Risk factors of speech and language disorders in children
Abstract
Background Speech and language problems are developmental disorders often observed in children. Risk factors for speech and language disorders can occur prenatally, perinatally, or postnatally. Recognizing the risk factors for speech and language problems is essential for early diagnosis and intervention.
Objective To identify risk and protective factors of speech and language disorders in children.
Methods This case-control study was conducted in the Growth and Development Clinic at
Dr. Soetomo Hospital, Siloam Hospital, Kendangsari Merr Hospital, and Darmo Hospital, Surabaya, East Java. Subjects with normal development were included in the control group, subjects with speech-language development disorders with no additional problems were included in the primary case group, and subjects with speech-language disorders and additional problems were included in the secondary case group. Subjects underwent history-taking and developmental examinations to assess for risk factors and types of speech-language disorders.
Results During March – July 2023, 162 subjects aged 2-6 years met the inclusion criteria. The significant risk factors in the primary group were male sex (P=0.000), age 2-3 years (P=0.01), and maternal age 19-35 years (P=0.018). The protective factor identified was not bilingual (P=0.046). In the secondary group, the significant risk factor was male gender (P=0.002). The protective factors obtained were absence of seizures (P=0.028) and not being bilingual (P=0.045).
Conclusion Male gender is a risk factor while non-bilingual is protective for speech-language disorders in children.
References
Law J, Boyle J, Harris F, Harkness A, Nye C. Prevalence and natural history of primary speech and language delay: findings from a systematic review of the literature. Int J Lang Commun Disord. 2000;35:165-88. DOI: https://doi.org/10.1080/136828200247133
Vitrikas K, Savard D, Bucaj M. Developmental delay: when and how to screen. Am Fam Physician. 2017;96:36-43. PMID: 28671370
Dewanti A, Widjaja JA, Tjandrajani A, Burhany AA. Karakteristik keterlambatan bicara di Klinik Khusus Tumbuh Kembang Rumah Sakit Anak dan Bunda Harapan Kita tahun 2008 – 2009. Sari Pediatri. 2012;14:230-4. DOI: https://doi.org/10.14238/sp14.4.2012.230-4
Kurniasari AF, Suryawan A, Utomo B. Karakteristik dasar anak dengan speech delay di poli tumbuh kembang RSUD Dr.Soetomo Surabaya pada periode Januari 2017 hingga Desember 2017. Care: Jurnal Ilmiah Ilmu Kesehatan. 2021;9:104-13. DOI: https://doi.org/10.33366/jc.v9i1.1374
Carter RG, Feidelman S. 2020. The Preschool Years. In: Kliegman RM, ST Geme JW, Blum MJ (ed). Nelson Textbook Pediatrics. 21st ed. Philadelphia: Elsevier. p. 1156-67.
McLaughlin MR. Speech and language delay in children. Am Fam Physician. 2011;83:1183-8. PMID: 21568252
Kementerian Pemberdayaan Perempuan dan Perlindungan Anak RI. Profil Anak Indonesia 2020. [cited 2022 Oct 25]. Available from: https://www.kemenpppa.go.id/page/view/MzA0MA==
Rudolph JM. Case history risk factors for specific language impairment: a systematic review and meta-analysis. Am J Speech-Lang Pathol. 2017;26:991-1010. DOI: https://doi.org/10.1044/2016_AJSLP-15-0181
Kementerian Kesehatan RI. 2020. Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 tentang standar antropometri anak. [cited 2023 Jan 10]. Available from: http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No__2_Th_2020_ttg_Standar_Antropometri_Anak.pdf
Frankenburg WK. The Denver II: a major revision and restandardization of the Denver Developmental Screening Test. Pediatrics. 1992; 89: 91-7. DOI: https://doi.org/10.1542/peds.89.1.91
Coplan J. Early language milestone scale-2. Austin; Pro-Ed:1983.
Wechsler D. Wechsler intelligence scale for children-fifth edition. Bloomington: Pearson; 2014.
Robins D, Fein D, Barton M. Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F). [cited 2022 Sept 7]. Available from: https://mchatscreen.com/wp-content/uploads/2015/05/M-CHAT-R_F_Indonesian.pdf
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Washington DC APA; 2013.
Kementerian Kesehatan RI. Pedoman pelaksanaan stimulasi deteksi dan intervensi dini tumbuh kembang anak. Jakarta: Kemenkes RI; 2016.
