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Foreign-born 5-year-old children with cleft palate had poorer speech outcomes than their native-born peers

Lendt, Louise LU orcid ; Becker, Magnus LU orcid ; Eriksson, Marie and Klintö, Kristina LU orcid (2024) In Acta Pædiatrica
Abstract
Aim
Speech difficulties are common in children with cleft palate, but research on foreign-born children is limited. This study aimed to compare speech outcomes, surgery and speech intervention in 5-year-old foreign-born and Swedish-born children with cleft palate with or without cleft lip.
Methods
This retrospective study analysed data from the Swedish cleft lip and palate registry for children born between 2009 and 2016 using Pearson's Chi-squared test and binary logistic regression.
Results
Among 160 foreign-born (106 boys, 54 girls) and 847 Swedish-born (479 boys, 368 girls) 5-year-olds, foreign-born children had significantly lower rates of sufficient velopharyngeal competence (77% vs. 86%), age-appropriate... (More)
Aim
Speech difficulties are common in children with cleft palate, but research on foreign-born children is limited. This study aimed to compare speech outcomes, surgery and speech intervention in 5-year-old foreign-born and Swedish-born children with cleft palate with or without cleft lip.
Methods
This retrospective study analysed data from the Swedish cleft lip and palate registry for children born between 2009 and 2016 using Pearson's Chi-squared test and binary logistic regression.
Results
Among 160 foreign-born (106 boys, 54 girls) and 847 Swedish-born (479 boys, 368 girls) 5-year-olds, foreign-born children had significantly lower rates of sufficient velopharyngeal competence (77% vs. 86%), age-appropriate consonant production (28% vs. 60%), and speech without non-oral speech errors (70% vs. 86%). Differences remained after adjustment for cleft type, gender and additional diagnosed conditions. After further adjustments for age at completed primary palatal surgery, differences in age-appropriate consonant production and speech without non-oral speech errors remained significant. Foreign-born children underwent completed primary palatal surgery at older ages and received more secondary palatal surgery and speech intervention than Swedish-born peers.
Conclusion
Foreign-born children showed poorer speech outcomes than Swedish-born peers, despite more secondary palatal surgery and speech intervention. Age at completed primary palatal surgery could partly explain these differences.
(Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Acta Pædiatrica
publisher
Wiley-Blackwell
external identifiers
  • pmid:39105692
  • scopus:85200555591
ISSN
1651-2227
DOI
10.1111/apa.17385
language
English
LU publication?
yes
id
433aa3eb-12f3-4f25-8e23-36f9a9175687
date added to LUP
2024-08-19 15:37:07
date last changed
2024-08-20 04:00:44
@article{433aa3eb-12f3-4f25-8e23-36f9a9175687,
  abstract     = {{Aim<br/>Speech difficulties are common in children with cleft palate, but research on foreign-born children is limited. This study aimed to compare speech outcomes, surgery and speech intervention in 5-year-old foreign-born and Swedish-born children with cleft palate with or without cleft lip.<br/>Methods<br/>This retrospective study analysed data from the Swedish cleft lip and palate registry for children born between 2009 and 2016 using Pearson's Chi-squared test and binary logistic regression.<br/>Results<br/>Among 160 foreign-born (106 boys, 54 girls) and 847 Swedish-born (479 boys, 368 girls) 5-year-olds, foreign-born children had significantly lower rates of sufficient velopharyngeal competence (77% vs. 86%), age-appropriate consonant production (28% vs. 60%), and speech without non-oral speech errors (70% vs. 86%). Differences remained after adjustment for cleft type, gender and additional diagnosed conditions. After further adjustments for age at completed primary palatal surgery, differences in age-appropriate consonant production and speech without non-oral speech errors remained significant. Foreign-born children underwent completed primary palatal surgery at older ages and received more secondary palatal surgery and speech intervention than Swedish-born peers.<br/>Conclusion<br/>Foreign-born children showed poorer speech outcomes than Swedish-born peers, despite more secondary palatal surgery and speech intervention. Age at completed primary palatal surgery could partly explain these differences.<br/>}},
  author       = {{Lendt, Louise and Becker, Magnus and Eriksson, Marie and Klintö, Kristina}},
  issn         = {{1651-2227}},
  language     = {{eng}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Pædiatrica}},
  title        = {{Foreign-born 5-year-old children with cleft palate had poorer speech outcomes than their native-born peers}},
  url          = {{http://dx.doi.org/10.1111/apa.17385}},
  doi          = {{10.1111/apa.17385}},
  year         = {{2024}},
}