Healthcare Utilisation and Characteristics of Adults with Fetal Alcohol Syndrome: A Descriptive Population-Based Cohort Study in Ontario, Canada
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| Title: | Healthcare Utilisation and Characteristics of Adults with Fetal Alcohol Syndrome: A Descriptive Population-Based Cohort Study in Ontario, Canada |
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| Language: | English |
| Authors: | Danijela Dozet, Claire de Oliveira, Yona Lunsky, Andrew Calzavara, Svetlana Popova |
| Source: | Journal of Intellectual & Developmental Disability. 2025 50(3):339-352. |
| Availability: | Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals |
| Peer Reviewed: | Y |
| Page Count: | 14 |
| Publication Date: | 2025 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Health Services, Health Behavior, Access to Health Care, Adults, Fetal Alcohol Syndrome, Foreign Countries, Hospitals, Mental Health, Addictive Behavior, Alcoholism, Mortality Rate, Patients, Psychiatric Services, Emergency Programs, Comorbidity, Substance Abuse, Home Programs |
| Geographic Terms: | Canada |
| DOI: | 10.3109/13668250.2025.2449677 |
| ISSN: | 1366-8250 1469-9532 |
| Abstract: | Background: Adults with Fetal Alcohol Syndrome (FAS) experience many adverse health and social outcomes, yet their healthcare utilisation is under-researched. Method: This population-based descriptive cohort study utilised ICES provincial administrative health databases and Canadian Death Vital Statistics to identify adults with FAS via usage of hospital-based services (2002-2013) and examine their demographics, healthcare utilisation, mental health and addiction diagnoses, and mortality during follow-up (2014-2017). Results: 565 adults with FAS were included in the cohort. During the follow-up period, 27% used in-patient psychiatric care; 30% the emergency department 12 + times; 28% were hospitalised at least once; and 17% used home care services. They displayed high rates of physical and mental health comorbidities, substance use disorders, history of abuse, and income from social assistance. Conclusion: Adults with FAS require accessible and extensive healthcare services to address their complex needs and improve long-term outcomes. |
| Abstractor: | As Provided |
| Entry Date: | 2025 |
| Accession Number: | EJ1480753 |
| Database: | ERIC |
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| Abstract: | Background: Adults with Fetal Alcohol Syndrome (FAS) experience many adverse health and social outcomes, yet their healthcare utilisation is under-researched. Method: This population-based descriptive cohort study utilised ICES provincial administrative health databases and Canadian Death Vital Statistics to identify adults with FAS via usage of hospital-based services (2002-2013) and examine their demographics, healthcare utilisation, mental health and addiction diagnoses, and mortality during follow-up (2014-2017). Results: 565 adults with FAS were included in the cohort. During the follow-up period, 27% used in-patient psychiatric care; 30% the emergency department 12 + times; 28% were hospitalised at least once; and 17% used home care services. They displayed high rates of physical and mental health comorbidities, substance use disorders, history of abuse, and income from social assistance. Conclusion: Adults with FAS require accessible and extensive healthcare services to address their complex needs and improve long-term outcomes. |
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| ISSN: | 1366-8250 1469-9532 |
| DOI: | 10.3109/13668250.2025.2449677 |
