Factors associated with speech, hearing and language disorders among children in a primary care outpatient center

Autores

  • Bárbara Niegia Garcia de Goulart Universidade Federal do Rio Grande do Sul http://orcid.org/0000-0002-2502-5883
  • Brasilia Maria Chiari Universidade Federal de São Paulo
  • Carlos Podalirio Borges de Almeida Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.7322/jhgd.124092

Palavras-chave:

child, language, speech, hearing, speech disorders, speech therapy

Resumo

Introduction: Appropriate communication behaviors are developed when the complex language processes are well-balanced.

Objective: To investigate the occurrence of hearing and speech disorders and their associated factors in children. 

Methods: Study based on interviews with secondary informants of 95 children of a waiting list  for a medical  consultant in a public pediatric primary care unit in a medium-sized city in southern Brazil. The interaction between the independent variables: gender, age, hearing complaints, bottle feeding and/or pacifier and number of siblings with the dependents variables: speech disorders and hearing impairment was verified. Data analysis included descriptive and analytical statistics (bivariate chi-square and Fisher's Exact test) with significance level at 5% (p ≤ 0.05). 

Results: Seventy-nine (83.2%) respondents reported that the child hears well, and 16 (16.8%) didn’t answer on this issue. The prevalence of oral breathing among respondents was 68.9% (62 children), 82,5% (52  children) had a history of breastfeeding and 22% (11 children) demonstrated signs of a speech disorder.  Of school-age children, 3 (12.5%) reported learning difficulties. Mouth breathing appears to be associated with speech disorders (p = 0.041). Sex (p= 0.3), age (p = 0.3) and pacifier use and/or bottle (p = 0.96, p = 0.33) were not associated with speech disorders. 

Conclusion: The prevalence of speech disorders in the children studied was 22%. The sex, age or suspected hearing impairment were not associated with the occurrence of speech disorders and/or hearing complaints in the children studied.

Biografia do Autor

  • Bárbara Niegia Garcia de Goulart, Universidade Federal do Rio Grande do Sul
    Departamento de Psicologia Social e Institucional. Programa de Pós-Graduação em Epidemiologia.
  • Brasilia Maria Chiari, Universidade Federal de São Paulo
    Departamento de Fonoaudiologia e Programa de Pós-graduação em Distúrbios da Comunicação Humana.
  • Carlos Podalirio Borges de Almeida, Universidade Federal do Rio Grande do Sul
    Programa de Pós-graduação em Ciências Pneumológicas.

Referências

Polido A, Wertzner HF. Study of case: elimination of the phonological processes of devoicing. Pró-Fono Rev Atual Cient.1999;11(1):106-10.

Rocha LC, Befi-Lopes DM. Analyses of answers presented by children with and without specific language impairment. Pró-Fono Rev Atual Cient. 2006;18(3):229-38. DOI: http://dx.doi.org/10.1590/S0104-56872006000300002

Lewis BA, Freebairn L. Residual effects off preschool phonology disorders in Grade School, Adolescence and Adulthood. J Speech Hear.1992;35(4):819-31. DOI: http://dx.doi.org/10.1044/jshr.3504.819

Beitchman JH, Wilson B, Brownlie EB, Walters H, Inglis A, Lancee W. Long-term Consistency in Speech/Language Profiles: behavioral, emotional, and social outcomes. J Am Acad Child Adolesc Psychiatry. 1996;35(6):815-25. DOI: http://dx.doi.org/10.1097/00004583-199606000-00022

Naucler K, Magnusson E. Language Problems in Poor Readers. Logoped Phoniatr Vocol. 2000;5(1):12-21. DOI: http://dx.doi.org/10.1080/140154300750045867

Capovilla FC, Capovilla AGS. Research on the role of phonology, orthography and cognitive skills upon reading, spelling and dyslexia in Brazilian Portuguese. In: Smythe I, Everatt J, Salter R. International Book of Dyslexia: A cross language comparison and practice guide. 2004; p.159-72.

Salles JF, Parente MAMP. Relationship between the cognitive processes involved in word reading and phonological awareness skills in school age children. Pró-Fono Rev Atual Cient. 2002;14(2):175-86.

Nathan L, Stackhouse J, Goulandris N. The development of early literacy skills among children with speech difficulties. J Speech Language Hearing Res. 2004;47(2):377-91. DOI: http://dx.doi.org/10.1044/1092-4388(2004/031)

Paula GR, Mota HB, Keske-Soares M. A terapia em consciência fonológica no processo de alfabetização. Pró-Fono Rev Atual Cient. 2005;17(2):175-84. DOI: http://dx.doi.org/10.1590/S0104-56872005000200006

Goulart BNG, Ferreira J. Speech disorder screening test for children. Pró-Fono Rev Atual Cient. 2009;21(3):231-6. DOI: http://dx.doi.org/10.1590/S0104-56872009000300009

Landry SH, Smith KE, Swank PR. Environmental effects on language development in normal and high-risk child population. Semin Pediatr Neurol. 2002; 9(3):192-200.

