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 shortterm 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.
Mots-clés Pascal : Alcoolisme, Consommation, Boisson alcoolisée, Complication, Facteur risque, Syndrome alcoolique foetal, Maladie congénitale, Programme sanitaire, Prévention, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Alcoholism, Consumption, Alcoholic beverage, Complication, Risk factor, Fetal alcohol syndrome, Congenital disease, Sanitary program, Prevention, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0005723
Code Inist : 002B30A03B. Création : 01/03/1996.