Prevalence, severity and risk factors for speech disorders in US children
the National Survey of Children’s Health
DOI:
https://doi.org/10.1558/jmbs.20879Keywords:
Speech disorders, prevalence, severity, predictors, bilingual, monolingual, childrenAbstract
Data from the US National Survey of Children’s Health for years 2007, 2011–2012, 2016 and 2017, based on parent report, were analysed to determine the prevalence, severity and specific risk factors (bilingualism, comorbidity, age, sex) for speech disorders. The prevalence of speech disorders was lower for children who are bilingual, without comorbidity, older and females. Parents of children who are bilingual, with comorbidity and in the youngest and oldest age groups were more likely to report moderate or severe symptoms. Unlike prior reports based on smaller samples, findings indicate that bilingual children are not at higher risk for speech disorders.
References
Ambrose, N. G., Cox, N. J. & Yairi, E. (1997). The genetic basis of persistence and recovery in stuttering. Journal of Speech, Language, and Hearing Research, 40(3), 567–80. https://doi.org/10.1044/jslhr.4003.567
Arshad, H., Ghayas, M. S., Ghyas, R. & Shabbir, M. (2013). Patterns and risk factors associated with speech sounds and language disorders in Pakistan. Annals of King Edward Medical University, 19(3), 226.
ASHA. (2020). Speech and language disorders. Retrieved from www.asha.org/public/speech/disorders.
Bialystok, E., Craik, F. & Luk, G. (2012). Bilingualism: consequences for mind and brain. Trends in Cognitive Sciences, 16(4), 240–50. https://doi.org/10.1016/j.tics.2012.03.001
Broomfield, J. & Dodd, B. (2004). The nature of referred subtypes of primary speech disability. Child Language Teaching and Therapy, 20(2), 135–51. https://doi.org/10.1191/0265659004ct267oa
Byrd, C. T., Bedore, L. M. & Ramos, D. (2015). The disfluent speech of bilingual Spanish–English children: considerations for differential diagnosis of stuttering. Language, Speech, and Hearing Services in Schools, 46(1), 30–43. https://doi.org/10.1044/2014_LSHSS-14-0010
Byrd, C. T., Haque, A. N. & Johnson, K. (2016). Speech-language pathologists’ perception of bilingualism as a risk factor for stuttering. Journal of Communication Disorders, Deaf Studies & Hearing Aids, 4, 1–6. https://doi.org/10.4172/2375-4427.1000158
Byrd, C. T., Werle, D., Coalson, G. A. & Eggers, K. (2020). Use of monolingual English guidelines to assess stuttering in bilingual speakers: a systematic review. Journal of Monolingual and Bilingual Speech, 2(1), 1–23. https://doi.org/10.1558/jmbs.12733
Casey, B., Giedd, J. N. & Thomas, K. M. (2000). Structural and functional brain development and its relation to cognitive development. Biological Psychology, 54(1–3), 241–57. https://doi.org/10.1016/S0301-0511(00)00058-2
Child and Adolescent Health Measurement Initiative. (2007–2017). National Survey of Children’s Health. Retrieved from www.childhealthdata.org/learn-about-the-nsch/NSCH
Choo, A. L., & Smith, S. A. (2020). Bilingual children who stutter: Convergence, gaps and directions for research. Journal of Fluency Disorders, 63, 105741. https://doi.org/10.1016/j.jfludis.2019.105741
Choo, A. L., Smith, S. A., & Li, H. (2020). Associations between stuttering, comorbid conditions and executive function in children: a population-based study. BMC Psychology, 8(1), 113. https://doi.org/10.1186/s40359-020-00481-7
Dale, P. S. & Hayden, D. A. (2013). Treating speech subsystems in childhood apraxia of speech with tactual input: the PROMPT approach. American Journal of Speech-Language Pathology, 22(4), 644–61. https://doi.org/10.1044/1058-0360(2013/12-0055)
De Bellis, M. D., et al. (2001). Sex differences in brain maturation during childhood and adolescence. Cerebral Cortex, 11(6), 552–57. https://doi.org/10.1093/cercor/11.6.552
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–68. https://doi.org/10.1146/annurev-psych-113011-143750
Donders, J. & Woodward, H. R. (2003). Gender as a moderator of memory after traumatic brain injury in children. The Journal of Head Trauma Rehabilitation, 18(2), 106–15. https://doi.org/10.1097/00001199-200303000-00002
Dworzynski, K., Ronald, A., Bolton, P. & Happé, F. (2012). How different are girls and boys above and below the diagnostic threshold for autism spectrum disorders? Journal of the American Academy of Child & Adolescent Psychiatry, 51(8), 788–97. https://doi.org/10.1016/j.jaac.2012.05.018
Felsenfeld, S., van Beijsterveldt, C. E. M. & Boomsma, D. I. (2010). Attentional regulation in young twins with probable stuttering, high nonfluency, and typical fluency. Journal of Speech, Language, and Hearing Research, 53(5), 1147–66. https://doi.org/10.1044/1092-4388(2010/09-0164)
Firozjaei, A. K. (2013). Prevalence of stuttering in bilingual and monolingual primary schools. International Research Journal of Applied and Basic Sciences, 4(6), 1328–31.
