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Article: Specific language impairment and child care by a domestic helper: A case-control study in Chinese children

TitleSpecific language impairment and child care by a domestic helper: A case-control study in Chinese children
Authors
Issue Date2005
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archpediatrics.com
Citation
Archives Of Pediatrics And Adolescent Medicine, 2005, v. 159 n. 8, p. 714-720 How to Cite?
AbstractObjective: To investigate the relationship between child care by domestic helper and specific language impairment (SLI). Design: Retrospective case-control study. Setting: A Child Assessment Center in Hong Kong that receives referrals from primary and secondary care settings. Participants: We reviewed medical records of all new referrals younger than 5 years during a 4-year period (1999-2003) and compared children with SLI (cases) with those referred with other behavioral problems and assessed to have normal language and overall development (controls) using the Griffiths Mental Developmental Scale. Specific language impairment was defined as a language quotient more than 1 SD below the mean and below the general developmental quotient in children with normal general developmental quotient but without neurological or other organic diseases. Results: Four hundred ninety-six children were included (237 cases and 259 controls). The mean ages of cases and controls were 2.51 and 2.89 years, respectively. Boys predominated (cases=73.4%, controls= 60.2%). The odds ratio (OR) of SLI for children cared for by a full-time domestic helper was 1.71 (95% confidence interval [CI], 1.06-2.77; P=.03), after adjusting for confounding sociodemographic variables. Male gender (OR=1.91; 95% CI, 1.25-2.90), positive family history (OR=2.70; 95% CI, 1.55-4.73), fewer siblings (P=.01), and lower paternal occupational status (P=.01) were also risk factors for an SLI. Childcare by a domestic helper was associated with a higher severity of an SLI in ordinal regression analysis (P=.048). Conclusions: Childcare by a domestic helper is associated with increasing risk and severity of an SLI. Further studies are required to confirm the association and to evaluate whether avoidance of childcare by a domestic helper could be recommended for children with an SLI or prone to develop an SLI. ©2005 American Medical Association. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/143546
ISSN
2014 Impact Factor: 5.731
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheuk, DKLen_HK
dc.contributor.authorWong, Ven_HK
dc.date.accessioned2011-12-12T03:51:41Z-
dc.date.available2011-12-12T03:51:41Z-
dc.date.issued2005en_HK
dc.identifier.citationArchives Of Pediatrics And Adolescent Medicine, 2005, v. 159 n. 8, p. 714-720en_HK
dc.identifier.issn1072-4710en_HK
dc.identifier.urihttp://hdl.handle.net/10722/143546-
dc.description.abstractObjective: To investigate the relationship between child care by domestic helper and specific language impairment (SLI). Design: Retrospective case-control study. Setting: A Child Assessment Center in Hong Kong that receives referrals from primary and secondary care settings. Participants: We reviewed medical records of all new referrals younger than 5 years during a 4-year period (1999-2003) and compared children with SLI (cases) with those referred with other behavioral problems and assessed to have normal language and overall development (controls) using the Griffiths Mental Developmental Scale. Specific language impairment was defined as a language quotient more than 1 SD below the mean and below the general developmental quotient in children with normal general developmental quotient but without neurological or other organic diseases. Results: Four hundred ninety-six children were included (237 cases and 259 controls). The mean ages of cases and controls were 2.51 and 2.89 years, respectively. Boys predominated (cases=73.4%, controls= 60.2%). The odds ratio (OR) of SLI for children cared for by a full-time domestic helper was 1.71 (95% confidence interval [CI], 1.06-2.77; P=.03), after adjusting for confounding sociodemographic variables. Male gender (OR=1.91; 95% CI, 1.25-2.90), positive family history (OR=2.70; 95% CI, 1.55-4.73), fewer siblings (P=.01), and lower paternal occupational status (P=.01) were also risk factors for an SLI. Childcare by a domestic helper was associated with a higher severity of an SLI in ordinal regression analysis (P=.048). Conclusions: Childcare by a domestic helper is associated with increasing risk and severity of an SLI. Further studies are required to confirm the association and to evaluate whether avoidance of childcare by a domestic helper could be recommended for children with an SLI or prone to develop an SLI. ©2005 American Medical Association. All rights reserved.en_HK
dc.languageengen_US
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archpediatrics.comen_HK
dc.relation.ispartofArchives of Pediatrics and Adolescent Medicineen_HK
dc.subject.meshAdulten_US
dc.subject.mesh*Caregiversen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.mesh*Child Careen_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshEmploymenten_US
dc.subject.meshFathersen_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kong/epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshLanguage Development Disorders/*epidemiologyen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMaleen_US
dc.subject.meshNeuropsychological Testsen_US
dc.subject.meshPaternal Ageen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSex Factorsen_US
dc.subject.meshSiblingsen_US
dc.titleSpecific language impairment and child care by a domestic helper: A case-control study in Chinese childrenen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, V:vcnwong@hku.hken_HK
dc.identifier.authorityWong, V=rp00334en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1001/archpedi.159.8.714en_HK
dc.identifier.pmid16061777-
dc.identifier.scopuseid_2-s2.0-23744450897en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-23744450897&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume159en_HK
dc.identifier.issue8en_HK
dc.identifier.spage714en_HK
dc.identifier.epage720en_HK
dc.identifier.isiWOS:000230948900003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridCheuk, DKL=8705936100en_HK
dc.identifier.scopusauthoridWong, V=7202525632en_HK

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