社会经济地位,语音障碍风险和童年语音相关障碍
Robert Brinton Fujiki1,2, Susan L Thibeault2
1Department of Otolaryngology-Head & Neck Surgery, Indiana University School of Medicine, Indianapolis.
JAMA otolaryngology-- head & neck surgery
|September 4, 2025
概括
来自社会经济地位较低家庭的儿童患有较高的语音障碍和与语音有关的障碍. 这突显了与经济背景相关的儿童声部健康差异.
科学领域:
- 儿童健康
- 语音和听力科学
- 健康的社会决定因素
背景情况:
- 语音障碍和社会经济贫困对儿童的生活质量产生负面影响.
- 在儿童群体中,社会经济地位 (SES),语音障碍的患病率和与语音相关的障碍之间的关系仍未得到充分研究.
研究的目的:
- 研究儿童和青少年中SES和语音障碍患病率之间的关联.
- 检查儿童群体中SES和语音相关障碍之间的关系.
主要方法:
- 一项横截面研究调查了1656名美国儿童 (4-12岁,通过代理) 和青少年 (13-17岁).
- 其中包括家庭收入,父母教育,种族/民族和居住地.
- 评估了语音障碍的患病率,语音障碍指数 (VHI) 和儿童语音障碍指数 (P-VHI).
主要成果:
- 年收入低于3万美元的家庭的儿童比年收入高于10万美元的家庭报告发声障碍的可能性高82%.
- 与声音健康的参与者相比,声障碍患者的VHI/P-VHI得分显著更高.
- 在有声障碍的青少年和儿童中,较低的SES与较差的VHI/ P- VHI得分有关.
结论:
- 来自低SES背景的儿童和青少年表现出更高的语音障碍患病率和更大的语音相关障碍.
- 这些发现强调了社会经济因素对儿童声部健康的影响.
- 需要进一步研究以了解潜在的机制并澄清SES语音障碍的关联.
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