Fox, A. V., Dodd, B. & Howard, D. (2002). Risk factors for speech disorders in children. International Journal of Language & Communication Disorders, 37(2), 117–31. https://doi.org/10.1080/13682820110116776
Geelhand, P., Bernard, P., Klein, O., van Tiel, B. & Kissine, M. (2019). The role of gender in the perception of autism symptom severity and future behavioral development. Molecular Autism, 10(1), 16. https://doi.org/10.1186/s13229-019-0266-4
Goulart, B. N. G. & Chiari, B. M. (2007). Prevalence of speech disorders in school-children and its associated factors. Revista de saude publica, 41, 726–31. https://doi.org/10.1590/S0034-89102007000500006
Guitar, B. (2014). Stuttering: An Integrated Approach to Its Nature and Treatment, 4th edition. Baltimore, MD: Williams & Wilkins.
Gur, R. C., et al. (2012). Age group and sex differences in performance on a computerized neurocognitive battery in children age 8-21. Neuropsychology, 26(2), 251. https://doi.org/10.1037/a0026712
Hambly, H., Wren, Y., McLeod, S. & Roulstone, S. (2013). The influence of bilingualism on speech production: a systematic review. International Journal of Language and Communication Disorders, 48(1), 1–24. https://doi.org/10.1111/j.1460-6984.2012.00178.x
Harrison, L. J. & McLeod, S. (2010). Risk and protective factors associated with speech and language impairment in a nationally representative sample of 4-to 5-year-old children. Journal of Speech, Language, and Hearing Research, 53, 508–29. https://doi.org/10.1044/1092-4388(2009/08-0086)
Howell, P. & Davis, S. (2011). Predicting persistence of and recovery from stuttering by the teenage years based on information gathered at age 8 years. Journal of Developmental and Behavioral Pediatrics, 32(3), 196–205. https://doi.org/10.1097/DBP.0b013e31820fd4a9
Hurtig, T., et al. (2007). ADHD and comorbid disorders in relation to family environment and symptom severity. European Child & Adolescent Psychiatry, 16(6), 362–9. https://doi.org/10.1007/s00787-007-0607-2
IBM Corp. (2017). IBM SPSS statistics for Windows, version 25.0. Armonk, NY: IBM Corp.
