<p>Fetal alcohol spectrum disorder (FASD) is a neurodevelopmental disorder (NDD) that can be associated with adverse developmental outcomes. Given that the Canadian FASD diagnostic guidelines were updated in 2016, we aimed to determine changes to kindergarten FASD prevalence as well as the association of FASD with home problems and early intervention compared to autism spectrum disorder (ASD) and other conditions with neurodevelopmental origins (NDO) in the 2010–2015 period versus 2016–2020. Kindergarten teachers reported the medical diagnoses, any home problems, and early intervention attendance for each of their students. Teacher-reported FASD prevalence in kindergarten decreased from 2010–2015 to 2016–2020. In comparison with children with ASD, children with FASD and children with NDO conditions had greater odds of experiencing home problems. Children with FASD and children with NDO conditions were less likely to receive early intervention compared to those with ASD. Diagnosis and family-centred supports should be made accessible to children before school entry.</p>

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Teacher-Reported Prevalence of FASD in Kindergarten and Association With Home Problems and Early Intervention in 2010–2015 and 2016–2020

  • Rhyan Hawke,
  • Caroline Reid-Westoby,
  • Jacqueline Pei,
  • Magdalena Janus

摘要

Fetal alcohol spectrum disorder (FASD) is a neurodevelopmental disorder (NDD) that can be associated with adverse developmental outcomes. Given that the Canadian FASD diagnostic guidelines were updated in 2016, we aimed to determine changes to kindergarten FASD prevalence as well as the association of FASD with home problems and early intervention compared to autism spectrum disorder (ASD) and other conditions with neurodevelopmental origins (NDO) in the 2010–2015 period versus 2016–2020. Kindergarten teachers reported the medical diagnoses, any home problems, and early intervention attendance for each of their students. Teacher-reported FASD prevalence in kindergarten decreased from 2010–2015 to 2016–2020. In comparison with children with ASD, children with FASD and children with NDO conditions had greater odds of experiencing home problems. Children with FASD and children with NDO conditions were less likely to receive early intervention compared to those with ASD. Diagnosis and family-centred supports should be made accessible to children before school entry.