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Updated: Jun 21, 2026
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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Early language delay and predictive factors in children aged 2 years
Benjamas Prathanee1, Suzanne C Purdy, Bandit Thinkhamrop
1Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. benjamas@kku.ac.th
Summary
Low birth weight, male gender, and delayed milestones like first words or walking are key predictors of early language delay (ELD) in Thai children. Living in a district environment showed a protective effect against ELD.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Early language delay (ELD) affects child development and has long-term implications.
- Identifying predictive factors is crucial for timely intervention and support.
Purpose of the Study:
- To investigate predictive factors for early language delay (ELD) in Thai children at 2 years of age.
- To analyze biological and environmental influences on language development in a prospective cohort.
Main Methods:
- A prospective cohort study involving 3,905 children in Thailand.
- Secondary data retrieval using the Language Development Survey (LDS) to identify ELD.
- Logistic regression analysis to determine associations between various factors and ELD.
Main Results:
- The incidence of ELD at 2 years was 11.68%.
- Significant risk factors included low birth weight (<2500g), male gender, later birth order, and delayed milestones (no first word or walking by 1 year).
- Maternal occupation as a laborer or no occupation was also a risk factor, while district living acted as a protective factor.
Conclusions:
- Identified risk factors necessitate clinical attention for early language delay (ELD) and family counseling.
- Further longitudinal studies with detailed data are recommended to refine understanding of ELD and specific language impairment (SLI) predictors.
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