Jang, J. & Matson, J. L. (2015). Autism severity as a predictor of comorbid conditions. Journal of Developmental and Physical Disabilities, 27(3), 405–15. https://doi.org/10.1007/s10882-015-9421-9
Keating, D., Turrell, G. & Ozanne, A. (2001). Childhood speech disorders: reported prevalence, comorbidity and socioeconomic profile. Journal of Paediatrics and Child Health, 37(5), 431–6. https://doi.org/10.1046/j.1440-1754.2001.00697.x
Kefalianos, E., et al. (2017). The history of stuttering by 7 years of age: follow-up of a prospective community cohort. Journal of Speech, Language, and Hearing Research, 60(10), 2828–39. https://doi.org/10.1044/2017_JSLHR-S-16-0205
Law, J., Boyle, J., Harris, F., Harkness, A. & Nye, C. (2000). Prevalence and natural history of primary speech and language delay: findings from a systematic review of the literature. International Journal of Language and Communication Disorders, 35, 165–88. https://doi.org/10.1080/136828200247133
Loomes, R., Hull, L. & Mandy, W. P. L. (2017). What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466–74. https://doi.org/10.1016/j.jaac.2017.03.013
Lord, C., et al. (2000). The Autism Diagnostic Observation Schedule–Generic: a standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–23. https://doi.org/10.1023/A:1005592401947
Lord, C., Rutter, M. & Le Couteur, A. (1994). Autism Diagnostic Interview–Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–85. https://doi.org/10.1007/BF02172145
Masuadi, E., Mohamud, M., Almutairi, M., Alsunaidi, A., Alswayed, A. K. & Aldhafeeri, O. F. (2021). Trends in the usage of statistical software and their associated study designs in health sciences research: a bibliometric analysis. Cureus, 13(1). https://doi.org/10.7759/cureus.12639
Maydeu-Olivares, A. 2000. Review of MPLUS. Multivariate Behavioral Research, 35(4), 501–5. https://doi.org/10.1207/S15327906MBR3504_04
McCormack, J., McLeod, S., McAllister, L. & Harrison, L. J. (2009). A systematic review of the association between childhood speech impairment and participation across the lifespan. International Journal of Speech-Language Pathology, 11(2), 155–70. https://doi.org/10.1080/17549500802676859
McKinnon, D. H., McLeod, S. & Reilly, S. (2007). The prevalence of stuttering, voice, and speech-sound disorders in primary school students in Australia. Language, Speech, and Hearing Services in Schools, 38(1), 5–15. https://doi.org/10.1044/0161-1461(2007/002)
Muthén, L. K. & Muthén, B. O. (1998–2017). Mplus users guide: statistical analysis with latent variables. Los Angeles, CA: Muthén & Muthén.
National Clearinghouse for English Language Acquisition. (2020). Students with disabilities who are English language learners. Retrieved from https://ncela.ed.gov/files/fast_facts/05–19–2017/ELStudentsWithDisabilities_FastFacts_4p.pdf.
Nayeb, L., Wallby, T., Westerlund, M., Salameh, E.-K. & Sarkadi, A. (2015). Child healthcare nurses believe that bilingual children show slower language development, simplify screening procedures and delay referrals. Acta Paediatrica, 104(2), 198–205. https://doi.org/10.1111/apa.12834
Newcorn, J. H., et al. (2001). Symptom profiles in children with ADHD: effects of comorbidity and gender. Journal of the American Academy of Child & Adolescent Psychiatry, 40(2), 137–46. https://doi.org/10.1097/00004583-200102000-00008
Newmeyer, A. J., et al. (2007). Fine motor function and oral-motor imitation skills in preschool-age children with speech-sound disorders. Clinical Pediatrics, 46(7), 604–11. https://doi.org/10.1177/0009922807299545
Nowak, S. & Jacquemont, S. (2020). The effects of sex on prevalence and mechanisms underlying neurodevelopmental disorders. In A. Gallagher, C. Bulteau, D. Cohen & J. L. Michaud (eds), Handbook of clinical neurology, vol. 173 (pp. 327–39). Cambridge, MA: Elsevier. https://doi.org/10.1016/B978-0-444-64150-2.00025-3
Ohashi, H. & Ostry, D. J. (2021). Neural development of speech sensorimotor learning. Journal of Neuroscience, 41(4), 4023–35. https://doi.org/10.1523/JNEUROSCI.2884-20.2021
