Pre-school communication problems are common, with implications for school readiness and educational achievement. Help is available from a variety of community healthcare providers. This study examined the extent to which help is received, and the predictors of service receipt.Prospective community study, in Melbourne, Victoria.At age 4 years, we assessed the speech, receptive and expressive language and fluency of 1607 children and gave feedback to their parents. At age 5 years, 983 families provided data on service use for communication problems between and 4 and 5 years. We compared service use between participants with and without impairment, and used logistic regression to estimate the strength of association between potential predictors (gender, socio-economic status, maternal education, English-speaking background status, family history of speech and language problems and parent concern) and service use (binary outcome).Data were available for both communication status and service use for 753 children. Only 44.9

作者：J, Skeat；M, Wake；O C, Ukoumunne；P, Eadie；L, Bretherton；S, Reilly

来源：Child: care, health and development 2014 年 40卷 2期