A Preliminary Account of the Effect of Otitis Media on 15-Month-Olds' Categorization and Some Implications for Early Language Learning

Roberts, Kenneth

doi:10.1044/jslhr.4003.508

Cited by 13 publications

(9 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study is the first to document that children without continuous health insurance coverage are less likely to receive elective surgery, even though it might be medically indicated. Because otitis media may have long-term aural, cognitive, and motor development consequences, [45][46][47][48] children without continuous health insurance coverage may remain at a disadvantage because they do not have equal access to this common surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with tympanostomy tube insertion among preschool-aged children in the United States

Kogan

Overpeck²,

Hoffman³

et al. 2000

Am J Public Health

101

View full text Add to dashboard Cite

OBJECTIVES: Recurrent and persistent otitis media is often treated by tympanostomy tube insertion to ventilate the middle ear and restore hearing. This study examined the factors that predict which children are most likely to receive tympanostomy tubes through 3 years of age. METHODS: Multiple logistic regression was conducted on data from a nationally representative sample of children (N = 8285). RESULTS: By 3 years of age, 6.8% of US children had tubes inserted. Logistic regression indicated that after control for number of ear infections, children without any gaps in health insurance, who attended a day-care center, who were White, whose birth-weight was less than 1500 g, and who lived in the Midwest or South were significantly more likely to have tympanostomy tubes. CONCLUSIONS: These data suggest that differences exist as to who receives tubes. Of particular concern are differences by race/ethnicity and continuity of health insurance coverage. With expansions in health care coverage to larger proportions of uninsured children, it will be important to monitor these programs to ensure that all children who may need tympanostomy tubes have access to them.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors associated with tympanostomy tube insertion among preschool-aged children in the United States

Kogan

Overpeck²,

Hoffman³

et al. 2000

Am J Public Health

101

View full text Add to dashboard Cite

show abstract

“…Of the children with a hearing problem, 65% displayed signifi cant levels of loss in both ears; 54% evidenced conductive loss; 16% had sensorineural loss in one or both ears; and 8% displayed mixed losses. It was once believed that hearing loss in the mild-to-moderate range had little effect on language acquisition; however, research on otitis media in infants has shown that losses of this magnitude can negatively affect speech and language development (Friel-Patti & Finitzo, 1990;Mody, Schwartz, Gravel, & Ruben, 1999;Nittrouer, 1996;Roberts, 1997;Wallace, Gravel, McCarton, & Ruben, 1988). Given the other defi cits faced by children with Down syndrome, it is likely that recurrent hearing loss compromises their language learning environment and that greater degrees of hearing loss and/or extended periods of middle ear disease will be associated with poorer outcomes on speech and language measures.…”

Section: Hearing Lossmentioning

confidence: 99%

Down syndrome phonology: Developmental patterns and intervention strategies

Stoel‐Gammon¹

2001

Downs Syndr. Res. Pract.

104

View full text Add to dashboard Cite

-This paper describes phonological development in children with Down syndrome paying particular attention to underlying defi cits and intervention strategies. The fi rst section provides an overview of factors believed to infl uence phonological development in this population. The second section describes four aspects of Down syndrome phonology: (1) the prelinguistic stage; (2) the transition to speech; (3) the phonology of the single words; and (4) phonological characteristics of conversational speech with a focus on intelligibility. Intervention strategies associated with each aspect are also presented. Children with Down syndrome are slow to acquire the phonological system of their mother tongue. In spite of normal or nearly normal prelinguistic development, these children are delayed in the use of meaningful speech and slow to acquire a productive vocabulary. In some cases their speech remains unintelligible throughout childhood and adolescence, making it diffi cult to communicate with those around them. The purpose of this paper is to summarize research on phonological development of children with Down syndrome with attention to underlying defi cits and to the speech characteristics of prelinguistic vocalisations as well as words and conversation. Current views on intervention are also described.Keywords -Down syndrome, phonological development, prelinguistic development, intelligibility, intervention Factors affecting phonological acquisitionThe phonological systems of children with Down syndrome are infl uenced by a variety of factors that can create diffi culties perceiving and producing speech. In addition to the cognitive defi cit that is the primary marker of the syndrome, hearing loss and differences in anatomy and physiology are contributing factors. Input may also be implicated. The precise infl uence of each factor is diffi cult to determine and may vary from one child to another. In conjunction, however, these factors have deleterious effects on speech and language development. Hearing lossInfants and children with Down syndrome often suffer from mild-to-moderate hearing loss. Downs (1980) reported that 78% of the children she tested were found to have "hearing problems" in one or both ears when criteria for a "problem" was a 15 dB loss. Of the children with a hearing problem, 65% displayed signifi cant levels of loss in both ears; 54% evidenced conductive loss; 16% had sensorineural loss in one or both ears; and 8% displayed mixed losses. It was once believed that hearing loss in the mild-to-moderate range had little effect on language acquisition; however, research on otitis media in infants has shown that losses of this magnitude can negatively affect speech and language development