Paap, K. R., Johnson, H. A. & Sawi, O. (2014). Are bilingual advantages dependent upon specific tasks or specific bilingual experiences? Journal of Cognitive Psychology, 26(6), 615–39. https://doi.org/10.1080/20445911.2014.944914
Peterson, R. L., Pennington, B. F., Shriberg, L. D. & Boada, R. (2009). What influences literacy outcome in children with speech sound disorder? Journal of Speech, Language, and Hearing Research, 52(5), 1175–88. https://doi.org/10.1044/1092-4388(2009/08-0024)
Raghavan, R., Camarata, S., White, K., Barbaresi, W., Parish, S. & Krahn, G. (2018). Population health in pediatric speech and language disorders: available data sources and a research agenda for the field. Journal of Speech, Language, and Hearing Research, 61(5), 1279–91. https://doi.org/10.1044/2018_JSLHR-L-16-0459
Ratto, A. B., Reznick, J. S. & Turner-Brown, L. (2016). Cultural effects on the diagnosis of autism spectrum disorder among Latinos. Focus on Autism and Other Developmental Disabilities, 31(4), 275–83. https://doi.org/10.1177/1088357615587501
Redle, E., et al. (2015). Functional MRI evidence for fine motor praxis dysfunction in children with persistent speech disorders. Brain Research, 1597, 47–56. https://doi.org/10.1016/j.brainres.2014.11.047
Robinson, E. B., Lichtenstein, P., Anckarsäter, H., Happé, F. & Ronald, A. (2013). Examining and interpreting the female protective effect against autistic behavior. Proceedings of the National Academy of Sciences, 110(13), 5258–62. https://doi.org/10.1073/pnas.1211070110
Sharp, H. M. & Hillenbrand, K. (2008). Speech and language development and disorders in children. Pediatric Clinics of North America, 55(5), 1159–73. https://doi.org/10.1016/j.pcl.2008.07.007
Shriberg, L. D., Kwiatkowski, J. & Gruber, F. A. (1994). Developmental phonological disorders II: short-term speech-sound normalization. Journal of Speech, Language, and Hearing Research, 37(5), 1127–50. https://doi.org/10.1044/jshr.3705.1127
Silva, G. M. D., Couto, M. I. V. & Molini-Avejonas, D. R. (2013). Risk factors identification in children with speech disorders: pilot study. CoDAS, 25(5): 456–62. https://doi.org/10.1590/S2317-17822013000500010
Skuse, D. H. (2007). Rethinking the nature of genetic vulnerability to autistic spectrum disorders. Trends in Genetics, 23(8), 387–95. https://doi.org/10.1016/j.tig.2007.06.003
Slobodin, O. & Davidovitch, M. (2019). Gender differences in objective and subjective measures of ADHD among clinic-referred children. Frontiers in Human Neuroscience, 13(441). https://doi.org/10.3389/fnhum.2019.00441
Smith, S. A., Choo, A.L., & Seitz, S. (2022). Disfluencies in English speech produced by Spanish-English bilinguals. Folia Phoniatrica et Logopaedica, 74, 122–30. https://doi.org/10.1159/000518138
Smith, A. & Zelaznik, H. N. (2004). Development of functional synergies for speech motor coordination in childhood and adolescence. Developmental Psychobiology, 45(1), 22–33. https://doi.org/10.1002/dev.20009
Stow, C. & Dodd, B. (2005). A survey of bilingual children referred for investigation of communication disorders: A comparison with monolingual children referred in one area in England. Journal of Multilingual Communication Disorders, 3(1), 1–23. https://doi.org/10.1080/14769670400009959
Strom, M. A. & Silverberg, J. I. (2016). Asthma, hay fever, and food allergy are associated with caregiver-reported speech disorders in US children. Pediatric Allergy and Immunology, 27(6), 604–11. https://doi.org/10.1111/pai.12580
Unicomb, R., Kefalianos, E., Reilly, S., Cook, F. & Morgan, A. (2020). Prevalence and features of comorbid stuttering and speech sound disorder at age 4 years. Journal of Communication Disorders, 84, 105976. https://doi.org/10.1016/j.jcomdis.2020.105976
Wren, Y., Miller, L. L., Peters, T. J., Emond, A. & Roulstone, S. (2016). Prevalence and predictors of persistent speech sound disorder at eight years old: findings from a population cohort study. Journal of Speech, Language, and Hearing Research, 59(4), 647–73. https://doi.org/10.1044/2015_JSLHR-S-14-0282