{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:19:50Z","timestamp":1787170790810,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,10,7]],"date-time":"2018-10-07T00:00:00Z","timestamp":1538870400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Fetal alcohol spectrum disorder (FASD) is a significant public health issue in Australia that is poorly diagnosed, chronic and costly. FASD is a diffuse acquired brain injury secondary to prenatal alcohol exposure. The prevalence rate of FASD among the general population in Australia is currently unknown; however, an Australian study in a selected high\u2010risk population reported some of the highest rates of FASD in the world. A common misconception among clinicians is that a child must have \u2018the face\u2019 of FASD to have the disorder. This is incorrect. The three sentinel facial features only occur in the minority of individuals with FASD. FASD should be considered as a \u2018whole body\u2019 disorder as increased susceptibility to chronic health problems suggests suboptimal\n                    <jats:italic>in utero<\/jats:italic>\n                    environments places the individual at risk of later disease. Clinicians are reluctant to consider FASD as a possible diagnosis because of the concern of inducing stigma; however, this concern is neither supported by the evidence nor patient stories. The Australian Guide to the Diagnosis of FASD is now available to assist health professionals in providing timely and accurate diagnoses, which can lead to improved outcomes via evidence\u2010based intervention and is an important first step in future prevention.\n                  <\/jats:p>","DOI":"10.1111\/jpc.14152","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T00:58:01Z","timestamp":1538960281000},"page":"1121-1126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Responding to fetal alcohol spectrum disorder in Australia"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3207-2442","authenticated-orcid":false,"given":"Doug","family":"Shelton","sequence":"first","affiliation":[{"name":"Community Child Health Gold Coast Health Gold Coast Queensland Australia"},{"name":"Neurodevelopmental and Behavioural Paediatric Society of Australasia (https:\/\/nbpsa.org\/)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Reid","sequence":"additional","affiliation":[{"name":"Child Health Research Centre University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haydn","family":"Till","sequence":"additional","affiliation":[{"name":"Community Child Health Gold Coast Health Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francoise","family":"Butel","sequence":"additional","affiliation":[{"name":"Community Child Health Gold Coast Health Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Moritz","sequence":"additional","affiliation":[{"name":"Child Health Research Centre University of Queensland Brisbane Queensland Australia"},{"name":"School of Biomedical Sciences University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2011.02037.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2006.00303.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015410"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1465-3362.2011.00331.x"},{"key":"e_1_2_9_6_1","unstructured":"National Health Medical Research Council.Australian Guidelines to Reduce Health Risks from Drinking Alcohol.Canberra: Commonwealth of Australia;2009."},{"key":"e_1_2_9_7_1","volume-title":"Fetal Alcohol Syndrome","author":"Abel EL","year":"1990"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.45.190.489"},{"key":"e_1_2_9_9_1","first-page":"476","article-title":"Les enfants de parents alcooliques: Anomalies observ\u00e9es \u00e0 propos de 127 cas","volume":"21","author":"Lemoine P","year":"1968","journal-title":"Quest Med."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(73)91291-9"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0259"},{"key":"e_1_2_9_12_1","volume-title":"Diagnostic Guide for Fetal Alcohol Spectrum Disorders: The 4\u2010Digit Diagnostic Code","author":"Astley SJ","year":"2004"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1040302"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.141593"},{"key":"e_1_2_9_15_1","volume-title":"Report to the Australian Government Department of Health: Australian Guide to the Diagnosis of Fetal Alcohol Spectrum Disorder (FASD)","author":"Bower C","year":"2016"},{"key":"e_1_2_9_16_1","volume-title":"Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment","author":"Stratton K","year":"1996"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.21896"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2017.04.001"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12814"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-0066"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019605"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-199910000-00012"},{"key":"e_1_2_9_23_1","first-page":"e132","article-title":"Profile of the first 1,400 patients receiving diagnostic evaluations for fetal alcohol spectrum disorder at the Washington State Fetal Alcohol Syndrome Diagnostic and Prevention Network","volume":"17","author":"Astley SJ","year":"2010","journal-title":"Can. 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