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Language development and assessment in children with human immunodeficiency virus: 3 to 6 years

T L Layton1, G S Scott

  • 1Department of Communication Disorders, North Carolina Central University, Durham 27707, USA.

Seminars in Speech and Language
|April 18, 2000
PubMed

Insights

Human immunodeficiency virus (HIV) infection in young children (ages 3-6) can cause speech and language impairments. This overview details communication disorders, medical issues, and assessment in these children.

Area of Science:

  • Pediatric infectious diseases
  • Developmental neuroscience
  • Speech-language pathology

Background:

  • Human immunodeficiency virus (HIV) impacts child development.
  • Early childhood (3-6 years) is a critical period for communication skills.

Observation:

  • HIV-infected and -exposed children exhibit diverse speech, language, and communication challenges.
  • Medical comorbidities associated with HIV can affect cognitive and linguistic development.

Findings:

  • Specific communication disorders observed in this population include expressive and receptive language delays, articulation deficits, and pragmatic impairments.
  • Assessment requires a multidisciplinary approach, considering both direct HIV effects and indirect impacts from medical conditions.

Implications:

  • Early identification and intervention are crucial for mitigating long-term communication deficits in children with HIV.
  • Further research is needed to understand the neurobiological underpinnings of communication disorders in pediatric HIV.
  • Clinical guidelines should incorporate comprehensive communication assessments for all HIV-affected children.

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