Skip to main content

Advertisement

Log in

Understanding Fetal Alcohol Spectrum Disorders in China

  • Review Article
  • Published:
Journal of Pediatric Neuropsychology Aims and scope Submit manuscript

Abstract

Fetal alcohol spectrum disorder (FASD) is a term which describes a wide range of possible effects caused by prenatal exposure to alcohol, such as fetal alcohol syndrome, alcohol-related neuro-developmental disorders, and other alcohol-related birth defects. This article will review issues relating to FASD in China, which is the most populated country in the world. Information on the epidemiology of alcohol use during pregnancy, particularly as it relates to the unique cultural aspects of China, is provided. It is clear that schools, the government, mental health services, and the medical community do not have a clear conceptualization of serving children with FASD and that FASD-related research in China is lacking. However, there are some noticeable unique FASD prevention strategies in China, including social pressure, the influence of the one-child policy, premarital education, and mandatory premarital examinations. Prevention strategies promoting a decrease in drinking during pregnancy are provided in the form of mandated alcohol warning labels, new polices on alcohol regulation, and an increase in the education level of women. It is important for psychologists to provide cultural-specific suggestions in order to achieve effective and sufficient prevention and intervention for children with FASD concerns in China.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Astley, S. J., & Clarren, S. K. (1995). A fetal alcohol syndrome screening tool. Alcoholism: Clinical and Experimental Research, 19(6), 1565–1571.

    Article  Google Scholar 

  • Becker, G. S., & Lewis, H. G. (1973). On the interaction between the quantity and quality of children. Journal of Political Economy, 81(2), 279–288.

    Article  Google Scholar 

  • Burd, L., Cox, C., Poitra, B., Wentz, T., Ebertowski, M., Martsolf, J. T., … & Klug, M. G. (1999). The FAS Screen: a rapid screening tool for fetal alcohol syndrome. Addiction Biology, 4(3), 329-336.

  • Burd, L., Cox, C., Fjelstad, K., & McCulloch, K. (2000). Screening for fetal alcohol syndrome: is it feasible and necessary? Addiction Biology, 5(2), 127–139.

    Article  PubMed  Google Scholar 

  • Calhoun, F., & Warren, K. (2007). Fetal alcohol syndrome: historical perspectives. Neuroscience and Biobehavioral Reviews, 31, 168–171. doi:10.1016/j.neubiorev.2006.06.023.

  • Chen, S.-Y., Chen, Z.-Y., & Liu, W.-J. (2015). Drinking behavior and risk assessment of pregnant women in Guangzhou. Journal of Tropical Medicine, 15(8), 1121–1124.

    Google Scholar 

  • Cheng, H. G., Deng, F., Xiong, W., & Phillips, M. R. (2015). Prevalence of alcohol use disorders in mainland China: a systematic review. Addiction, 110(5), 761–774. doi:10.1111/add.12876.

    Article  PubMed  Google Scholar 

  • China general standard for the labeling of prepackaged alcoholic beverages (2005) www.szciq.gov.cn/WebEditor/uploadfile/20080814085907230.pdf

  • Chinese Nutrition Society. (2007). Dietary guidelines for Chinese residents. Lhasa: The Tibet People’s Publishing House [in Chinese].

    Google Scholar 

  • Church, M. W., & Gerkin, K. P. (1988). Hearing disorders in children with fetal alcohol syndrome: findings from case reports. Pediatrics, 82(2), 147–154.

    PubMed  Google Scholar 

  • D’Amato, R. C., Wang, Y. Y., & Davis, J. M. (2014). What do we need to know before serving Asian and Asian American Clients? In J. M. Davis & R. C. D’Amato (Eds.), The neuropsychology of Asian-Americans: practical and theoretical considerations (pp. 175–186). New York: Springer.

    Chapter  Google Scholar 

  • Drabble, L. A., Poole, N., Magri, R., Tumwesigye, N. M., Li, Q., & Plant, M. (2011). Conceiving risk, divergent responses: perspectives on the construction of risk of FASD in six countries. Substance Use & Misuse, 46(8), 943–958. doi:10.3109/10826084.2010.527419.

    Article  Google Scholar 

  • Gao, H., Zhao, S., Wang, Y., Zhu, M., Li, J., Shen, W., & Xie, D. (2011). Survey on maternal self-reported alcohol use and childhood behavior associated with prenatal alcohol exposure. Chinese Journal of Child Health Care, 19(5), 423–425.

    Google Scholar 

  • Ge, L. (2002). The scientificization and indiginization of Chinese psychology: the cross-century topic of Chinese psychology development. Jilin University Journal Social Sciences Edition, 2, 000.

