Weinfeld Justin Parry, Johnels Jakob Åsberg, Persson Christina
Institute of Neuroscience and Physiology, Speech and Language Pathology Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Region Västra Götaland, Department of Otorhinolaryngology, Sahlgrenska University Hospital, Sweden.
Cleft Palate Craniofac J. 2022 Apr;59(4):427-435. doi: 10.1177/10556656211013236. Epub 2021 May 6.
To investigate the prevalence of reading difficulties in children born with cleft palate at ages 9 and 10 in Sweden.
Using a cross-sectional design, a parental questionnaire assessing dyslexia-like reading difficulties (Short Dyslexia Scale, SDS) was administered together with separate questions regarding background data.
Families with a child born with overt cleft palate with or without cleft lip in 4 regions of Sweden. A total of 245 families were approached of which 138 families responded. Data from 136 (56%) were complete with information on cleft type and could be analyzed.
Twenty-two percent (95% CI, 15-30) of the whole study group displayed risk for dyslexic reading difficulties on the SDS corresponding to the 7th to 10th percentiles in the population. Children with cleft palate only had a significantly higher prevalence of reading difficulties (37%) compared to children with unilateral cleft palate (19%) and bilateral cleft palate (10%). The frequency of reading difficulties in participants with comorbidity was 32%. Among a subgroup with reported comorbidity in areas of attention, language, and learning problems, there was a 2.5 times higher risk of reading disability compared to participants without this reported comorbidity.
The prevalence of reading difficulties in the cleft palate population was higher than in the general population. Results showed that co-occurring difficulties were common in the cleft group and that reading difficulties often appear together with other, co-occurring neurodevelopmental difficulties.
调查瑞典9岁和10岁腭裂患儿阅读困难的患病率。
采用横断面设计，发放一份评估类似诵读困难的阅读困难的家长问卷（简易诵读困难量表，SDS），并附带关于背景数据的单独问题。
瑞典4个地区有唇腭裂或单纯腭裂患儿的家庭。共联系了245个家庭，其中138个家庭做出回应。136个家庭（56%）的数据完整，包含腭裂类型信息，可供分析。
整个研究组中有22%（95%可信区间，15 - 30）在SDS上显示有诵读困难的风险，相当于总体人群的第7至第10百分位数。单纯腭裂患儿的阅读困难患病率（37%）显著高于单侧腭裂患儿（19%）和双侧腭裂患儿（10%）。合并其他疾病的参与者中阅读困难的发生率为32%。在报告有注意力、语言和学习问题合并症的亚组中，与无此合并症的参与者相比，阅读障碍风险高2.5倍。
腭裂人群中阅读困难的患病率高于普通人群。结果表明，合并其他困难在腭裂组中很常见，且阅读困难常与其他同时出现的神经发育困难并存。
