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Language delay
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===Socio-economic factors=== '''Socio-economic status''' Children from families of low educational level are more likely to have delays and difficulties in [[expressive language]].<ref name=":26">{{cite journal | vauthors = Horwitz SM, Irwin JR, Briggs-Gowan MJ, Bosson Heenan JM, Mendoza J, Carter AS | title = Language delay in a community cohort of young children | journal = Journal of the American Academy of Child and Adolescent Psychiatry | volume = 42 | issue = 8 | pages = 932β40 | date = August 2003 | pmid = 12874495 | doi = 10.1097/01.CHI.0000046889.27264.5E }}</ref> While language development is not directly affected by the socioeconomic level of a family, the conditions that are associated with the socioeconomic level affects the process of language development to a certain extent.<ref name=":26" /> A child's early vocabulary development can be influenced by socioeconomic status via maternal speech, which varies according to the socioeconomic status of the family.<ref name=":51">{{cite journal | vauthors = Hoff E | title = The specificity of environmental influence: socioeconomic status affects early vocabulary development via maternal speech | journal = Child Development | volume = 74 | issue = 5 | pages = 1368β78 | date = September 2003 | pmid = 14552403 | doi = 10.1111/1467-8624.00612 }}</ref> Mothers with higher education levels are more likely to use rich vocabulary and speak in longer utterances when interacting with their children, which helps them develop their productive vocabulary more than children from a lower socioeconomic status.<ref>{{cite journal | vauthors = Dollaghan CA, Campbell TF, Paradise JL, Feldman HM, Janosky JE, Pitcairn DN, Kurs-Lasky M | title = Maternal education and measures of early speech and language | journal = Journal of Speech, Language, and Hearing Research | volume = 42 | issue = 6 | pages = 1432β43 | date = December 1999 | pmid = 10599625 | doi = 10.1044/jslhr.4206.1432 }}</ref> [[Poverty]] is also a high risk factor for language delay as it results in a lack of access to appropriate therapies and services.<ref name=":3">{{cite journal | vauthors = Brown CM, Beck AF, Steuerwald W, Alexander E, Samaan ZM, Kahn RS, Mansour M | title = Narrowing Care Gaps for Early Language Delay: A Quality Improvement Study | journal = Clinical Pediatrics | volume = 55 | issue = 2 | pages = 137β44 | date = February 2016 | pmid = 25994319 | pmc = 4788473 | doi = 10.1177/0009922815587090 }}</ref> The likelihood of those requiring early intervention for language delays actually receiving help is extremely low compared to those that don't actually need it.<ref name=":3" />
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