Language delay in a community cohort of young children
Language delay in a community cohort of young children
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DOI：
10.1097/01.chi.0000046889.27264.5e
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发表时间：
2003-08-01
影响因子：
13.3
通讯作者：
Carter, AS
中科院分区：
文献类型：
--
作者：
Horwitz, SM;Irwin, JR;Carter, AS
目的：研究12 ~ 39个月儿童表达性语言迟缓的患病率与年龄和性别的关系。记录与表达性语言缺陷相关的特征，特别是社交能力和情感/行为问题。方法：在1995年7月至1997年9月期间出生于耶鲁纽黑文医院，居住在纽黑文梅里登标准大都市统计区的儿童的年龄和性别分层随机样本的父母在他们的孩子12至39个月时入组（79.8%参与; N = 1，189）。这些分析的主要结果是表达性语言延迟测量麦克阿瑟交际发展量表，简短的形式。结果：表达性语言延迟的范围从18- 23个月大的13.5%到30 - 36个月大的17.5%。在18到23个月大的时候，如果孩子来自教育程度低、表达能力差、贫穷、父母压力大以及父母担心孩子语言问题的环境，他们更有可能出现拖延。当在多变量模型中调整了社交能力后，行为问题不再与语言延迟相关，这表明社交能力差而不是行为问题可能是低表达性语言发展的关键早期相关因素。结论：表达性语言延迟是一种普遍存在的问题，似乎与社会能力差有关。鉴于这些问题可能是社会和情绪问题的风险因素，早期识别至关重要。
Objective: To document the prevalence of expressive language delay in relation to age and gender in 12- to 39-month-old children. To document the characteristics, particularly social competence and emotional/behavioral problems, related to deficits in expressive language. Method: Parents of an age- and sex-stratified random sample of children born at Yale New Haven Hospital between July 1995 and September 1997 who lived in the New Haven Meriden Standard Metropolitan Statistical Area were enrolled when their children were 12 to 39 months of age (79.8% participation; N = 1,189). The main outcome for these analyses is expressive language delay measured by the MacArthur Communicative Development Inventory, short forms. Results: Expressive language delays range from 13.5% in 18- to 23-month-olds to 17.5% in children 30 to 36 months of age. By 18 to 23 months, children are more likely to experience delays if they come from environments characterized by low education, low expressiveness, poverty, high levels of parenting stress, and parents who report worry about their children's language problems. When social competence is adjusted for in the multivariable model, behavior problems are no longer associated with language delay, suggesting that poor social competence rather than behavior problems may be the critical early correlate of low expressive language development. Conclusions: Expressive language delays are prevalent problems that appear to be associated with poor social competence. Given that such problems may be risk factors for social and emotional problems, early identification is critical.