January 12, 2023

Parent perspectives of the relationships between ear health and children’s speech and language

The following manuscript has been accepted for publication 

Morrow, A., Orr, N., Nash, K., Clague, L., Coates, H., Cross, C., Evans, J. R., Gunasekera, H., Harkus, S., Harrison, L. J., McLeod, S., McMahon, C., Neal, K., Salins, A. & Macniven, R. (2023, in press January). Parent perspectives of the relationships between ear health and children’s speech and language in the Longitudinal Study of Indigenous Children. Children, 10(1), 165. https://doi.org/10.3390/children10010165 

Here is the abstract: 

Health and wellbeing 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, family-centred, integrated speech, language and ear health services.

This research was as the result of collaboration with Masters students and researchers at the HEARing Co-operative Research Centre including Prof Cath McMahon's team focusing on Indigenous people's ear health.