Details:

• Alternative Title:
  Drug Alcohol Depend
• Personal Author:
  Deputy, Nicholas P. ; Grosse, Scott D. ; Bertrand, Jacquelyn ; Danielson, Melissa L. ; George, Nisha M. ; ... More +

  Deputy, Nicholas P. ; Grosse, Scott D. ; Bertrand, Jacquelyn ; Danielson, Melissa L. ; George, Nisha M. ; Kim, Shin Y. Less -
• Description:
  Background:
  
  Fetal alcohol spectrum disorders (FASDs) are lifelong conditions that can occur in a person with prenatal alcohol exposure. Although studies using intensive, in-person assessments of children in selected communities have found higher estimates of children with FASDs than studies of healthcare claims data, claims-based studies provide more current information about individuals with recognized FASDs from diverse populations. We estimated the proportion of children with administratively reported FASDs in two large healthcare claims databases.
  
  Methods:
  
  We analyzed Merative™ MarketScan® commercial and Medicaid claims databases, that include nationwide data from employer-sponsored health plans and from Medicaid programs in 8–10 states, respectively. For each database, we estimated the proportion of children aged 0–17 with administratively reported FASDs, identified by one inpatient or two outpatient codes for prenatal alcohol exposure or fetal alcohol syndrome during the entire seven-year period from 2015–2021 and during each year.
  
  Results:
  
  During 2015–2021, 1.2 per 10,000 commercially-insured and 6.1 per 10,000 Medicaid-insured children had an administratively reported FASD; estimates varied by sex, geography, and other available demographics. Among commercially-insured children, 0.5 per 10,000 in 2015 and 0.6 per 10,000 children in 2021 had an administratively reported FASD; among Medicaid-insured, 1.2 per 10,000 in 2015 and 2.1 per 10,000 children in 2021 had an administratively reported FASD.
  
  Conclusions:
  
  Although an underestimate of the true population of children with FASDs, patterns in administratively reported FASDs by demographics were consistent with previous studies. Healthcare claims studies can provide timely, ongoing, information about children with recognized FASDs to complement in-persons studies.
  
  
• Subjects:
  [+]

  Adolescent Child Child, Preschool Databases, Factual Female Fetal Alcohol Spectrum Disorders Humans Infant Infant, Newborn Insurance, Health Male Medicaid Pregnancy United States
• Keywords:
  [+]

  Commercial Insurance Fetal Alcohol Spectrum Disorders Healthcare Claims Medicaid Insurance Public Health Surveillance
• Source:
  Drug Alcohol Depend. 263:112420
• Pubmed ID:
  39208694
• Pubmed Central ID:
  PMC11486437
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:5a8da228921e962eb33af377cefac279111d06acf8c978318fa7207bde4c546b343bd124674f3d53fc5d2746048244932aca4354c333810e4f3437b44bd55150
• File Type:

• Supporting Files:
  No Additional Files