Joensuu Eveliina, Munck Petriina, Nyman Anna H, Setänen Sirkku, Rautava Päivi, Stolt Suvi
Department of Speech-Language Pathology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Department of Psychology, University of Turku, Turku, Finland.
Child Neuropsychol. 2025 May;31(4):585-612. doi: 10.1080/09297049.2024.2415531. Epub 2024 Oct 14.
Children born very preterm (<32 gestational weeks and/or birth weight ≤1500 g) are at elevated risk for reading difficulties. This study aimed to investigate reading fluency and reading comprehension at 11 and to analyze the associations between literacy skills at 7 and reading skills at 11 in 134 Finnish-speaking very preterm children. At 11, reading fluency and reading comprehension were evaluated. At 7, pre-reading skills, decoding, and writing were assessed. Results showed that there were more preterm children with weak skills in reading fluency compared to a normative test population. Reading comprehension was age appropriate. Additionally, 62% to 68% of the children with weak literacy skills at 7 had weak reading fluency at 11, compared to those with more advanced skills (43% to 33%, < 0.001 to 0.026). Respectively, 30% to 50% of the children with weak literacy at 7 had weak reading comprehension at 11 compared to those with more advanced skills (13% to 17%, < 0.001 to 0.005). Findings highlight the importance of screening reading fluency until 11 years and providing support for the continuum between literacy skills in the beginning of schooling and reading outcome at later school age.
极早产儿（孕周<32周和/或出生体重≤1500克）出现阅读困难的风险较高。本研究旨在调查134名讲芬兰语的极早产儿在11岁时的阅读流畅性和阅读理解能力，并分析他们在7岁时的读写技能与11岁时的阅读技能之间的关联。在11岁时，对阅读流畅性和阅读理解能力进行了评估。在7岁时，评估了学前阅读技能、解码能力和写作能力。结果显示，与正常测试人群相比，阅读流畅性较差的极早产儿更多。阅读理解能力与年龄相符。此外，7岁时读写技能较弱的儿童中，62%至68%在11岁时阅读流畅性较差，而技能较强的儿童中这一比例为43%至33%（P<0.001至0.026）。同样，7岁时读写能力较弱的儿童中，30%至50%在11岁时阅读理解能力较差，而技能较强的儿童中这一比例为13%至17%（P<0.001至0.005）。研究结果凸显了在11岁之前筛查阅读流畅性以及为学龄初期的读写技能与学龄后期的阅读成果之间的连续性提供支持的重要性。
