Risk and Protective Factors for Late Talking: An Epidemiologic Investigation
Objective To identify risk and protective factors for late talking in toddlers between 24 and 30 months of age in a large community-based cohort. Study design A prospective, longitudinal pregnancy cohort of 1023 mother-infant pairs in metropolitan Calgary, Canada, were followed across 5 time points:...
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| Veröffentlicht in: | The Journal of pediatrics 2016-05, Vol.172, p.168-174.e1 |
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| container_title | The Journal of pediatrics |
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| creator | Collisson, Beverly Anne, PhD Graham, Susan A., PhD Preston, Jonathan L., PhD Rose, M. Sarah, PhD McDonald, Sheila, PhD Tough, Suzanne, PhD |
| description | Objective To identify risk and protective factors for late talking in toddlers between 24 and 30 months of age in a large community-based cohort. Study design A prospective, longitudinal pregnancy cohort of 1023 mother-infant pairs in metropolitan Calgary, Canada, were followed across 5 time points: before 25 weeks gestation, between 34-36 weeks gestation, and at 4, 12, and 24 months postpartum. Toddlers who scored ≤10th percentile on The MacArthur-Bates Communicative Development Inventories: Words and Sentences between 24 and 30 months of age were identified as late talkers. Thirty-four candidate characteristics theoretically and/or empirically linked to language development and/or language impairment were collected using survey methodology. Results The prevalence of late talking was 12.6%. Risk factors for late talking in the multivariable model included: male sex ( P = .017) and a family history of late talking and/or diagnosed speech or language delay ( P = .002). Toddlers were significantly less likely to be late talkers if they engaged in informal play opportunities ( P = .013), were read to or shown picture books daily ( P |
| doi_str_mv | 10.1016/j.jpeds.2016.02.020 |
| format | Article |
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Sarah, PhD ; McDonald, Sheila, PhD ; Tough, Suzanne, PhD</creator><creatorcontrib>Collisson, Beverly Anne, PhD ; Graham, Susan A., PhD ; Preston, Jonathan L., PhD ; Rose, M. Sarah, PhD ; McDonald, Sheila, PhD ; Tough, Suzanne, PhD</creatorcontrib><description>Objective To identify risk and protective factors for late talking in toddlers between 24 and 30 months of age in a large community-based cohort. Study design A prospective, longitudinal pregnancy cohort of 1023 mother-infant pairs in metropolitan Calgary, Canada, were followed across 5 time points: before 25 weeks gestation, between 34-36 weeks gestation, and at 4, 12, and 24 months postpartum. Toddlers who scored ≤10th percentile on The MacArthur-Bates Communicative Development Inventories: Words and Sentences between 24 and 30 months of age were identified as late talkers. Thirty-four candidate characteristics theoretically and/or empirically linked to language development and/or language impairment were collected using survey methodology. Results The prevalence of late talking was 12.6%. Risk factors for late talking in the multivariable model included: male sex ( P = .017) and a family history of late talking and/or diagnosed speech or language delay ( P = .002). Toddlers were significantly less likely to be late talkers if they engaged in informal play opportunities ( P = .013), were read to or shown picture books daily ( P < .001), or cared for primarily in child care centers ( P = .001). Conclusions Both biological and environmental factors were associated with the development of late talking. Biological factors placed toddlers at risk for late talking, and facets of the environment played a protective role. Enveloping infants and toddlers in language-rich milieus that promote opportunities for playing, reading, and sharing books daily may decrease risk for delayed early vocabulary.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2016.02.020</identifier><identifier>PMID: 26968834</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Canada ; Child ; Child, Preschool ; Cohort Studies ; Female ; Humans ; Infant ; Language Development ; Language Development Disorders - diagnosis ; Language Development Disorders - epidemiology ; Language Development Disorders - etiology ; Longitudinal Studies ; Male ; Pediatrics ; Pregnancy ; Prospective Studies ; Protective Factors ; Risk Factors</subject><ispartof>The Journal of pediatrics, 2016-05, Vol.172, p.168-174.e1</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-e953517eab5b583a4e506f4846979ef835cc14f523340887b4c4ac47776faff63</citedby><cites>FETCH-LOGICAL-c459t-e953517eab5b583a4e506f4846979ef835cc14f523340887b4c4ac47776faff63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347616001815$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26968834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Collisson, Beverly Anne, PhD</creatorcontrib><creatorcontrib>Graham, Susan A., PhD</creatorcontrib><creatorcontrib>Preston, Jonathan L., PhD</creatorcontrib><creatorcontrib>Rose, M. Sarah, PhD</creatorcontrib><creatorcontrib>McDonald, Sheila, PhD</creatorcontrib><creatorcontrib>Tough, Suzanne, PhD</creatorcontrib><title>Risk and Protective Factors for Late Talking: An Epidemiologic Investigation</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To identify risk and protective factors for late talking in toddlers between 24 and 30 months of age in a large community-based cohort. Study design A prospective, longitudinal pregnancy cohort of 1023 mother-infant pairs in metropolitan Calgary, Canada, were followed across 5 time points: before 25 weeks gestation, between 34-36 weeks gestation, and at 4, 12, and 24 months postpartum. Toddlers who scored ≤10th percentile on The MacArthur-Bates Communicative Development Inventories: Words and Sentences between 24 and 30 months of age were identified as late talkers. Thirty-four candidate characteristics theoretically and/or empirically linked