{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:18:32Z","timestamp":1787843912727,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T00:00:00Z","timestamp":1779494400000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Effective support for children's speech, language, and communication development is essential to prevent long\u2010term negative outcomes. Parental behaviours play a critical role in whether children are referred to and receive speech\u2010language therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>\n                      This study aimed to identify predictors of parents receiving Speech\u2010language Therapy using longitudinal data from\n                      <jats:italic>Growing Up in New Zealand<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Data were drawn from the\n                      <jats:italic>Growing Up in New Zealand<\/jats:italic>\n                      study, which is representative of the national child population. The analysis focused on children with reported speech concerns by age 54 months (\n                      <jats:italic>N<\/jats:italic>\n                      = 771). The primary outcome was whether speech\u2010language therapy had been received for speech concerns by that age.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Logistic regression showed children had significantly higher odds of receiving speech\u2010language therapy if their mothers experienced low socioeconomic deprivation during pregnancy (OR = 2.31,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01) and if family doctors were perceived as highly helpful when the child was nine months old (OR = 3.77,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). In contrast, children whose mothers identified M\u0101ori as their prioritised ethnicity were significantly less likely to receive speech\u2010language therapy than those identifying as European\/P\u0101keh\u0101 (OR = 0.40,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings highlight persistent ethnic and social inequities in access to speech\u2010language therapy in New Zealand. Parental information\u2010seeking may play a role but requires further research. These results support the need for targeted policies and early engagement strategies to ensure equitable receipt of speech\u2010language therapy for children with speech, language, and communication needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Less than half of children with speech concerns receive speech\u2010language therapy. Socio\u2010economic and ethnic disparities are known to contribute to this gap. However, the specific factors influencing access to speech\u2010language therapy, and the role of healthcare providers in supporting service uptake, are not well understood.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this study adds to the existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This study identifies key factors associated with non\u2010receipt of speech\u2010language therapy, including socio\u2010economic deprivation, ethnicity, and perceived helpfulness of support. It underscores the important role of healthcare providers in early identification and in improving access to speech\u2010language therapy services for children in at\u2010risk groups.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the actual clinical implications of this work?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>The findings highlight the need for targeted strategies to overcome barriers to speech\u2010language therapy access. Strengthening collaboration between healthcare providers, such as general practitioners and early childhood professionals, may improve early intervention and service uptake among underserved populations.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70263","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T07:22:07Z","timestamp":1779520927000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Speech\u2010Language Therapy Service Access Among Parents in Aotearoa New Zealand"],"prefix":"10.1111","volume":"61","author":[{"given":"Christine","family":"Sim","sequence":"first","affiliation":[{"name":"School of Psychology University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5566-8276","authenticated-orcid":false,"given":"Bianca N.","family":"Jackson","sequence":"additional","affiliation":[{"name":"School of Psychology University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9978-8173","authenticated-orcid":false,"given":"Suzanne Carolyn","family":"Purdy","sequence":"additional","affiliation":[{"name":"School of Psychology University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,23]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0277\u20109536(00)00408\u20101"},{"issue":"1492","key":"e_1_2_12_3_1","first-page":"61","article-title":"Upholding te Tiriti, Ending Institutional Racism and Crown Inaction on Health Equity","volume":"132","author":"Came\u2010Friar H.","year":"2019","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_12_4_1","first-page":"45","article-title":"Family Support Scale: Reliability and Validity","volume":"1","author":"Dunst C.","year":"1984","journal-title":"Journal of Individual Family, and Community Wellness"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.20507\/MAIJournal.2020.9.3.3"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/2050571X.2020.1827829"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/chi.806"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107610.1997.tb01545.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2009.05.006"},{"key":"e_1_2_12_10_1","unstructured":"Jeffreys M. 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