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

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 T...

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Bibliographic Details
Published in:	Acta Paediatrica Vol. 113; no. 12; pp. 2628 - 2636
Main Authors:	Lendt, Louise, Becker, Magnus, Eriksson, Marie, Klintö, Kristina
Format:	Journal Article
Language:	English
Published:	Norway Wiley Subscription Services, Inc 01-12-2024
Subjects:	Age Birth defects Children cleft lip and palate Cleft lip/palate Clinical Medicine foreign-born internationally adopted Klinisk medicin Medical and Health Sciences Medicin och hälsovetenskap Pediatrics Pediatrik Speech Surgery foreign‐born cleft lip and palate speech internationally adopted surgery
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0803-5253 1651-2227 1651-2227
DOI:	10.1111/apa.17385