show abstract

“…However, when productions are inaccurate, it is impossible to determine whether the source of the error is in production or in perception. Roberts (1997) reported on the diYculties infants with OME presented on the perceptual categorization of the article 'the' when this was embedded in novel utterances such as 'bo bo the sasasa' simulating linguistic forms such as 'this is the 1 noun'. Roberts argued that the hearing loss associated with OME may compromise the consistent perception of elements of low phonetic saliency, in this case the article 'the', and cause them to uctuate 'above and below some 'attentional threshold ' ( Roberts 1997: 508).…”

Section: Introductionmentioning

confidence: 99%

A preliminary account of phonological and morphophonological perception in young children with and without otitis media

Petinou¹,

Schwartz²,

Gravel³

et al. 2001

Int. J. Lang. Comm. Dis.

View full text Add to dashboard Cite

This investigation examined the effects of otitis media with effusion (OME) and its associated fluctuating conductive hearing loss on the perception of phonological and morphophonological /s/ and /z/ in young children. We predicted that children free of OME (OME-) would perform better than children with histories of OME (OME+). We also predicted that for the OME+ group morphological perception would be harder than phonological perception, because the former category carries an additional linguistic load (i.e., plurality). Sixteen children, ages 26 to 28 months (M = 26.5, SD = 0.6) were divided into two groups, the OME- (n = 8) and OME+ (n = 8) based on OME history during the first year of life. Subjects in the OME- group were free of the disease for 4/5 visits and pure tone average (PTA) was 12.6 dB HL (SD = 4.8). Subjects in the OME+ group had the disease on 3/5 visits and PTA was 23 dB HL (SD = 2.7). Experimental stimuli were six monosyllabic novel word-pairs. Members of each word-pair differed only in the presence of final voiced or voiceless fricative, marking the targets phonologically (e.g., [g [symbol: see text]]/[g [symbol: see text] s] as in 'law', 'loss') or morphophonologically (e.g., [daep]/[daeps] as in 'map' 'maps'). Subjects were taught the unfamiliar word pairs using a fast mapping procedure. Perception was tested with the bimodal preferential looking paradigm. Children in the OME- group performed significantly better than their OME+ counterparts. Individual word-pair analyses showed that OME+ group performed more poorly than the OME- group on one phonological and on two morphological targets, all ending with [s]. For the OME+ group, targets with final [s] posed greater difficulty than those with final [z], especially on morphophonological plural-(s) targets. The results suggested that the fluctuating hearing loss associated with OME might have a negative impact on speech perception.

show abstract

A Preliminary Account of the Effect of Otitis Media on 15-Month-Olds' Categorization and Some Implications for Early Language Learning

Cited by 13 publications

References 23 publications

Factors associated with tympanostomy tube insertion among preschool-aged children in the United States

Factors associated with tympanostomy tube insertion among preschool-aged children in the United States

Down syndrome phonology: Developmental patterns and intervention strategies

A preliminary account of phonological and morphophonological perception in young children with and without otitis media

Contact Info

Product

Resources

About