Heavy prenatal alcohol exposure and healthcare use during childhood and adolescence: a Danish nationwide cohort study 1997–2022

Heavy prenatal alcohol exposure (PAE) poses significant risks to child development and long-term health outcomes. This Danish nationwide cohort study, published in the European Journal of Epidemiology, examines the healthcare utilisation patterns of children with heavy PAE compared to their peers. Drawing on linked data from eight national registries covering births between 1997 and 2020, the study reveals that children with heavy PAE have markedly higher use of general practitioners and hospital services, particularly psychiatric care, yet are less likely to participate in preventive child health programs. These findings underscore both the heightened health needs and systemic barriers faced by this vulnerable population, highlighting the critical need for early intervention, inclusive care models, and increased health system responsiveness.


Reflection for FASD Instructional Coaches

This study reinforces what we often observe in our work:, children with FASD have higher health and mental health needs, yet families may face barriers accessing even basic preventive care. As FASD Instructional Coaches, it’s a reminder of the critical role we play in bridging those gaps, by fostering strong, trusting relationships with caregivers and educators, promoting early identification and support, and helping create school environments that are responsive, trauma-informed, and inclusive. Our work is not just about supporting learning, but about helping schools become part of a broader system of care that wraps around the child and family.

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