Colleen O'Leary1,2, David Lawrence3, Katherine Hafekost4, Stephen R Zubrick4,5, Carol Bower4. 1. Telethon Kids Institute, and colleen.oleary@telethonkids.org.au. 2. Office of the Chief Psychiatrist, Department of Health, Government of Western Australia, Perth, Australia. 3. Graduate School of Education. 4. Telethon Kids Institute, and. 5. Centre for Child Health Research, The University of Western Australia, Perth, Australia; and.
Abstract
OBJECTIVES: Investigate the relationship between maternal alcohol-use disorder and multiple biological and social child outcomes, including birth outcomes, child protection, justice contact, and academic outcomes for both Indigenous and non-Indigenous children. METHODS: Women with a birth recorded on the Western Australian Midwives Notification System (1983-2007) and their offspring were in scope. The exposed cohort were mothers with an alcohol-related diagnosis (International Classification of Diseases, Ninth Revision and International Classification of Diseases, 10th Revision) recorded in an administrative data set and their offspring (non-Indigenous: n = 13 969; Indigenous: n = 9635). The exposed cohort was frequency matched with mothers with no record of an alcohol-related diagnosis and their offspring (comparison cohort; non-Indigenous: n = 40 302; Indigenous: n = 20 533). RESULTS: Over half of exposed non-Indigenous children (55%) and 84% of exposed Indigenous children experienced ≥1 negative outcome. The likelihood of any negative outcome was significantly higher for the exposed than the comparison cohort (non-Indigenous: odds ratio [OR] = 2.67 [95% confidence interval (CI) = 2.56-2.78]; Indigenous: OR = 2.67 [95% CI = 2.50-2.85]). The odds were greatest for children whose mothers received a diagnosis during pregnancy (non-Indigenous: OR = 4.65 [95% CI = 3.87-5.59]; Indigenous: OR = 5.18 [95% CI = 4.10-6.55]); however, numbers were small. CONCLUSIONS: The effects of maternal alcohol-use disorder are experienced by the majority of exposed children rather than a vulnerable subgroup of this population. These findings highlight the need for universal prevention strategies to reduce harmful alcohol use and targeted interventions to support at-risk women and children.
OBJECTIVES: Investigate the relationship between maternal alcohol-use disorder and multiple biological and social child outcomes, including birth outcomes, child protection, justice contact, and academic outcomes for both Indigenous and non-Indigenous children. METHODS:Women with a birth recorded on the Western Australian Midwives Notification System (1983-2007) and their offspring were in scope. The exposed cohort were mothers with an alcohol-related diagnosis (International Classification of Diseases, Ninth Revision and International Classification of Diseases, 10th Revision) recorded in an administrative data set and their offspring (non-Indigenous: n = 13 969; Indigenous: n = 9635). The exposed cohort was frequency matched with mothers with no record of an alcohol-related diagnosis and their offspring (comparison cohort; non-Indigenous: n = 40 302; Indigenous: n = 20 533). RESULTS: Over half of exposed non-Indigenous children (55%) and 84% of exposed Indigenous children experienced ≥1 negative outcome. The likelihood of any negative outcome was significantly higher for the exposed than the comparison cohort (non-Indigenous: odds ratio [OR] = 2.67 [95% confidence interval (CI) = 2.56-2.78]; Indigenous: OR = 2.67 [95% CI = 2.50-2.85]). The odds were greatest for children whose mothers received a diagnosis during pregnancy (non-Indigenous: OR = 4.65 [95% CI = 3.87-5.59]; Indigenous: OR = 5.18 [95% CI = 4.10-6.55]); however, numbers were small. CONCLUSIONS: The effects of maternal alcohol-use disorder are experienced by the majority of exposed children rather than a vulnerable subgroup of this population. These findings highlight the need for universal prevention strategies to reduce harmful alcohol use and targeted interventions to support at-risk women and children.
Authors: Carson Kautz-Turnbull; Christie L M Petrenko; Elizabeth D Handley; Claire D Coles; Julie A Kable; Wladimir Wertelecki; Lyubov Yevtushok; Natalya Zymak-Zakutnya; Christina D Chambers Journal: Alcohol Clin Exp Res Date: 2021-05-17 Impact factor: 3.928
Authors: Amy Finlay-Jones; Elizabeth Elliott; Astrid Chapman; Jane Halliday; Heather Jones; Natalie Kippin; Narelle Mullan; Hayley Passmore; Tracy Reibel; Neil Reynolds; Martyn Symons; Tracey W Tsang; Rochelle Watkins; Carol Bower Journal: Int J Popul Data Sci Date: 2022-03-02
Authors: Leonie Segal; James Doidge; Jason M Armfield; Emmanuel S Gnanamanickam; David B Preen; Derek S Brown; Ha Nguyen Journal: JAMA Netw Open Date: 2021-06-01