Paul L. Morgan|Carol Scheffner Hammer|George Farkas|Marianne M. Hillemeier|Steve Maczuga|Michael J. Cook|Stephanie Morano
Who Receives Speech/Language Services by 5 Years of Age in the United States?
Pennsylvania State University|Temple University|Columbia University|University of California, Irvine|Pennsylvania State University|Pennsylvania State University|Pennsylvania State University|Pennsylvania State University
purpose sought identify factors predictive associated receipt speechlanguage services early childhood analyzing data early childhood longitudinal studybirth cohort eclsb andreassen amp fletcher 2005 nationally representative data set maintained us department education addressed two research questions particular importance speechlanguage pathology practice policy first early vocabulary delays increase childrens likelihood receiving speechlanguage services second minority children systematically less likely receive services otherwise similar white children method multivariate logistic regression analyses performed populationbased sample 9600 children families participating eclsb results expressive vocabulary delays 24 months age strongly associated predictive childrens receipt speechlanguage services 24 48 60 months age adjusted odds ratio range 4321660 black children less likely receive speechlanguage services otherwise similar white children 24 48 60 months age adjusted odds ratio range 042055 lower socioeconomic status children whose parental primary language english also less likely receive services born low birth weight also significantly increased childrens receipt services 24 48 60 months age conclusion expressive vocabulary delays 24 months age increase childrens risk later speechlanguage services increased use culturally linguistically sensitive practices may help racialethnic minority children access needed services