Conti-Ramsden Gina, Durkin Kevin, Toseeb Umar, Botting Nicola, Pickles Andrew
School of Health Sciences, The University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.
Department of Biostatistics, Institute of Psychiatry, King's College London, London, UK.
Int J Lang Commun Disord. 2018 Mar;53(2):237-255. doi: 10.1111/1460-6984.12338. Epub 2017 Nov 15.
Developmental language disorder (DLD) presents a considerable barrier for young adults to engage in further education and training. Early studies with young adults with DLD revealed poor educational achievement and lack of opportunities to progress in education. More recent studies have provided more positive findings. Relatively sparse data exist, however, on current cohorts and the factors that predict outcomes.
To examine educational and employment outcomes in young adulthood in a sample of people with histories of DLD compared with an age-matched peer group without DLD. We ask: How do educational pathways and early jobs compare between those with and without DLD? Are young adults with DLD receiving similar levels of income as their peers? To what extent are language and literacy abilities associated with outcomes?
METHODS & PROCEDURES: Participants included 84 individuals with DLD (67% males) and 88 age-matched peers without DLD (56% males). Participants were on average 24 years of age. They completed a battery of psycholinguistic, literacy and nonverbal skills assessments. Data were also collected on educational qualifications, current educational status, extent of educational support received, employment status, history and support, as well as current income.
OUTCOMES & RESULTS: Those with DLD obtained lower academic and vocational qualifications. Higher educational/vocational qualifications were associated with better language, better reading and higher performance IQ (PIQ). There were few differences between the two groups in terms of engagement with education, but the mean age at leaving education was significantly earlier in the participants with DLD. Substantially more participants with DLD reported receiving support or dispensation from their educational institution. There was no significant difference between groups in the proportion of young people currently employed, though a higher proportion of the age-matched peers was in work full time. Participants with DLD were much more likely to be in non-professional occupations. However, when examining pay in relation to types of occupation, the groups' incomes were broadly comparable.
CONCLUSIONS & IMPLICATIONS: At the group level, young people with a history of DLD more commonly have less skilled employment and more rarely achieve professional roles. At the individual level there is considerable variation with smaller but not trivial proportions of young adults with a history of DLD showing good educational and employment outcomes. There are positive aspects to early adult outcomes for some young people with a history of DLD.
发育性语言障碍(DLD)对年轻人接受进一步教育和培训构成了相当大的障碍。早期针对患有DLD的年轻人的研究显示,他们的学业成绩不佳,且缺乏在教育方面取得进步的机会。最近的研究得出了更为积极的结果。然而,关于当前队列以及预测结果的因素的数据相对较少。
在有DLD病史的人群样本中,与年龄匹配的无DLD同龄人组相比,研究其成年早期的教育和就业成果。我们提出以下问题:有和没有DLD的人在教育途径和早期工作方面有何比较?患有DLD的年轻人的收入水平与同龄人相似吗?语言和读写能力在多大程度上与成果相关?
参与者包括84名患有DLD的个体(67%为男性)和88名年龄匹配的无DLD同龄人(56%为男性)。参与者平均年龄为24岁。他们完成了一系列心理语言学、读写能力和非语言技能评估。还收集了关于学历、当前教育状况、获得的教育支持程度、就业状况、就业历史和支持以及当前收入的数据。
患有DLD的人获得的学术和职业资格较低。更高的教育/职业资格与更好的语言能力、更好的阅读能力和更高的操作智商(PIQ)相关。两组在参与教育方面几乎没有差异,但患有DLD的参与者离开教育的平均年龄明显更早。显著更多患有DLD的参与者报告从其教育机构获得支持或豁免。目前就业的年轻人比例在两组之间没有显著差异,尽管年龄匹配的同龄人中有更高比例的人全职工作。患有DLD的参与者更有可能从事非专业职业。然而,在考察与职业类型相关的薪酬时,两组的收入大致相当。
在群体层面,有DLD病史的年轻人更普遍地从事技能要求较低的工作,很少能获得专业职位。在个体层面存在相当大的差异,有DLD病史的年轻人中比例较小但并非微不足道的一部分表现出良好的教育和就业成果。对于一些有DLD病史的年轻人来说,成年早期的结果有积极的方面。