to language development and/or language impairment were collected using survey methodology. Results The prevalence of late talking was 12.6%. Risk factors for late talking in the multivariable model included: male sex ( P = .017) and a family history of late talking and/or diagnosed speech or language delay ( P = .002). Toddlers were significantly less likely to be late talkers if they engaged in informal play opportunities ( P = .013), were read to or shown picture books daily ( P < .001), or cared for primarily in child care centers ( P = .001). Conclusions Both biological and environmental factors were associated with the development of late talking. Biological factors placed toddlers at risk for late talking, and facets of the environment played a protective role. Enveloping infants and toddlers in language-rich milieus that promote opportunities for playing, reading, and sharing books daily may decrease risk for delayed early vocabulary.</description><subject>Canada</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Language Development</subject><subject>Language Development Disorders - diagnosis</subject><subject>Language Development Disorders - epidemiology</subject><subject>Language Development Disorders - etiology</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Protective Factors</subject><subject>Risk Factors</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkd9rFDEQx4Mo9qz-BYLk0Ze9TjY_V1AopdXCgaL1OeSykyPbvc2Z7B30vzfn1T74IgwMA9_vfJnPEPKWwZIBUxfDcthhX5ZtHZbQ1oJnZMGg040ynD8nC4C2bbjQ6oy8KmUAgE4AvCRnreqUMVwsyOp7LPfUTT39ltOMfo4HpDfOzykXGlKmKzcjvXPjfZw2H-jlRK93scdtTGPaRE9vpwOWOW7cHNP0mrwIbiz45rGfk58313dXX5rV18-3V5erxgvZzQ12kkum0a3lWhruBEpQQRihOt1hMFx6z0SQLecCjNFr4YXzQmutggtB8XPy_rR3l9Ovfc2321g8jqObMO2LZdoILQE0q1J-kvqcSskY7C7HrcsPloE9YrSD_YPRHjFaaGtBdb17DNivt9g_ef5yq4KPJwHWMw8Rsy0-4uSxj7lCtH2K_wn49I_fj3GKvnLGByxD2uepErTMlmqwP46fPD6SKQBmmOS_ARA2mC4</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Collisson, Beverly Anne, PhD</creator><creator>Graham, Susan A., PhD</creator><creator>Preston, Jonathan L., PhD</creator><creator>Rose, M. Sarah, PhD</creator><creator>McDonald, Sheila, PhD</creator><creator>Tough, Suzanne, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Risk and Protective Factors for Late Talking: An Epidemiologic Investigation</title><author>Collisson, Beverly Anne, PhD ; Graham, Susan A., PhD ; Preston, Jonathan L., PhD ; Rose, M. Sarah, PhD ; McDonald, Sheila, PhD ; Tough, Suzanne, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-e953517eab5b583a4e506f4846979ef835cc14f523340887b4c4ac47776faff63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Canada</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Language Development</topic><topic>Language Development Disorders - diagnosis</topic><topic>Language Development Disorders - epidemiology</topic><topic>Language Development Disorders - etiology</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Protective Factors</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Collisson, Beverly Anne, PhD</creatorcontrib><creatorcontrib>Graham, Susan A., PhD</creatorcontrib><creatorcontrib>Preston, Jonathan L., PhD</creatorcontrib><creatorcontrib>Rose, M. Sarah, PhD</creatorcontrib><creatorcontrib>McDonald, Sheila, PhD</creatorcontrib><creatorcontrib>Tough, Suzanne, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Collisson, Beverly Anne, PhD</au><au>Graham, Susan A., PhD</au><au>Preston, Jonathan L., PhD</au><au>Rose, M. Sarah, PhD</au><au>McDonald, Sheila, PhD</au><au>Tough, Suzanne, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk and Protective Factors for Late Talking: An Epidemiologic Investigation</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>172</volume><spage>168</spage><epage>174.e1</epage><pages>168-174.e1</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>Objective To identify risk and protective factors for late talking in toddlers between 24 and 30 months of age in a large community-based cohort. Study design A prospective, longitudinal pregnancy cohort of 1023 mother-infant pairs in metropolitan Calgary, Canada, were followed across 5 time points: before 25 weeks gestation, between 34-36 weeks gestation, and at 4, 12, and 24 months postpartum. Toddlers who scored ≤10th percentile on The MacArthur-Bates Communicative Development Inventories: Words and Sentences between 24 and 30 months of age were identified as late talkers. Thirty-four candidate characteristics theoretically and/or empirically linked to language development and/or language impairment were collected using survey methodology. Results The prevalence of late talking was 12.6%. Risk factors for late talking in the multivariable model included: male sex ( P = .017) and a family history of late talking and/or diagnosed speech or language delay ( P = .002). Toddlers were significantly less likely to be late talkers if they engaged in informal play opportunities ( P = .013), were read to or shown picture books daily ( P < .001), or cared for primarily in child care centers ( P = .001). Conclusions Both biological and environmental factors were associated with the development of late talking. Biological factors placed toddlers at risk for late talking, and facets of the environment played a protective role. Enveloping infants and toddlers in language-rich milieus that promote opportunities for playing, reading, and sharing books daily may decrease risk for delayed early vocabulary.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26968834</pmid><doi>10.1016/j.jpeds.2016.02.020</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Canada Child Child, Preschool Cohort Studies Female Humans Infant Language Development Language Development Disorders - diagnosis Language Development Disorders - epidemiology Language Development Disorders - etiology Longitudinal Studies Male Pediatrics Pregnancy Prospective Studies Protective Factors Risk Factors |
| title | Risk and Protective Factors for Late Talking: An Epidemiologic Investigation |
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