A MULTIPLE-LEVEL, COMPREHENSIVE APPROACH TO THE PREVENTION OF FETAL ALCOHOL SYNDROME (FAS) AND OTHER ALCOHOL-RELATED BIRTH-DEFECTS (ARBD)

被引:39
作者
MAY, PA
机构
[1] The Center on Alcoholism, Substance Abuse, and Addictions (CASAA), University of New Mexico, Albuquerque, NM, 87106
来源
INTERNATIONAL JOURNAL OF THE ADDICTIONS | 1995年 / 30卷 / 12期
关键词
FETAL ALCOHOL SYNDROME (FAS); ALCOHOL-RELATED BIRTH DEFECTS (ARBD); PREVENTION; WOMEN; ALCOHOL;
D O I
10.3109/10826089509104417
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
A comprehensive program for the prevention of fetal alcohol syndrome (FAS) and alcohol-related birth defects (ARBD) must consider multiple approaches and utilize knowledge from a variety of academic disciplines. Issues related to culture, society, behavior, belief systems, and medicine must all be considered for both etiology and solutions. A broad paradigm such as a public health model integrates various elements of approach. Because FAS and other levels of ARBD form a spectrum, from severe to negligible damage, a variety of drinking patterns with various characteristics and etiologies have to be addressed. This paper describes a multiple-level, comprehensive program with primary, secondary, and tertiary prevention components. Practical recommendations are proposed for addressing ARBD in a variety of arenas. While secondary and tertiary prevention hold promise for short- term reduction of FAS and ARBD prevalence, comprehensive prevention serves both short- and long-term effects. Multiple level prevention efforts are well served by clear and compelling vision and mission statements, and require careful evaluation.
引用
收藏
页码:1549 / 1602
页数:54
相关论文
共 168 条
[1]  
Aase Jon M, 1994, Alcohol Health Res World, V18, P5
[2]  
Abel E. L., 1990, FETAL ALCOHOL SYNDRO
[3]  
ABEL EL, 1989, GROWTH DEVELOP AGING, V53, P195
[4]  
ABEL EL, 1986, NEUROTOXICOL TERATOL, V8, P329
[5]   A REVISED CONSERVATIVE ESTIMATE OF THE INCIDENCE OF FAS AND ITS ECONOMIC-IMPACT [J].
ABEL, EL ;
SOKOL, RJ .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1991, 15 (03) :514-524
[6]   PATERNAL AND MATERNAL ALCOHOL-CONSUMPTION - EFFECTS ON OFFSPRING IN 2 STRAINS OF RATS [J].
ABEL, EL .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1989, 13 (04) :533-541
[7]   INCIDENCE OF FETAL ALCOHOL SYNDROME AND ECONOMIC-IMPACT OF FAS-RELATED ANOMALIES [J].
ABEL, EL ;
SOKOL, RJ .
DRUG AND ALCOHOL DEPENDENCE, 1987, 19 (01) :51-70
[8]   FETAL ALCOHOL SYNDROME IN FAMILIES [J].
ABEL, EL .
NEUROTOXICOLOGY AND TERATOLOGY, 1988, 10 (01) :1-2
[9]  
ADAY DP, 1990, SOCIAL CONTROL MARGI
[10]  
AITKIN C, 1989, J COMMUN, V34, P157