All communities nationwide, and especially high-risk women in their childbearing years, need better information about the dangers of drinking during pregnancy. But most health care providers are unfamiliar with and untrained in the issues of substance abuse among pregnant women. FAS/FAE is widely misdiagnosed and under diagnosed and very few medical schools require students to complete a course on the proper diagnosis and referral of individuals with alcoholism and other drug addictions. Broader community education is also vital. Many high-risk women do not receive adequate prenatal care. A USA study found that doctors appear less likely to tell a black woman to quit drinking and smoking during pregnancy than they are to tell a white woman. Pregnant black women were thirty percent more likely than white women to report that they had never been told to quit drinking.