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Longitudinal Study: LSIC
Title: Parent Perspectives of Ear Health and the Relationship with Children's Speech and Language in the Longitudinal Study of Indigenous Children
Authors: Morrow, Anita
Orr, Neil
Nash, Kai
Coates, Harvey
Cross, Cara
Evans, John Robert
Gunasekera, Hasantha
Harkus, Samantha
Harrison, Linda 
McLeod, Sharynne 
McMahon, Catherine
Neal, Katie
Salins, Andrea
Macniven, Rona 
Publication Date: 14-Jan-2023
Abstract: Health and well-being are holistic concepts that are perceived to be inseparable for Aboriginal and Torres Strait Islander peoples. We examined relationships between parent-reported ear symptoms for 787 Indigenous children at two time points (age 2-3 years, age 4-5 years) and two parent-reported speech and language outcomes one year later (age 5-6 years). Most parents (80.2%) reported no concern about their child's expressive language and (93.8%) receptive language. Binary logistic regression models examined ear health as a predictor of children's expressive and receptive speech and language adjusting for sociodemographic and health covariates. For children without parent-reported ear symptoms, there were lower odds of parental concern about expressive speech and language (aOR = 0.45; 95% CI 0.21-0.99) and receptive language (aOR = 0.24; 95% CI 0.09-0.62). Parents were less likely to have concerns about the child's expressive speech and language if their child was female, lived in urban or regional areas, had excellent or very good global health, or had no disability when aged 2-5 years. Since parent-reported ear health and speech and language concerns were related, Aboriginal and Torres Strait Islander children could benefit from culturally safe, strength-based, and family-centered integrated speech, language, and ear health services.
DOI: 10.3390/children10010165
Keywords: Aboriginal and Torres Strait Islander; child; cohort studies; communication; hearing; indigenous; language; parents; preschool; speech
Research collection: Journal Articles
Appears in Collections:Journal Articles

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