    Google Scholar 

  • Hao, W., & Young, D. (2000). Drinking patterns and problems in China. Journal of Substance Use, 5(1), 71–78.

  • Hao, W., Chen, H., & Su, Z. (2005). China: alcohol today. Addiction, 100(6), 737–741. doi:10.1111/j.1360-0443.2005.01036.x.

    Article  PubMed  Google Scholar 

  • Hao, W., Su, Z., & Chen, H. (2007). Drinking and drinking-related problems in China. Nihon Arukoru Yakubutsu Igakkai Zassh, 42(6), 595–601.

    Google Scholar 

  • Hesketh, T. (2003). Getting married in China: pass the medical first. BMJ [British Medical Journal], 326(7383), 277.

    Article  Google Scholar 

  • Hong, Y., Li, X., Fang, X., & Zhao, R. (2007). Correlates of suicidal ideation and attempt among female sexworkers in China. Health Care Women International, 28(5), 490–505.

    Article  Google Scholar 

  • Huang, Z. (1980). 3 cases on FASD infancies with abnormal liver. Foreign Medical Sciences within Volume, 2, 84.

    Google Scholar 

  • Jones, K., & Smith, D. (1973). Recognition of the fetal alcohol syndrome in early infancy. The Lancet, 302(7836), 999–1001.

    Article  Google Scholar 

  • Koren, G., Nulman, I., Chudley, A. E., & Loocke, C. (2003). Fetal alcohol spectrum disorder. Canadian Medical Association Journal, 169(11), 1181–1185.

    PubMed  PubMed Central  Google Scholar 

  • Li, Z., Arthur, D., Wu, X. J., Gao, F. L., Ma, Y. F., & Song, S. M. (2006). The effect of a brief intervention for problem drinkers in a Beijing general hospital: a randomized controlled trial. China Journal of Nursing, 41, 585–588.

    Google Scholar 

  • Li, Y., Peng, Y., Liang, B., Liao, Y., & Long, L. (2007). Ethanol administrations in pregnant rats cause morphological changes in fetus. Chinese Journal of Reproductive Health, 18(6), 357–359.

    Google Scholar 

  • Li, Y. Z., Liu, Z., Li, H. J., Ma, J. H., Sun, Y. T., & Wang, L. J. (2010). Study of early intervention in hazardous and harmful drinkers. China Journal of Health Psychology, 18, 397–400.

    Google Scholar 

  • Li, Y., Jiang, Y., Zhang, M., Yin, P., Wu, F., & Zhao, W. (2011). Drinking behaviour among men and women in China: the 2007 China chronic disease and risk factor surveillance. Addiction, 106(11), 1946–1956. doi:10.1111/j.1360-0443.2011.03514.x.

    Article  PubMed  Google Scholar 

  • Lukas, S. E., Penetar, D., Berko, J., Vicens, L., Palmer, C., Mallya, G., … & Lee, D. Y. W. (2005). An extract of the Chinese herbal root kudzu reduces alcohol drinking by heavy drinkers in a naturalistic setting. Alcoholism: Clinical and Experimental Research, 29(5), 756-762.

  • Newman, I. (2002). Cultural aspects of drink alcohol controls in China. Retrieved 2/11/2016, from http://www.ias.org.uk/resources/publications/theglobe/globe200201/gl200201.pdf

  • Peng, C. Z., & Burd, L. (2006). An introduction to screening instruments and diagnostic criteria for fetal alcohol spectrum disorder. Chinese Journal of Clinical Psychology, 14(5).

  • Ren, A., Zhang, L., Hao, L., Li, Z., & Tian, Y. (2007). Comparison of blood folate levels among pregnant Chinese women in areas with high and low prevalence of neural tube defects. Public Health Nutrition, 10(8), 762–768.

    Article  PubMed  Google Scholar 

  • Rui, C., & Cai, C. (1989). Hearing impaired children with fetal alcohol spectrum syndrome. International Journal of Otolaryngology Head and Neck Surgery, 6, 362.

    Google Scholar 

  • Shi, Y., & Zhang, J. (1996). Discussion on the premarital education among urban unmarried young people. China Population Science, 6, 44–46.

    Google Scholar 

  • Short, S. E., & Zhang, F. (2004). Use of maternal health services in rural China. Population Studies, 58(1), 3–19.

    Article  PubMed  Google Scholar 

  • Streissguth, A. P., Bookstein, F. L., Barr, H. M., Press, S., & Sampson, P. D. (1998). A fetal alcohol behavior scale. Alcoholism: Clinical and Experimental Research, 22(2), 325–333.

