ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019
Health, Social, Education, and Justice Outcomes of Manitoba First Nations Children Diagnosed with Fetal Alcohol Spectrum Disorder: A Population-Based Cohort Study of Linked Administrative Data.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 31 citations in OpenAlex.
- The Marurra-U Partnership: providing a hybrid, multidisciplinary, wraparound model of care for Aboriginal children living with complex needs in the remote Fitzroy Valley, Australia.BMC health services research · 2025Article
- Fetal Alcohol Spectrum Disorder: The Caring and Financial Burden to Caregivers-A Scoping Review.Drug and alcohol review · 2025Article
- Analysis of risk factors associated with suicidality in children and adolescents with fetal alcohol spectrum disorder in Western Australia.Alcohol, clinical & experimental research · 2025Article
- Artificial intelligence and social accountability in the Canadian health care landscape: A rapid literature review.PLOS digital health · 2024Review
- Fetal alcohol spectrum disorder resources for health professionals: a scoping review.BMJ open · 2024Article
- Development of an Australian FASD Indigenous Framework: Aboriginal Healing-Informed and Strengths-Based Ways of Knowing, Being and Doing.International journal of environmental research and public health · 2023Article
- Screening for Alcohol Use in Pregnancy: a Review of Current Practices and Perspectives.International journal of mental health and addiction · 2023Article
- International Survey of Specialist Fetal Alcohol Spectrum Disorder Diagnostic Clinics: Comparison of Diagnostic Approach and Considerations Regarding the Potential for Unification.International journal of environmental research and public health · 2022Article
- Canada First Nations Strengths in Community-Based Primary Healthcare.International journal of environmental research and public health · 2022Article
- Understanding the Relationship between Fetal Alcohol Spectrum Disorder (FASD) and Criminal Justice: A Systematic Review.Healthcare (Basel, Switzerland) · 2022Review
- Caregivers' experiences and perceptions of suicidality among their children and youth with fetal alcohol spectrum disorder.Frontiers in psychiatry · 2022Article
- Rural-Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Review
- Population-Level Data on Child Development at School Entry Reflecting Social Determinants of Health: A Narrative Review of Studies Using the Early Development Instrument.International journal of environmental research and public health · 2021Review
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine health services, social services, education, and justice system outcomes among First Nations children and youth with fetal alcohol spectrum disorder (FASD).
methodsIn this retrospective cohort study, health and social services, education, and justice data were linked with clinical records on First Nations (FN) individuals aged 1 to 25 and diagnosed with FASD between 1999 and 2010 (
resultsFN FASD individuals had similar health services use to non-FN FASD individuals but had greater involvement with child welfare (RR, 1.20; 95% confidence interval [CI], 1.02 to 1.41) and the justice system (RR, 1.37; 95% CI, 1.07 to 1.74) and were more likely to be charged with a crime (RR, 1.40; 95% CI, 1.05 to 1.86). There were no suicides/suicide attempts among the non-FN FASD individuals during the study, but the crude rate/100 person-years of suicides among FN FASD individuals (0.22 for females; 1.06 for males) was substantially higher than for FN non-FASD individuals (0.08 for females; 0.32 for males). There were no significant differences between groups in the education outcomes we measured.
conclusionsYoung people with FASD are at risk for poor health, education, and social outcomes, but First Nations young people with FASD face comparably higher risks, particularly with child welfare and justice system involvement. The study emphasizes a critical need for appropriate resources for First Nations children with FASD.
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