
This study examines the relationships between the dose, pattern, and timing of prenatal alcohol exposure and achievement in reading, writing, spelling, and numeracy in children aged 8 to 9 years.
Data from a randomly selected, population-based birth cohort of infants born to non-Indigenous women in Western Australia                        between 1995 and 1997 (n = 4714) (Randomly Ascertained Sample of Children born in Australia’s Largest State Study cohort) were linked to the Western                        Australian Midwives’ Notification System and the Western Australian Literacy and Numeracy Assessment statewide education testing                        program. The records for 86% (n = 4056) of the cohort were successfully linked with education records when the children were aged 8 to 9 years. The associations                        between prenatal alcohol exposure and achievement of national benchmarks in school numeracy, reading, spelling, and writing                        tests and nonattendance for the tests was examined. Logistic regression was used to generate adjusted odds ratios (aOR) and                        95% confidence intervals (CI), adjusting for potential confounding factors. The referent group included children of mothers                        who previously drank alcohol but who abstained during pregnancy.                     
The type of learning problems expressed depends on the dose, pattern, and timing of prenatal alcohol exposure. 
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