    Article  Google Scholar 

  • Su, L. Y., Li, X. R., Luo, X. R., Yang, Z. W., & Wan, G. B. (1996) The standardized study of Achenbach Child Behavior Checklist in Hunan. Chinese Journal of Clinical Psychology, 4(1), 24–28.

  • Sun, X. H., Li, X. Y., & Phillips, M. R. (2009). A cross-sectional survey of the awareness of common mental disorders among urban and rural residents in Northern China. Chinese Mental Health Journal, 23, 729–733.

    Google Scholar 

  • Tang, Y. L., Xiang, X. J., Wang, X. Y., Cubells, J. F., Babor, T. F., & Hao, W. (2013). Alcohol and alcohol-related harm in China: policy changes needed. Bulletin of the World Health Organization, 91(4), 270–276.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thomas, G., Gonneau, G., Poole, N., & Cook, J. (2014). The effectiveness of alcohol warning labels in the prevention of fetal alcohol spectrum disorder: a brief review. The International Journal of Alcohol and Drug Research, 3(1), 91–103. doi:10.7895/ijadr.v3i1.126.

    Article  Google Scholar 

  • van Schalkwyk, G. J., & D’Amato, R. C. (Eds.). (2015). From the Confucian way to collaborative knowledge co-construction: new directions for teaching and learning. New York, NY: Jossey-Bass/Wiley. [Also published as a Special Journal Issue]. ISBN: 978-1-119-16949-9.

  • Vaurio, L., Riley, E. P., & Mattson, S. N. (2011). Neuropsychological comparison of children with heavy prenatal alcohol exposure and an IQ-matched comparison group. Journal of the International Neuropsychological Society, 17(03), 463–473.

  • Wang, X., & Zhao, J. (1985). 2 cases in fetal alcohol syndrome. Clinical Medicine, 6, 54–55.

    Google Scholar 

  • Wang, B., Li, X., Stanton, B., Zhang, L., & Fang, X. (2010a). Alcohol use, unprotected sex, and sexually transmitted infections among female sex workers in China. Sexually Transmitted Diseases, 37(10), 629.

    PubMed  PubMed Central  Google Scholar 

  • Wang, Z., Guo, Y., Liu, Z., Cui, T., Yu, S., & Chen, Y. (2010b). Questionnaire survey on status and related issues of women drinker. Chinese Journal of Health Education, 26(3), 212–214.

    Google Scholar 

  • Wang, P., Wang, X., Fang, M., & Vander Weele, T. J. (2013). Factors influencing the decision to participate in medical premarital examinations in Hubei Province, Mid-China. BMC Public Health, 13(1), 217.

    Article  PubMed  PubMed Central  Google Scholar 

  • Warren, K. R., & Foudin, L. L. (2001). Alcohol-related birth defects-the past, present, and future. Alcohol Research and Health, 25(3), 153–158.

    PubMed  Google Scholar 

  • Wattendorf, D. J., & Muenke, M. (2005). Fetal alcohol spectrum disorders. American Family Physician, 72(2), 279–282.

    PubMed  Google Scholar 

  • Wei, S. (2011). Fetal alcohol spectrum disorders and changes in brain structure and behavior. Anatomical Studies, 33(5), 381–384.

    Google Scholar 

  • World Health Organization. (2010). Global strategy to reduce the harmful use of alcohol. Retrieved 2/11/2016, from http://www.who.int/substance_abuse/activities/gsrhua/en/

  • Xu, H. (2011). Strengthen pre-marital health education to promote prenatal and postnatal care. Chinese Primary Health Care, 25(2), 47.

    Google Scholar 

  • Yang, H., Li, X., Stanton, B., Chen, X., & Liu, H. (2005). HIV related risk factors associated with commercial sex among female migrants in China. Health Care for Women International, 26(2), 134–148.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang, C., Li, X., Stanton, B., Hong, Y., Chen, Y., Shan, Q., … & Zhou, Y. (2013). Alcohol use and client-perpetrated sexual violence against female sex workers in China. Psychology, Health & Medicine, 18(3), 330-342.

  • Zhao, D., Zhang, R., Zhou, B., Huang, L., Hunag, E., Hu, Z., & Gu, W. (2015). Maternal health nutrition status and health behavior survey among 123 pregnant women. Zhejiang Journal of Preventive Medicine, 27(8), 835–837.

    Google Scholar 

  • Zhu, W. X. (2003). The one child family policy. Archives of Disease in Childhood, 88(6), 463–464.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rik Carl D’Amato.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, Y.Y., D’Amato, R.C. Understanding Fetal Alcohol Spectrum Disorders in China. J Pediatr Neuropsychol 3, 53–60 (2017). https://doi.org/10.1007/s40817-017-0029-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40817-017-0029-0

Keywords

Navigation