发育性语言障碍的患病率,同时出现的困难和风险因素:在基于人口的研究中,对普通话儿童的第一个证据是基于人口的研究
Saishuang Wu1, Jin Zhao1, Jill de Villiers2,3
1Department of Developmental and Behavioral Pediatrics, National Children's Medical Center, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
The Lancet regional health. Western Pacific
|June 7, 2023
概括
发育性语言障碍 (DLD) 影响了上海8.5%的儿童,社会情绪和行为问题的比率更高. 缺乏亲子互动和幼儿园质量较差增加了DLD风险.
科学领域:
- 儿童发展 儿童发展
- 语言学的语言学.
- 公共卫生 公共卫生
背景情况:
- 发育性语言障碍 (DLD) 是一种研究不足的疾病,影响儿童的学业成绩.
- 估计DLD患病率和确定风险因素对于干预至关重要.
研究的目的:
- 为了确定上海的DLD流行率.
- 为了比较DLD儿童与典型发育 (TD) 的同时出现的困难.
- 调查与DLD相关的早期风险因素.
主要方法:
- 基于人口的调查与集群随机抽样在上海.
- 对5-6岁儿童的子样本进行现场评估.
- 调整了采样权重以分析风险因素的回归模型.
主要成果:
- DLD 的流行率为 8.5% (95% CI 6.3-11.5).
- 患有DLD的儿童表现出明显更高的社会情感行为困难率,低的非语言智商和不良的学校准备.
- 缺乏亲子互动多样性 (aOR=3.08) 和较低的幼儿园水平 (aOR=6.15) 与DLD风险增加有关.
结论:
- 该研究强调了DLD的严重流行及其相关挑战.
- 家庭和幼儿园环境是导致DLD的关键因素.
- 需要在家庭,学校和临床环境中协调努力,以支持患有DLD的儿童.
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