Conceiving risk, divergent responses: perspectives on the construction of risk of FASD in six countries

Subst Use Misuse. 2011;46(8):943-58. doi: 10.3109/10826084.2010.527419. Epub 2011 Jan 11.


Conceptualizations of risks related to women's alcohol use during pregnancy, and the attendant response to preventing fetal alcohol spectrum disorder (FASD), are examined in six countries: the United States, Canada, the United Kingdom, Uganda, Uruguay, and China. Considerable differences were found in how risks were conceptualized across countries and in contextual factors that influence research, prevention, and intervention efforts. Differences in conceptualizations were also apparent within countries. Differences also existed in the degree to which the issue of drinking during pregnancy has been minimized or amplified and in whether and how responses are linked to treatment or other public health interventions.

MeSH terms

  • Alcohol Drinking / epidemiology*
  • Canada
  • China
  • Cross-Cultural Comparison
  • Female
  • Fetal Alcohol Spectrum Disorders / prevention & control*
  • Humans
  • Pregnancy
  • Prevalence
  • Risk
  • Risk Factors
  • Uganda
  • United Kingdom
  • United States
  • Uruguay