Keegstra AL, Knijff WA, Post WJ, Goorhuis-Brouwer SM. Children with language problems in a speech and hearing clinic: background variables and extent of language problems. Int J Pediatr Otorhinolaryngol. 2007;71:815-21. DOI: https://doi.org/10.1016/j.ijporl.2007.02.001
Mondal N, Bhat BV, Plakkal N, Thulasingam M, Ajayan P, Poorna DR. Prevalence and risk factors of speech and language delay in children less than three years of age. J Compr Ped. 2016:7:e33173. DOI: https://doi.org/10.17795/compreped-33173
Wiefferink K, van Beugen C, Sleeswijk BW, Gerrits E. Children with language delay referred to Dutch speech and hearing centres: caseload characteristics. Int J Lang Commun Disord. 2020;55:573-82. DOI: https://doi.org/10.1111/1460-6984.12540
Çiçek AU, Akdag E, Erdivanli OC. Sociodemographic characteristics associated with speech and language delay and disorders. J Nerv Ment Dis. 2020;208:143-6. DOI: https://doi.org/10.1097/NMD.0000000000001120
Tjandrajani A, Dewanti A, Burhany AA, Widjaja JA. Keluhan utama pada keterlambatan perkembangan umum di Klinik Khusus Tumbuh Kembang RSAB Harapan Kita. Sari Pediatri. 2012;13:373-7. DOI: https://doi.org/10.14238/sp13.6.2012.373-7
Kesuma Y, Rismarini, Theodorus, Azhar MB. Association between specific language impairment and behavioral disorders among preschool children. Paediatr Indones. 2014;54:22-7. DOI: https://doi.org/10.14238/pi54.1.2014.22-7
Rocco I, Corso B, Bonati M, Minicuci N. Time of onset and/or diagnosis of ADHD in European children: a review. BMC Psychiatry. 2021;21:575. DOI: https://doi.org/10.1186/s12888-021-03547-x
Sunderajan T, Kanhere SV. Speech and language delay in children: prevalence and risk factors. J Family Med Prim Care. 2019;8:1642-6. DOI: https://doi.org/10.4103/jfmpc.jfmpc_162_19
Diepeveen FB, van Dommelen P, Oudesluys-Murphy AM, Verkerk PH. Specific language impairment is associated with maternal and family factors. Child Care Health Dev. 2017;43:401-5. DOI: https://doi.org/10.1111/cch.12451
Silva GMD, Couto MIV, Molini-Avejonas DR. Risk factors identification in children with speech disorders: pilot study. CoDAS. 2013;25:456-62. DOI: https://doi.org/10.1590/S2317-17822013000500010
Fernandez R, Lestari H. Hubungan penggunaan gawai dengan keterlambatan bahasa pada anak. Sari Pediatri. 2019;21:231-5. DOI: https://doi.org/10.14238/sp21.4.2019.231-5
Fajariyah SN, Suryawan A, Atika. Dampak penggunaan gawai terhadap perkembangan anak. Sari Pediatri. 2018;20:101-5. DOI: https://doi.org/10.14238/sp20.2.2018.101-5
Petersen J. Gender differences in verbal performance: a metaanalysis of United States state performance assessments. Educ Psychol Rev. 2018;30:1269-81. DOI: https://doi.org/10.1007/s10648-018-9450-x
Adani S, Cepanec M. Sex differences in early communication development: behavioral and neurobiological indicators of more vulnerable communication system development in boys. Croat Med J. 2019;60:141-9. DOI: https://doi.org/10.3325/cmj.2019.60.141
Etchell A, Adhikari A, Weinberg LS, Choo AI, Garnett EO, Chow CM, et al. A systematic literature review of sex differences in childhood language and brain development. Neuropsychologia. 2018;114:19-31. DOI: https://doi.org/10.1016/j.neuropsychologia.2018.04.011.
Whitehouse AJO, Mattes E, Maybery MT, Sawyer MG, Jacoby P, Keelan JA, et al. Sex-specific associations between umbilical cord blood testosterone levels and language delay in early childhood. J Child Psychol Psychiatry. 2012;53:726-34. DOI: https://doi.org/10.1111/j.1469-7610.2011.02523.x
Lange BP, Euler HA, Zaretsky E. Sex differences in language competence of 3- to 6-year-old children. Appl Psycholinguist. 2016;37:417-38. DOI: https://doi.org/10.1017/S0142716415000624
Baumer FM, Cardon AL, Porter BE. Language dysfunction in pediatric epilepsy. J Pediatr. 2018;194:13-21.DOI: https://doi.org/10.1016/j.jpeds.2017.10.031
Place S, Hoff E. Properties of dual language exposure that influence 2-year-olds' bilingual proficiency. Child Dev. 2011;82:1834-49. DOI: https://doi.org/10.1111/j.1467-8624.2011.01660.x
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Accepted 2024-10-21
Published 2024-10-21
