Department of Ear Nose and Throat Disease, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey,
Eur Arch Otorhinolaryngol. 2014 May;271(5):871-8. doi: 10.1007/s00405-013-2567-0. Epub 2013 May 30.
The aim of this study was to assess factors affecting language developmental screening test results in 33.0- to 75.0-month-old children. The study group consists of 402 children, 172 (42.8%) boys and 230 (57.2%) girls, aged 33.0-75.0 months who were examined in four age groups: 3 years (33.0-39.0 months), 4 years (45.0-51.0 months), 5 years (57.0-63.0 months) and 6 years (69.0-75.0 months). Demographic data and medical history obtained by a standard questionnaire and Denver II Developmental Test results were evaluated. Maternal factors such as mother's age, educational level, and socioeconomic status (SES) correlated with language items in all age groups. Linear regression analysis indicated a significant effect of mother's education and higher SES on certain expressive and receptive language items at 3 and 4 years. Fine motor items were closely related to language items at all ages examined, while in the younger (3- and 4-year-old) group gross motor items also were related to language development. Maternal and socioeconomic factors influence language development in children: these effects, already discernible with a screening test, can be potential targets for social and educational interventions. The interpretation of screening test results should take into account the interaction between fine motor and language development in preschool children.
本研究旨在评估影响 33.0 至 75.0 月龄儿童语言发育筛查测试结果的因素。研究组包括 402 名儿童，男 172 名（42.8%），女 230 名（57.2%），年龄 33.0 至 75.0 个月，分为四个年龄组：3 岁（33.0-39.0 个月）、4 岁（45.0-51.0 个月）、5 岁（57.0-63.0 个月）和 6 岁（69.0-75.0 个月）。通过标准问卷和丹佛发育筛查测试（DDST）评估了儿童的人口统计学数据和病史。母亲的年龄、教育水平和社会经济地位（SES）等因素与所有年龄组的语言项目相关。线性回归分析表明，母亲的教育程度和 SES 对 3 岁和 4 岁儿童的某些表达和接受性语言项目有显著影响。精细运动项目与所有检查年龄的语言项目密切相关，而在年龄较小的（3 岁和 4 岁）组中，粗大运动项目也与语言发展相关。母亲和社会经济因素会影响儿童的语言发展：这些影响已经可以通过筛查测试来识别，因此可以成为社会和教育干预的潜在目标。在解释筛查测试结果时，应考虑到学龄前儿童精细运动和语言发展之间的相互作用。
