Parent-reported language skills in relation to otitis media during the first 3 years of life
Parent-reported language skills in relation to otitis media during the first 3 years of life
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DOI：
10.1044/1092-4388(2003/022
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发表时间：
2003-04-01
影响因子：
2.6
通讯作者：
Paradise, JL
中科院分区：
文献类型：
--
作者：
Feldman, HM;Dollaghan, CA;Paradise, JL
作为早期生活中耳炎(OM)对言语、语言、认知和行为潜在影响的更大研究的一部分，我们研究了621名儿童在人口统计学上不同的样本中，父母在1岁、2岁和3岁时报告的语言得分与出生后3年中耳积液(MEE)累积持续时间之间的关联程度。我们通过对中耳状态的前瞻性月度观察和两次就诊之间的内插，估计了发生中耳病变的累积天数百分比。对于每个孩子，父母在1岁、2岁和3岁时完成了麦克阿瑟交往发展量表(CDI；L.Fenson等人，1993)的适当清单。我们还评估了母亲教育作为社会经济地位的替代指标对父母报告得分的贡献。新的CDI-III(B.Oliver等人，在出版中)的得分与社会人口学变量呈正相关，并与儿童较小时使用的CDI得分显著相关。未经调整的1岁和2岁时的得分与相应前期中发生MEE的天数百分比之间的相关性在统计学上没有显著意义，或者临床意义值得怀疑。父母在3岁时报告的分数与儿童在1岁、2岁和3岁时合并MEE的累积天数百分比之间的相关性在-.187到-.248之间(均为p值
As part of a larger study of the potential impact of early-life otitis media (OM) on speech, language, cognition, and behavior, we studied the degree of association between parent-reported language scores at ages 1, 2, and 3 years and the cumulative duration of middle-ear effusion (MEE) during the first 3 years of life in a demographically diverse sample of 621 children. We estimated the cumulative percentage of days with MEE from prospective monthly observations of middle-ear status and interpolations for periods between visits. For each child, parents completed the appropriate inventory of the MacArthur Communicative Development Inventories (CDI; L. Fenson et al., 1993) at ages 1, 2, and 3 years. We also evaluated the contribution of maternal education, as a proxy for socioeconomic status, to scores on the parent reports.Scores on the new CDI-III (B. Oliver et al., in press) varied positively with sociodemographic variables and were significantly correlated with scores from the CDI used when the children were younger. Unadjusted correlations between scores at ages 1 and 2 years and the percentages of days with MEE in the respective antecedent periods were statistically nonsignificant or of questionable clinical importance. The correlations between parent-reported scores at age 3 years and children's cumulative percentage of days with MEE in Years 1, 2, and 3 combined ranged from -.187 to -.248 (all p values