Communication Equity and Outcomes Laboratory, Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC.
J Speech Lang Hear Res. 2018 Dec 10;61(12):2895-2905. doi: 10.1044/2018_JSLHR-S-17-0378.
Stuttering is a disorder that has been associated with coexisting developmental disorders. To date, detailed descriptions of the coexistence of such conditions have not consistently emerged in the literature. Identifying and understanding these conditions can be important to the overall management of children who stutter (CWS). The objective of this study was to generate a profile of the existence of disabling developmental conditions among CWS using national data.
Six years of data from the National Health Interview Survey (2010-2015) were analyzed for this project. The sample consisted of children whose respondents clearly indicated the presence or absence of stuttering. Chi-square tests of independence were used for comparing categorical variables; and independent-samples t tests, for comparing continuous variables. Multiple logistic regression analyses were used for determining the odds of having a coexisting disabling developmental condition.
This study sample included 62,450 children, of which 1,231 were CWS. Overall, the presence of at least 1 disabling developmental condition was 5.5 times higher in CWS when compared with children who do not stutter. The presence of stuttering was also associated with higher odds of each of the following coexisting developmental conditions: intellectual disability (odds ratio [OR] = 6.67, p < .001), learning disability (OR = 5.45, p < .001), attention-deficit hyperactivity disorder/attention-deficit disorder (OR = 3.09, p < .001), seizures (OR = 7.52, p < .001), autism/Asperger's/pervasive developmental disorder (OR = 5.48, p < .001), and any other developmental delay (OR = 7.10, p < .001).
Evidence from the National Health Interview Survey suggests a higher prevalence of coexisting developmental disabilities in CWS. The existence of coexisting disabling developmental conditions should be considered as part of an overall management plan for CWS.
口吃是一种与并存的发育障碍有关的疾病。迄今为止，文献中并没有一致出现对这些情况并存的详细描述。识别和理解这些情况对于口吃儿童（CWS）的整体管理可能很重要。本研究的目的是利用国家数据生成 CWS 存在致残性发育障碍的情况特征。
本项目分析了国家健康访谈调查（2010-2015 年）六年的数据。该样本包括受访者明确表示存在或不存在口吃的儿童。采用独立性卡方检验比较分类变量；采用独立样本 t 检验比较连续变量。采用多因素逻辑回归分析确定并存致残性发育障碍的可能性。
本研究样本包括 62450 名儿童，其中 1231 名为 CWS。总体而言，与不口吃的儿童相比，CWS 存在至少一种致残性发育障碍的可能性高 5.5 倍。口吃的存在也与以下并存发育障碍的更高可能性相关：智力障碍（优势比[OR] = 6.67，p <.001）、学习障碍（OR = 5.45，p <.001）、注意缺陷多动障碍/注意缺陷障碍（OR = 3.09，p <.001）、癫痫发作（OR = 7.52，p <.001）、自闭症/阿斯伯格症/广泛性发育障碍（OR = 5.48，p <.001）和任何其他发育迟缓（OR = 7.10，p <.001）。
国家健康访谈调查的证据表明，CWS 并存发育障碍的患病率较高。并存致残性发育障碍的存在应作为 CWS 整体管理计划的一部分加以考虑。
