Group Koponen

ADEF Helsinki (alcohol or drug exposure during fetal life)

This register based study investigates: 1) welfare of women with alcohol/substance abuse problem identified during pregnancy, 2) welfare and overall developmental outcome of children born to these women, and 3) risk and protective factors associated with developmental outcome of children.

Alcohol/substance abuse during pregnancy is a severe risk for health of the exposed baby, and endangers mother’s health as well. In Finland, approximately a total of 3500 exposed children are born every year, of which at least 600-1700 are exposed to heavy alcohol use. Adverse living environments can increase neurocognitive abnormalities caused by prenatal alcohol/substance exposure. Follow-up studies up to adult age, especially studies investigating in detail the impact of the caregiving environment on developmental outcome of children, are needed.

This study investigates: 1) welfare of women with abuse problem identified during pregnancy, 2) welfare and overall developmental outcome of children born to these women, 3) risk and protective factors associated with developmental outcome of children, and 4) changes in drinking/substance use patterns among pregnant women (at the group level).

Two cohorts are used:

1. Cohort 1992-2001: A 14-23-year follow-up of pregnant women with identified alcohol and/or substance abuse problem (n=524) referred to 3 special antenatal clinics in Helsinki metropolitan area for pregnancy follow-up, and their children (n=638), and 1914 control mother-child dyads. The data will be collected in 2017.

2. Cohort 2002-2011: A similar data (a 4-13-year follow-up) will be collected.

Medical records data of women with abuse problems and their children are linked with register data collected from national health and welfare registers, and compared with register data of control mother-child-dyads. Data are analyzed by quantitative methods. Associations between independent, moderating and dependent variables are analyzed. Risk indexes are created, and incidence and prevalence figures of the cohorts are calculated per 100 or 1000 children. Scientific knowledge is needed in order to create effective intervention methods and services to mothers and children who run a great risk of marginalization in society, and is important for all authorities within the fields of social and health services, education and employment.

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Anne M. Koponen, PhD, Adjunct Professor

Koponen, A. M., Kalland, M., Autti-Rämö, I., Laamanen, R., & Suominen, S. (2013). Socio-emotional development of children with Foetal Alcohol Spectrum Disorders in long-term foster family care: A qualitative study. Nordic Social Work Research, 3(1), 38-58. DOI:10.1080/2156857X.2013.766234

Koponen, A. M., Kalland, M. & Autti-Rämö, I. (2009). Caregiving environment and socio-emotional development of foster-placed FASD-children. Children and Youth Services Review31, 1049-1056.

Koponen, A. (2006). Sikiöaikana päihteille altistuneiden lasten kasvuympäristö ja kehitys. [Life of children exposed to alcohol or drugs in utero]. The Kotu Research Publications 5. Helsinki: Finnish Association on Intellectual and Developmental Disabilities. (Doctoral dissertation, Faculty of Social Sciences, Department of Social Research, University of Helsinki, Finland, 172 pages, English abstract included.)

Koponen, A. (2004). Vaietut kohtalot: Sikiöaikana päihteille altistuneet lapset.[Silent fate. Children exposed to alcohol or drugs in utero]. The Kotu Research Publications 1. Helsinki: Finnish Association on Intellectual and Developmental Disabilities. (The first publication of the compilation-based doctoral dissertation, 96 pages, English abstract included.)

Koponen, A. (2005a). Katkennein siivin elämään: Sikiöaikana päihteille altistuneet lapset. [Born with clipped wings: Children exposed to alcohol or drugs in utero]. The Kotu Research Publications, 2. Helsinki: Finnish Association on Intellectual and Developmental Disabilities. (The second publication of the compilation-based doctoral dissertation, 174 pages, English abstract included.)

Koponen, A. (2005b). Haavoittuva lapsi: Sikiöaikana alkoholille altistuneiden lasten elämä. [Vulnerable children. Life of children exposed to alcohol in utero]. The Kotu Research Publications 4. Helsinki: Finnish Association on Intellectual and Developmental Disabilities. (The third publication of the compilation-based doctoral dissertation, 144 pages, English abstract included.)

 

Juho Vainio Foundation

Medicinska understödsföreningen Liv och Hälsa

Hanna Kahila, MD, PhD

Mika Gissler, Professor

Ilona Autti-Rämö, MD, Professor

Taisto Sarkola, MD, PhD

Contact

    • Anne Maarit Koponen

      PhD, Senior Scientist

    • Tel:
      +358 50 323 4025

    • Contact