社会经济地位和家庭语言对植入儿童的沟通方式的影响
Nancy M Young1,2,3, Denise Thomas4, Elizabeth Tournis4
1Division of Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
社会经济地位显著影响带有耳植入物 (CI) 的儿童的口语结果. 较高的社会经济地位和只讲英语的家庭与CI后更好的单口沟通有关.
科学领域:
- 儿科听力学 儿科听力学
- 语音语言病理学 语言病理学
- 健康的社会经济决定因素
背景情况:
- 耳植入器 (CI) 是对患有严重到严重听力损失的儿童的关键干预措施.
- 影响CI后沟通模式的因素,特别是社会经济地位 (SES) 和家庭语言,需要进一步调查.
研究的目的:
- 研究社会经济地位 (SES) 和家庭语言对儿童在耳植入器 (CI) 后取得的沟通模式的影响.
主要方法:
- 对176名在37个月前植入的儿童进行了回顾性分析.
- 数据包括保险类型 (SES代理),家庭语言,康复模式,CI年龄和语音感知.
- 用回归分析来确定纯口语沟通的预测因素.
主要成果:
- 有商业保险的儿童 (较高的SES) 实现口头单独沟通的频率明显高 (84.9%) 比医疗补助计划的儿童 (33.7%).
- 较高的SES和只说英语的家庭与更高的纯口语沟通率有关.
- SES是单口沟通最强的预测因素,其次是语音感知和植入时的年龄,占差异的44%.
结论:
- 社会经济地位是影响小孩接受耳植入物的口语结果的主要因素.
- 虽然双语或西班牙语家庭的单口沟通率较低,但这主要归因于较低的SES和较大的植入年龄,而不是语言暴露本身.
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