Fellow Children's Hospital Los Angeles Glendale, California, United States
Background: Research shows disparities in infant outcomes for families with a non-English language of preference (NELP). There is evidence that infants born to NELP mothers have worse neonatal outcomes than their peers . However, there are no studies at this point assessing neurodevelopmental outcomes in this group. There is evidence that other high-risk populations such as Autism Spectrum Disorder (ASD) patients, are negatively impacted and have more difficulty accessing resources, and received less therapies compared to their English speaking parents counterparts. Objective: Help understand this population better in order to provide better care of these infants and families. Help determine if language, as a separate variable, can affect neurodevelopment. Design/Methods: We reviewed a cohort 185 infants seen at Children’s Hospital Los Angeles (CHLA) high-risk infant follow-up (HRIF) clinic, which includes infants with gestational age < 32 weeks, birth weight < 1500 grams or other HRIF-eligible medical conditions. Initial visit (at any age) occurred between July 2017 and June 2019 at 6-, 12- and 24-months corrected age. We utilized the Bayley’s standard scores (including cognitive, language, and motor components) at 6 (V1/Baseline), 12 (V2), 24 (V3) months to assess development progression. Outcomes were changes in scores from baseline. Analyses utilized linear mixed-effects models, adjusted for baseline score, gender, weight, and gestational age.