The contribution of risk factors to the effect of early otitis media with effusion on later language, reading, and spelling |
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Authors: | Sylvia AF Peters Eefje H Grievink Wim HJ van Bon John HL van den Bercken AnneGM Schilder |
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Affiliation: | Authors appointments Sylvia A F Peters. Research Fellow: Department of Otorhino laryngology. University Hospital Utrecht. Utrecht.;Eefje H Grievink. Research Fellow: Department of Otorhino laryngology. University Hospital Utrecht. Utrecht.;Wim HJ van Bon. PhD. Associate Professor of Special Education: Department of Otorhino laryngology. University Hospital Utrecht. Utrecht.;John HL van den Ben-ken, PhD, Associate Professor of Special Education: Department of Special Education, University of Nijmegen. The Netherlands.;AnneG.M Sehilder. MD. PhD. Department of Otorhino laryngology. University Hospital Utrecht. Utrecht. |
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Abstract: | A cohort of 946 children who were screened for otitis media with effusion (OME) from the ages of 2 to 4 were studied for language, reading, and spelling at 7 years of age. The effects of OME in combination with single risk factors and with increasing numbers of risk factors were investigated. An interaction with an additional risk factor was found only for gender and OME, with boys' spelling influenced negatively by a history of OME. OME in combination with preterm birth and low birthweight also appears to put children at risk for later langauage and educational problems. Although a negative linear relation between the number of risk factors and later functioning was found, it is suggested that OME, even when combined with a number of other risk factors, produces only minor effects on later language, reading, and spelling. |
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