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa," Social Science & Medicine, Elsevier, vol. 70(4), pages 534-542, February.
    2. Philip A. May & Anna-Susan Marais & Marlene De Vries & Julie M. Hasken & Julie M. Stegall & Dixie M. Hedrick & Cudore L. Snell & Soraya Seedat & Charles D.H. Parry, 2019. "“The Dop System of Alcohol Distribution is Dead, but It’s Legacy Lives On….”," IJERPH, MDPI, vol. 16(19), pages 1-17, October.
    3. Fletcher, Olivia V. & May, Philip A. & Seedat, Soraya & Sikkema, Kathleen J. & Watt, Melissa H., 2018. "Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study," Social Science & Medicine, Elsevier, vol. 215(C), pages 98-106.
    4. Manuela Pfinder, 2014. "Anthropometric and Health-Related Behavioral Factors in the Explanation of Social Inequalities in Low Birth Weight in Children with Prenatal Alcohol Exposure," IJERPH, MDPI, vol. 11(1), pages 1-17, January.
    5. John Ataguba, 2012. "Alcohol policy and taxation in South Africa," Applied Health Economics and Health Policy, Springer, vol. 10(1), pages 65-76, January.
    6. Marlene M. De Vries & Belinda Joubert & Marise Cloete & Sumien Roux & Beth A. Baca & Julie M. Hasken & Ronel Barnard & David Buckley & Wendy O. Kalberg & Cudore L. Snell & Anna-Susan Marais & Soraya S, 2015. "Indicated Prevention of Fetal Alcohol Spectrum Disorders in South Africa: Effectiveness of Case Management," IJERPH, MDPI, vol. 13(1), pages 1-14, December.
    7. J. Phillip Gossage & Cudore L. Snell & Charles D. H. Parry & Anna-Susan Marais & Ronel Barnard & Marlene De Vries & Jason Blankenship & Soraya Seedat & Julie M. Hasken & Philip A. May, 2014. "Alcohol Use, Working Conditions, Job Benefits, and the Legacy of the “Dop” System among Farm Workers in the Western Cape Province, South Africa: Hope Despite High Levels of Risky Drinking," IJERPH, MDPI, vol. 11(7), pages 1-19, July.
    8. Parmenter, Trevor R., 2011. "Promoting training and employment opportunities for people with intellectual disabilities : international experience," ILO Working Papers 994663503402676, International Labour Organization.
    9. repec:ilo:ilowps:466350 is not listed on IDEAS
    10. Carlo Eduardo Medina-Solís & América Patricia Pontigo-Loyola & Eduardo Pérez-Campos & Pedro Hernández-Cruz & Leticia Ávila-Burgos & Martha Mendoza-Rodríguez & Gerardo Maupomé, 2014. "National Survey of Oral/Dental Conditions Related to Tobacco and Alcohol Use in Mexican Adults," IJERPH, MDPI, vol. 11(3), pages 1-16, March.
    11. Melissa Lubbe & Corné Van Walbeek & Nicole Vellios, 2017. "The Prevalence of Fetal Alcohol Syndrome and Its Impact on a Child’s Classroom Performance: A Case Study of a Rural South African School," IJERPH, MDPI, vol. 14(8), pages 1-10, August.
    12. Giorgie Petković & Ingeborg Barišić, 2013. "Prevalence of Fetal Alcohol Syndrome and Maternal Characteristics in a Sample of Schoolchildren from a Rural Province of Croatia," IJERPH, MDPI, vol. 10(4), pages 1-15, April.
    13. O'Connor, Mary J. & Tomlinson, Mark & LeRoux, Ingrid M. & Stewart, Jacqueline & Greco, Erin & Rotheram-Borus, Mary Jane, 2011. "Predictors of alcohol use prior to pregnancy recognition among township women in Cape Town, South Africa," Social Science & Medicine, Elsevier, vol. 72(1), pages 83-90, January.
    14. Watt, Melissa H. & Eaton, Lisa A. & Choi, Karmel W. & Velloza, Jennifer & Kalichman, Seth C. & Skinner, Donald & Sikkema, Kathleen J., 2014. "“It's better for me to drink, at least the stress is going away”: Perspectives on alcohol use during pregnancy among South African women attending drinking establishments," Social Science & Medicine, Elsevier, vol. 116(C), pages 119-125.
    15. Yasmin Bowers & Adlai Davids & Leslie London, 2020. "Alcohol Outlet Density and Deprivation in Six Towns in Bergrivier Municipality before and after Legislative Restrictions," IJERPH, MDPI, vol. 17(3), pages 1-13, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:5:p:522-:d:98496. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.