January 24, 2018

Prevalence of childhood speech sound disorders

In our role as Chair and Deputy Chair of the Child Speech committee of the International Association of Logopedics and Phoniatrics, Dr Yvonne Wren and I have compiled the following information about prevalence of childhood speech sound disorders.

In a systematic review, prevalence estimates for childhood speech delay only ranged from 2.3 to 24.6% (Law et al., 2000). Since this systematic review, additional prevalence studies have been published.:
  • 25.2% parent-identified concerns about how their child “talked and made speech sounds” (11.8% “concerned”; 13.4% “a little concerned”) (n = 4,983; 4-5 years) (McLeod & Harrison, 2009) 
  • 12.0% parent-identified “speech not clear to others” (n = 4,983; 4-5 years) (McLeod & Harrison, 2009) 
  • 8.7% diagnosed by a speech-language pathologist with “isolated speech impairment”, and 14.3% with “comorbid speech and language impairment” (n = 308; school students) (Jessup, Ward, Cahill & Keating, 2008) 
  • 3.8% classified as having speech delay using the Speech Disorders Classification System and stimuli from conversational speech samples and a published word articulation test (n = 1,328; 6 years) (Shriberg, Tomblin & McSweeny, 1999) 
  • 3.6% identified as having persistent speech sound disorder in a large population study using > 1.2 standard deviations below the mean on percentage consonants correct scores taken from connected speech samples (n = 7,390; 8 years) (Wren et al., 2016) 
  • 3.4% achieved a standard score performance of ≤79 on a speech assessment (n = 1,494; 4 years) (Eadie et al., 2014) 
  • 1.7% parent-identified “speech disorders” (n = 12,388; 0-14 years) (Keating, Turrell, & Ozanne 2001) 
  • 1.06% teacher-identified “speech sound disorders” (n = 10,425; school students) (McKinnon, McLeod, & Reilly, 2007) 
Period prevalence of childhood speech sound disorders
  • United Kingdom: The Middlesbrough Primary Care Trust of the reported period prevalence of speech difficulties was 29.1%, compared with receptive language difficulties (20.4%), expressive language difficulties (16.9%), dysfluency (5.3%), and voice or nasality disruption (2.0%) (Broomfield & Dodd, 2004) 
  • United States: 55.8% of children in grades K-3 were scored on speech sound disorder and 74.7% of Pre-K students were scored on the articulation/ intelligibility ASHA Functional Communication Measures (n = >16,000 students) (Mullen & Schooling, 2010) 

References
Broomfield, J., & Dodd, B. (2004a). Children with speech and language disability: Caseload characteristics. International Journal of Language and Communication Disorders, 39(3), 303-324. 

Eadie, P., Morgan, A., Ukoumunne, O. C., Ttofari Eecen, K., Wake, M., & Reilly, S. (2015). Speech sound disorder at 4 years: Prevalence, comorbidities, and predictors in a community cohort of children. Developmental Medicine and Child Neurology, 57(6), 578-584. doi:10.1111/dmcn.12635 

Jessup, B., Ward, E., Cahill, L., & Keating, D. (2008). Prevalence of speech and/or language impairment in preparatory students in northern Tasmania. International Journal of Speech-Language Pathology, 10(5), 364 - 377. 

Keating, D., Turrell, G., & Ozanne, A. (2001). Childhood speech disorders: Reported prevalence, comorbidity and socioeconomic profile. Journal of Paediatrics & Child Health, 37(5), 431-436. 

Law, J., Boyle, J., Harris, F., Harkness, A., & Nye, C. (2000). Prevalence and natural history of primary speech and language delay: Findings from a systematic review of the literature. International Journal of Language and Communication Disorders, 35(2), 165-188. 

McKinnon, D. H., McLeod, S., & Reilly, S. (2007). The prevalence of stuttering, voice, and speech-sound disorders in primary school students in Australia. Language, Speech, and Hearing Services in Schools, 38(1), 5-15. 

McLeod, S., & Harrison, L. J. (2009). Epidemiology of speech and language impairment in a nationally representative sample of 4- to 5-year-old children. Journal of Speech, Language, and Hearing Research, 52(5), 1213-1229. doi:10.1044/1092-4388(2009/08-0085) 

Mullen, R., & Schooling, T. (2010). The National Outcomes Measurement System for pediatric speech-language pathology. Language, Speech, and Hearing Services in Schools, 41, 44-60. doi:10.1044/0161-1461(2009/08-0051) 

Shriberg, L. D., Tomblin, J. B. & McSweeny, J. L. (1999). Prevalence of speech delay in 6-year-old children and co-morbidity with language impairment. Journal of Speech, Language and Hearing Research, 42, 1461-1481. 

Wren, Y., Roulstone, S., Miller, L.L., Emond, A. & Peters, T. (2016). The prevalence, characteristics, and risk factors of persistent speech disorder. Journal of Speech, Language, and Hearing Research, 59, 647-673. 

Compiled by Sharynne McLeod, Charles Sturt University and Yvonne Wren, University of Bristol - 2018