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Prenatal alcohol exposure can contribute to long term adverse health outcomes. Development of the skeletal system begins at the early embryonic stage and continues into early adulthood but the effect of prenatal alcohol exposure on skeletal growth is relatively unexplored in a clinical population. This study examines bone, fat, and muscle accrual in children and adolescents diagnosed with, or at risk of, fetal alcohol spectrum disorders (FASDs). By adolescence, those with FASD were shorter and had lower areal bone mineral density and lean tissue mass than typically developing peers. Overall, adolescents diagnosed with FASDs had greater odds of impairments to bone and body composition.

Date:
August 2022
Journal name:
Bone
Authors:
Sophia L. Young, Linda A. Gallo, Denise S.K. Brookes, Nicole Hayes, Maree Maloney, Karen Liddle, Amanda James, Karen M. Moritz, Natasha Reid
Page last updated 9 August 2022

Neurodevelopmental impairments resulting from FASD can increase the likelihood of justice system involvement. This study compared offence characteristics in young people with FASD to demographically matched controls in Western Australia, uncovering relationships between personal attributes and offence characteristics. After controlling for demographic factors, regression analyses showed FASD participants were more likely than controls to be charged with reckless driving, breach of bail/community orders, property damage, and disorderly behaviour. These findings suggest justice-involved individuals with FASD have unique offending profiles, having implications for sentencing, diversionary/crime prevention programs and interventions.

Date:
June 2022
Journal name:
Psychiatry, Psychology and Law
Authors:
Grace Kuen Yee Tan, Carmella F. Pestell, James Fitzpatrick, Donna Cross, Isabelle Adams, Martyn Symons
Page last updated 1 July 2022

Recognition of FASD within Australia has continued to grow, particularly with the development of the Australian Diagnostic Guide, yet the availability of FASD-specific services continues to be limited. This paper presents the views and experiences of the six sites across Australia involved indeveloping a FASD Model of Care in their local area.

Date:
June 2022
Journal name:
Journal of Fetal Alcohol Spectrum Disorder
Authors:
Kirsten R. Panton, James P. Fitzpatrick, Deepa Jeyaseelan, Sarah Hill, Carmela F. Pestell
Page last updated 1 July 2022

The Australian Child Rights Taskforce considers the mistreatment and over-representation of Aboriginal and Torres Strait Islander children in youth detention to be a national crisis that requires urgent action. In 2020, the unequal positioning of Aboriginal and Torres Strait Islander children in Australia was shown by an incarceration rate that was 17 times higher than the incarceration rates of Australian youth of all other ethnicities combined. Although Aboriginal and Torres Strait Islander children represent only 6% of the Australian population aged 10–17 years, each day, on average they comprised 48% of those in youth detention. From age 10 years, the most vulnerable and marginalised young people in Australia, many with complex physical and mental health needs, disability needs, and social needs, are criminalised, punished, and removed from their family and community during crucial stages of their development.

Date:
June 2022
Journal name:
Child and Adolescent Health
Authors:
Lorelle Holland Andrew Smirnov Amy Hickman Maree Toombs Natasha Reid
Page last updated 15 June 2022

Substance use during pregnancy is a major health issue for both the mother and the fetus, but it also represents an important public health concern.: The aim of this review was to summarize and compare recommendations from recently published guidelines on substance use during pregnancy and especially regarding alcohol, smoking, and drug use.

Date:
October 2021
Journal name:
Obstetrical & gynecological survey
Authors:
Ioannis Tsakiridis, Artemis Christina Oikonomidou, Dimitra Rafailia Bakaloudi, Themistoklis Dagklis, Georgios Papazisis, Michail Chourdakis
Page last updated 15 June 2022

This paper explores the lived experiences of adolescents with fetal alcohol spectrum disorder (FASD) to understand: the ways in which their challenges influence daily functioning; and the personal assets and external resources that facilitate participation. Semi-structured interviews were conducted with four adolescents with FASD aged 13 to 15 years. Findings illustrated the barriers adolescents experienced regarding their daily functioning and independence. Additionally, incorporating strengths into daily activities appeared to reduce anxiety and improve participation, and adolescents desired for their unique characteristics to be recognized and appreciated.

Date:
May 2022
Journal name:
Developmental Medicine and Child Neurology
Authors:
Kelly Skorka, Jodie Copley, Catherine McBryde, Pamela J. Meredith, Natasha Reid.
Page last updated 31 May 2022

Since the 2016 release of the Australian Guide to the Diagnosis of Fetal Alcohol Spectrum Disorder (FASD), considerable progress has been made in the identification and diagnosis of the disorder. As part of a larger process to review and update the Guide, this study aims to identify review priorities from a broad range of stakeholders involved in the assessment and diagnosis of FASD. Sixty-two stakeholders, including healthcare practitioners, researchers, other specialists, individuals with cultural expertise, lived experience and consumer representatives completed an online survey asking them to describe up to five priorities for the review of the Australian Guide to the Diagnosis of FASD.

Date:
May 2022
Journal name:
International Journal of Environmental Research and Public Health
Authors:
Nicole Hayes, Lisa K. Akison, Sarah Goldsbury, Nicole Hewlett, Elizabeth J. Elliott, Amy Finlay-Jones, Dianne C. Shanley ,Kerryn Bagley, Andi Crawford, Haydn Till, Alison Crichton ,Rowena Friend ,Karen M. Moritz ,Raewyn Mutch, Sophie Harrington ,Andrew Webster, Natasha Reid
Page last updated 11 May 2022

Clinical guideline recommendations for addressing alcohol consumption during pregnancy are sub-optimally implemented and limited evidence exists to inform practice improvements. This study aims to estimate the effectiveness of a practice change intervention in improving the provision of antenatal care addressing alcohol consumption during pregnancy in public maternity services. A randomised stepped-wedge controlled trial was undertaken with all public maternity services in three sectors (one urban, two regional/rural) of a single local health district in New South Wales, Australia. Five thousand six hundred ninety-four interviews/online questionnaires were completed by pregnant women.

Date:
March 2022
Journal name:
MC pregnancy and childbirth
Authors:
Emma Doherty, Melanie Kingsland, Elizabeth J Elliott, Belinda Tully, Luke Wolfenden, Adrian Dunlop, Ian Symonds, John Attia, Sarah Ward, Mandy Hunter, Carol Azzopardi, Chris Rissel, Karen Gillham, Tracey W Tsang, Penny Reeves, John Wiggers.
Page last updated 9 May 2022

Alcohol labelling laws and policy are contentious and highly politicized. Very few countries have been able to implement health warnings on alcohol labels due to complex legal and governance systems and coordinated industry lobbying. In 2020, Australia and New Zealand implemented a mandatory and evidence-based legal standard for pregnancy warning labels on alcohol products. This article discusses some of the challenges faced in achieving policy change and how these barriers were overcome by public health advocacy groups to build the evidence, counter industry conflicts of interest, consumer test health messages, mobilize community support and gather political support.

Date:
April 2022
Journal name:
Health Promotion International
Authors:
Maddie Heenan, Janani Shanthosh, Katherine Cullerton, Stephen Jan.
Page last updated 27 April 2022

This study evaluates the impact of fetal alcohol spectrum disorder (FASD) on child and family functioning. Caregivers of 35 children with FASD were surveyed. The study looks at Child-health-related functioning, family impact, impact on siblings and caregiver stress.

Date:
March 2022
Journal name:
Archives of disease in childhood
Authors:
Natalie Lynette Phillips, Marcel David Zimmet, Amy Phu, Meenakshi Rattan, Yvonne Zurynski, Elizabeth J Elliott.
Page last updated 27 April 2022