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Supporting Latine Dual Language Learners: What Pediatricians Know and Do
What is it about?
Purpose Pediatricians are often the first to guide families about their children’s language development and to identify possible communication disorders. About one in four children in the U.S. grow up learning two languages, but little is known about how prepared pediatricians are to support them. This study explored pediatricians’ knowledge of bilingual language development and how that knowledge affects the care they provide for Latino dual language learners (DLLs). Method Sixty-seven pediatricians from two academic clinics completed a survey. They were asked about their knowledge of bilingualism, their Spanish skills, and how they support Latino DLLs and their families. Results On average, pediatricians’ answers matched scientific evidence 69% of the time. However, only 29% felt confident counseling parents about bilingualism, and 75% reported difficulty identifying language disorders in Latino children from Spanish-speaking homes. Pediatricians with stronger Spanish skills and greater knowledge of bilingualism were more likely to provide culturally responsive care. Conclusions Many pediatricians lack knowledge about bilingual language development, which impacts the care they give. Training on bilingualism and increasing the number of providers who speak more than one language could improve support for bilingual families.
Why is it important?
One in four children in the U.S. grows up learning two languages, yet many pediatricians—the first professionals families turn to for guidance—receive little training on bilingualism. Without accurate knowledge, providers may unintentionally give confusing advice or miss signs of developmental concerns in children from bilingual homes. At the same time, the Latino child population is rapidly growing, and families need care that respects their language and culture. Ensuring pediatricians are equipped to support dual language learners is both an equity issue and a timely opportunity to strengthen healthy development for millions of children nationwide.