{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T22:31:26Z","timestamp":1774305086305,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100016049","name":"Stiftelsen Konsul Thure Carlssons Minne","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008352","name":"Stiftelsen Samariten","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008352","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008588","name":"Stiftelsen Sunnerdahls Handikappfond","doi-asserted-by":"publisher","award":["F13\/21"],"award-info":[{"award-number":["F13\/21"]}],"id":[{"id":"10.13039\/501100008588","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Speech difficulties are common in children with cleft palate, but research on foreign\u2010born children is limited. This study aimed to compare speech outcomes, surgery and speech intervention in 5\u2010year\u2010old foreign\u2010born and Swedish\u2010born children with cleft palate with or without cleft lip.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study analysed data from the Swedish cleft lip and palate registry for children born between 2009 and 2016 using Pearson's Chi\u2010squared test and binary logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 160 foreign\u2010born (106 boys, 54 girls) and 847 Swedish\u2010born (479 boys, 368 girls) 5\u2010year\u2010olds, foreign\u2010born children had significantly lower rates of sufficient velopharyngeal competence (77% vs. 86%), age\u2010appropriate consonant production (28% vs. 60%), and speech without non\u2010oral speech errors (70% vs. 86%). Differences remained after adjustment for cleft type, gender and additional diagnosed conditions. After further adjustments for age at completed primary palatal surgery, differences in age\u2010appropriate consonant production and speech without non\u2010oral speech errors remained significant. Foreign\u2010born children underwent completed primary palatal surgery at older ages and received more secondary palatal surgery and speech intervention than Swedish\u2010born peers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Foreign\u2010born children showed poorer speech outcomes than Swedish\u2010born peers, despite more secondary palatal surgery and speech intervention. Age at completed primary palatal surgery could partly explain these differences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.17385","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T15:30:06Z","timestamp":1722958206000},"page":"2628-2636","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Foreign\u2010born 5\u2010year\u2010old children with cleft palate had poorer speech outcomes than their native\u2010born peers"],"prefix":"10.1111","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0187-5891","authenticated-orcid":false,"given":"Louise","family":"Lendt","sequence":"first","affiliation":[{"name":"Division of Speech Language Pathology, Phoniatrics and Audiology, Department of Clinical Sciences in Lund Lund University  Lund Sweden"},{"name":"Division of Speech Language Pathology, Department of Otorhinolaryngology Sk\u00e5ne University Hospital  Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1915-1736","authenticated-orcid":false,"given":"Magnus","family":"Becker","sequence":"additional","affiliation":[{"name":"Division of Surgery, Department of Clinical Sciences in Malm\u00f6 Lund University  Lund Sweden"},{"name":"Division of Plastic and Reconstructive Surgery Sk\u00e5ne University Hospital  Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3298-1555","authenticated-orcid":false,"given":"Marie","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Statistics, USBE Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7044-9386","authenticated-orcid":false,"given":"Kristina","family":"Klint\u00f6","sequence":"additional","affiliation":[{"name":"Division of Speech Language Pathology, Phoniatrics and Audiology, Department of Clinical Sciences in Lund Lund University  Lund Sweden"},{"name":"Division of Speech Language Pathology, Department of Otorhinolaryngology Sk\u00e5ne University Hospital  Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.15761\/OHNS.1000246"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05389-x"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03367-2"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699206.2016.1205666"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2215162"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-121"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12112"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618768541"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820400016522"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618765780"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619897233"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656x.2019.1650056"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14015439.2022.2083673"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12869"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2002_039_0397_soiicp_2.0.co_2"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000475829.32402.a8"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02783-0"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000008730"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619894497"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/14015439.2022.2095017"},{"key":"e_1_2_13_22_1","unstructured":"Association.TIP. The International Phonetic Alphabet (revised to 2015). extIPA symbols for disordered speech (revised to 2008). Accessed March 25 2024.https:\/\/www.internationalphoneticassociation.org\/content\/ipa\u2010chart"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0000000000007311"},{"key":"e_1_2_13_24_1","unstructured":"Network TCRaA.CRANE 2022 annual report.2022https:\/\/www.crane\u2010database.org.uk\/content\/uploads\/2022\/12\/CRANE\u20102022\u2010Annual\u2010Report_12Dec22.pdf[Accessed 10th October 2023]"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/sap.0000000000000082"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656x.2016.1254647"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656x.2022.2097252"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656x.2016.1254645"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_jslhr-21-00367"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.07.018"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12989"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.17385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T10:43:41Z","timestamp":1731408221000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.17385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,6]]},"references-count":30,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/apa.17385"],"URL":"https:\/\/doi.org\/10.1111\/apa.17385","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,6]]},"assertion":[{"value":"2024-04-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}