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This book chapter gives an overview of the past two decades of Australian FASD research, from fiction to fact to challenges of the future.

Date:
September 2022
Book name:
Fetal Alcohol Spectrum Disorder
Chapter title:
Fetal Alcohol Spectrum Disorder in Australia: From Fiction to Fact and to the Future
Authors:
Elizabeth Elliott, Carol Bower
Page last updated 7 March 2023

This study evaluated the use of the Model of Engaging Communities Collaboratively (MECC) to guide the Jandu Yani U (For All Families) project, in which the Triple P – Positive Parenting Program was collaboratively adapted for use in very remote Aboriginal communities in Western Australia.

Date:
October 2022
Journal name:
International Journal of Critical Indigenous Studie
Authors:
Cari Dawn McIlduff, Karen Turner, Jadnah Davies, Emily Carter, Sue Thomas, Ellaina Andersson, Marmingee Hand, Stewart Einfeld, Elizabeth Elliott.
Page last updated 20 December 2022

This systematic review of qualitative studies involving pregnant and recently postpartum women seeks to understand the barriers and facilitators that influence alcohol use in pregnancy. Social relationships and norms, stigma, trauma and other stressors, alcohol information and messaging, and access to trusted equitable care and essential resources were identified as themes that impact women's alcohol use, abstention and reduction.

Date:
March 2021
Journal name:
International Journal of Environmental Research and Public Health
Authors:
Vivian Lyall, Lindsay Wolfson, Natasha Reid, Nancy Poole, Karen M Moritz, Sonya Egert, Annette J Brown , Deborah A Askew.
Page last updated 31 October 2022

This study aims to identify behavioural, normative and control beliefs regarding alcohol use during pregnancy among a sample of women using the theory of planned behaviour as a theoretical framework.

Date:
October 2021
Journal name:
Psychology and Health
Authors:
Tess M D Fletcher, Barbara Mullan, Elizaveta Novoradovskaya, Amy Finlay-Jones.
Page last updated 31 October 2022

Prenatal alcohol exposure (PAE) is associated with a range of adverse offspring neurodevelopmental outcomes. Several studies suggest that PAE modifies DNA methylation in offspring cells and tissues, providing evidence for a potential mechanistic link to Fetal Alcohol Spectrum Disorder (FASD). This paper systematically reviewed existing evidence on the extent to which maternal alcohol use during pregnancy is associated with offspring DNA methylation.

Date:
January 2022
Journal name:
Clinical Epigenetics
Authors:
Mitchell Bestry, Martyn Symons , Alexander Larcombe, Evelyne Muggli, Jeffrey M Craig , Delyse Hutchinson, Jane Halliday, David Martino.
Page last updated 10 November 2022

The beverage alcohol industry (manufacture, marketing, distribution, and retail) is often seen as playing a role in FASD prevention strategies such as health warning labels. This paper explores the nature of the relationship between the industry and prevention programming. The study considers the place of alcohol in society; the prevalence, social and economic costs of FASD; the ethical notion of alcohol-related harm and then move onto the question of public health partnerships with the industry including the potential conflicts of interests and ethical challenges in such partnerships. Two case studies drawn from Canadian, Australian and New Zealand contexts are presented.

Date:
June 2022
Journal name:
International Journal of Environmental Research and Public Health
Authors:
Peter Choate, Dorothy Badry, Kerryn Bagley
Page last updated 31 October 2022

People with FASD encounter a range of health and allied health providers and require specialised support to ensure health services are provided safely and effectively. However, not all health professionals possess the knowledge or expertise required for the identification, assessment, referral and management of FASD. Accessible resources for understanding and managing FASD can help create awareness in health professionals and ensure patients receive the correct diagnosis and timely access to the necessary supports and services. This scoping review aims to identify and analyse FASD resources for health professionals.

Date:
September 2022
Journal name:
BMJ Open
Authors:
Josephine Chidinma Okurame, Lisa Cannon, Emily Carter, Sue Thomas, Elizabeth J Elliott, Lauren J Rice.
Page last updated 28 October 2022

As part of the Yapatjarrathati project, 47 remote health providers and community members attended a two-day workshop presenting a prototype of a culturally-safe, tiered neurodevelopmental assessment that can identify FASD in primary healthcare. Narrative analysis of the workshop transcript highlighted a collective sense of compassion for those who use alcohol to cope with intergenerational trauma, but exhaustion at the cyclical nature of FASD. There was a strong desire for a shared responsibility for First Nations children and families and a more prominent role for Aboriginal Health Workers in the assessment process. This study emphasised the benefit of continued co-design to ensure health implementation strategies match the needs of the community.

Date:
September 2022
Journal name:
International Journal of Environmental Research and Public Health
Authors:
Luke Miller, Dianne C Shanley, Marjad Page, Heidi Webster, Wei Liu, Natasha Reid, Doug Shelton, Karen West, Joan Marshall, Erinn Hawkins.
Page last updated 28 October 2022

People with FAS are at risk of having adverse childhood experiences, especially those with child protection and/or justice system involvement. The complex relationship between FASD and psychosocial vulnerabilities in the affected individual is an important clinical risk factor for comorbidity. This study explored the ACEs and associated stressors in individuals with FASD, investigated the association between ACEs and negative outcomes, and examined the relationship between ACEs and comorbid conditions such as mood and neurodevelopmental disorders.

Date:
October 2022
Journal name:
BMC Pediatrics
Authors:
Grace Kuen Yee Tan, Martyn Symons, James Fitzpatrick, Sophia G Connor, Donna Cross, Carmela F Pestell.
Page last updated 28 October 2022

Research has suggested that information communicated by public health and industry-funded organizations differ, as organizations linked to industry have tended to downplay risks with alcohol more broadly and pregnancy specifically. This study describes communication of health risks associated with alcohol use during pregnancy on Twitter by Australian-based organizations and stakeholders. 

Date:
October 2022
Journal name:
Substance Use and Misuse
Authors:
Lisa Schölin, Maddie Heenan.
Page last updated 28 October 2022