Patah LK, Takiuchi,N. Prevalence of phonological disorders and phonological processes uses in seven-years-old scholar. Rev CEFAC. 2008;10(2):158-67. DOI: http://dx.doi.org/10.1590/S1516-18462008000200004

Oliveira CMC, Cunha D, Santos AC. Risk factors for stuttering in disfluent children with familial recurrence. Audiol Commun Res. 2013;18(1):43-9. DOI: http://dx.doi.org/10.1590/S2317-64312013000100009

Goulart BNG, Chiari BM. Prevalence of speech disorders in schoolchildren and its associated factors. Rev Saúde Pública. 2007;41(5):726-31. DOI: http://dx.doi.org/10.1590/S0034-89102007000500006

Wertzner HF. Estudo da aquisição do sistema fonológico: o uso de processos fonológicos em crianças de três a sete anos. Pró-Fono Rev Atual Cient. 1995;7(1):21-6.

Papp ACCS, Wertzner HF. Familial aspect and phonological disorder. Pró-Fono Rev Atual Cient. 2006;18(2):151-60. DOI: http://dx.doi.org/10.1590/S0104-56872006000200004

Roberts JE, Rosenfeld RM, Zeisel SA. Otitis media and speech and language: a meta-analysis of prospective studies. Pediatrics. 2004;113 (3pt 1):237-47.

Wertzner HF, Pagan LO, Galea DES, Papp ACCS. Phonological characteristics of children with phonological disorder with and without otitis media history. Rev Soc Bras Fonoaudiol. 2007;12 (1):41-7. DOI: http://dx.doi.org/10.1590/S1516-80342007000100009

Maximino LP, Ferreira MV, Oliveira DT, Lamônica DAC, Feniman MR, Spinardi ACP, et al. Knowledge, attitudes and practices of pediatricians regarding the development of oral communication. Rev CEFAC. 2009;11(Suppl 2):267-74. DOI: http://dx.doi.org/10.1590/S1516-18462009000600017

Farias SR, Avila CRB, Vieira MM. Relationship between speech, tonus and non-verbal praxis of the stomatognathic system in preschoolers. Pró-Fono Rev Atual Cient. 2006;18(3):267-76. DOI: http://dx.doi.org/10.1590/S0104-56872006000300006

Cavassani VGS, Ribeiro SG, Nemr NK, Greco AM, Köhle J, Lehn CN. Suction oral habits: initial study in low income population. Rev Bras Otorrinolaringol. 2003;60(1):106-10. DOI: http://dx.doi.org/10.1590/S0034-72992003000100017

Gomes AMA, Paiva ES, Valdés MTM, Frota MA, Albuquerque CM. Phenomenology, humanization and health promotion: an articulation proposal. Saude Soc. 2008;17(1):143-52. DOI: http://dx.doi.org/10.1590/S0104-12902008000100013

Goulart BNG, Algayer AR. Characteristics of Family Health Program users sample in Campo Bom (RS), Brazil during the year of 2006. Ciênc Saúde Coletiva. 2009;14(Suppl.1):1379-84. DOI: http://dx.doi.org/10.1590/S1413-81232009000800010

Blanchard LT, Gurka MJ, Blackman JA. Emotional, developmental, and behavioral health of American children and their families: a report from the 2003 National Survey of Children's Health. Pediatrics. 2006;117(6): e1202-12. DOI: http://dx.doi.org/10.1542/peds.2005-2606

Law J, Garrett Z, Nye C. Speech and language therapy interventions for children with primary speech and language delay or disorder. Cochrane Database Syst Rev. 2003;(3):CD004110. DOI: http://dx.doi.org/10.1002/14651858.CD004110

Snowling MJ, Bishop DV, Stothard SE, Chipchase B, Kaplan C. Psychosocial outcomes at 15 years of children with a preschool history of speech-language impairment. J Child Psychol Psychiatry. 2006;47(8):759-65. DOI: http://dx.doi.org/10.1111/j.1469-7610.2006.01631.x

Baker BM, Blackwell PB. Identification and remediation of pediatric fluency and voice disorders. J Pediatr Health Care. 2004;18(2):87-94. DOI: http://dx.doi.org/10.1016/j.pedhc.2003.09.008

Publicado

2017-12-18

Edição

Seção

Artigos Originais