OTITIS-MEDIA IN INFANCY AND INTELLECTUAL ABILITY, SCHOOL-ACHIEVEMENT, SPEECH, AND LANGUAGE AT AGE 7 YEARS
OTITIS-MEDIA IN INFANCY AND INTELLECTUAL ABILITY, SCHOOL-ACHIEVEMENT, SPEECH, AND LANGUAGE AT AGE 7 YEARS
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DOI：
10.1093/infdis/162.3.685
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发表时间：
1990-09-01
影响因子：
6.4
通讯作者：
ROSNER, BA
中科院分区：
文献类型：
--
作者：
TEELE, DW;KLEIN, JO;ROSNER, BA
为了确定中耳疾病的智力和语言后遗症，从498名儿童中随机选择207名儿童，从出生到7岁进行前瞻性随访。在控制了混杂变量后，生命前3年中耳积液（MEE）的估计时间与7岁时认知能力、言语和语言测试以及学校表现的较低分数显著相关。经校正的全量表平均WISC-R分别为：最少MEE时间组为113.1，中度MEE时间组为107.5，最多MEE时间组为105.4。在语言和表现智商得分上也发现了类似的显著差异。在大都会成就测试中，我们发现3岁前的中耳疾病与数学和阅读成绩显著降低有关。在发音和形态学标记的使用上也发现了类似的差异。在考虑了生命前3年与MEE相处的时间后，3岁以后的时间并不是任何测试得分的显著预测因子。
To determine intellectual and linguistic sequelae of middle ear disease, 207 children were randomly selected from a cohort of 498 followed prospectively from birth until age 7 years. After controlling for confounding variables, estimated time spent with middle ear effusion (MEE) during the first 3 years of life was significantly associated with lower scores on tests of cognitive ability, speech and language, and school performance at age 7 years. The adjusted mean full-scale WISC-R were 113.1 for those with least time with MEE, 107.5 for those with moderate time, and 105.4 for those with most time. Similar significant differences were found for verbal and performance IQ scores. For the Metropolitan Achievement Test, we found that middle ear disease in the first 3 years of life was associated with significantly lower scores in mathematics and reading. Similar differences were found for articulation and use of morphologic markers. After considering time spent with MEE during the first 3 years of life, time spent after age 3 years was not a significant predictor of scores on any of the tests administered.