PHONOLOGICAL AND LEXICAL PROFILE : RELATIONSHIP WITH ENVIRONMENTAL FACTORS Perfil fonológico e lexical : interrelação com fatores ambientais

(1) Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. Source of Support: Scientific Initiation work with scholarship from the Scientific Initiation Scholarship Program PIBIIC CNPq. Conflict of interest: non-existent conditions – and social and family aspects, such as family and school influence2. It is the interaction of the above factors that ensure the overall development of the individual – cognitive, linguistic, and emotional. Didactically, language can be divided into four levels: phonological, grammatical, semantic and pragmatic3. This paper highlights the phonological and semantic aspects. The phonological system consists of the acquisition of contrastive phonemes and syllabic structure4, and is reached spontaneously in a sequence and common age for most children (four to six years)5. In relation to vocabulary, its acquisition occurs between 22 and 36 months of age. This learning  INTRODUCTION


INTRODUCTION
Language is a human skill that is a "social tool" for communication.Thus, it should be considered a process and not just a simple product.It can be defined as a conventional system of arbitrary symbols that are combined in a systematic way and guided to understand and send information 1 .

Its development depends primarily on two factors: individual characteristics -organic and affective
with open questions and multiple-choice items, totaling ten topics.The items were presented orally to the person responsible for the child, there was an open question for each topic and the mentioned items were marked by the respondent.The answer of the respondent, if not included in the list, was marked and described under "other".The raw score was the sum of the items marked in each topic, with the exception of those with specific score (eight, nine and ten).In the relative score, the formula raw score / maximum score of the topic x ten is suggested, in which the maximum score is the number of items.
The phonology and the lexicon of the children were analyzed in the rooms of the institutions, in two individual sessions, held in different days, with an approximate duration of 40 minutes.
For evaluation of the phonological skills, the phonology test of the ABFW was used, which consists in naming 34 figures and imitation of 39 words.If the child was not able to name the figure, the evaluator named it and then presented the same figure to the child after five subsequent figures.If in the second attempt the child failed to name the figure, the fact was recorded.In the imitation test, the words spoken by the evaluator should be repeated by the child.All responses were audio recorded for analysis and phonetically transcribed in the naming and imitation protocols, and in the analysis sheets of the phonological processes of the test.For the analysis, the phonological processes that occurred above 25% of its possibility were considered productive and less than 25% not productive.
Regarding the lexical evaluation, the vocabulary test of the ABFW 9 was used.Its application consisted in naming 118 figures distributed in nine conceptual fields (in the following order: clothing, animals, food, means of transport, furniture and household appliances, professions, places, shapes and colors, toys and musical instruments).The evaluator presented the figures to the child and asked: "What is this?", to objects; "Which color is it?",to colors; "Which shape is it?",to shapes; and "Who is he/she?", to professions.When the child was not able to name the figure, the next one was presented and, at the end of this conceptual field, the one that was not named was presented again.The responses were recorded and transcribed in a protocol of records.
The analysis of the relationship between the variables was performed using the Chi-square and Fisher's Exact tests.The results with a significance level of 5% were considered statistically significant.For the data processing the Epi Info™ program, Version 3.4.3was used.
involves words related to names of objects, people and refers to social relationships 6 .
Based on this information, this study seeks to demonstrate some factors that influence the language development.It is noteworthy that the literature 2,5 indicates that parental education, maternal involvement, quality of intellectual and cultural stimuli, availability of toys and games, family income and stay in daycare as important factors for the development of language.The domain and the degree of knowledge of the linguistic aspects linked to phonology or to semantics, together with the environment in which the child is inserted, can be decisive in determining the type of intervention and, especially, to observe its evolution.
Thus, the purpose of this study was to assess the relationship between phonological and expressive vocabulary of children aged between four and five years and 11 months, from public and private schools in Belo Horizonte and to analyze the influence of family and educational institution on child development.

METHODS
This is an observational analytic cross-sectional study with non-probability sample based on typicality, conducted in three institutions of child education, in the northeastern region of the city of Belo Horizonte, Minas Gerais, being two institutions of public funding and a private institution.Ninety six children aged between four and five years and 11 months were assessed, being 42 about four years old and 54 about five years old.
This study was approved by the Research Ethics Committee of the Federal University of Minas Gerais, opinion no.ETIC288/10.
A letter requesting permission for the research was sent to the educational institutions.The inclusion criteria for this study were: signature of the Free and Cleared Term of Consent by the parents or guardians of the children, and age of the child in the range proposed by the research.On the other hand, the exclusion criteria were: less than 70% of the Inventory of Resources of the Family Environment -(RAF) 7 answered by the parents or guardians of the child, absence in the school, inadequate conditions of assessment and the presence of possible neurogenic or cognitive changes.
For the evaluation, the Inventory of Resources of the Family Environment -RAF 7 and the phonology and vocabulary tests of the ABFW -Test of Children's Language 8,9 were used as tools.
After signing the term, the parents answered a questionnaire proposed by the literature 7 , about the routine of the children and their family environment, institutions (schools A and B).It is also important to note that, regarding parental education, the majority had secondary education, followed by those who reported to have higher education and, finally, primary education (Table 1).

RESULTS
In the present study, the sample mostly consisted of male children and the age of five years old.Regarding the type of research institution, most students (59.4%) were from public When relating phonology and vocabulary to the various characteristics evaluated, it is observed that regarding age, the participants of all ages presented better results in the phonology test compared to the results of the vocabulary test.Regarding gender, male children presented, more often, inappropriate results in the vocabulary test when compared to females; this fact showed a significant result.Regarding the relationship between family environment, investigated by the RAF questionnaire, and language aspects, it was observed that most participants showed appropriate phonology and vocabulary.However, the percentage of children with phonological adequacy was considerably higher than those with appropriate vocabulary.Regarding the relationship between parental education and the presence or absence of phonological alteration or appropriate vocabulary, there was no correlation with statistical significance (Table 2).
Finally, regarding the institution attended by the children, it is observed that the children from the institution C, of private funding, showed poorer results for both the adequacy of phonology as of vocabulary, a fact that demonstrated a significant result (Table 2).
By relating the vocabulary improvement in each assessed school with the phonology, it was observed that, in all the surveyed institutions, most of the children who presented appropriate vocabulary have also demonstrated the proper phonology (Table 3).
Regarding the odds ratio of a child with inappropriate vocabulary to also present phonological change, no significant result was observed; but children with inappropriate vocabulary had 1,15 times more chance to present phonological disorders (Table 4).In the analysis of the relationship between phonology, vocabulary and resources of the family environment, a relation between the performance on tests and the resources of the family environment was found.Thus, the importance of such characteristics is stated in the literature, as it presents an idea that the way of speaking of the parents, the family income, the number of residents and the parental encouragement are essential not only for the language acquisition and development but also for the overall development 12,17,18 .
The data regarding parental education showed that children whose parents have lower educational level (primary education) presented better performance in the phonology test when compared to children whose parents have secondary and higher education.This finding does not corroborate the literature 18,19 that shows that children whose parents have elementary education level are more vulnerable to a poorer language development.However, regarding the performance of the children in the vocabulary test, this paper corroborates the studies: children whose parents have primary education have a more inappropriate vocabulary 18,19   .It is worth remembering that there was no statistically significant difference regarding parental education in the phonology and vocabulary performance of the participants.It should also be noted that most of the parents had secondary or higher education and the percentage of adequacy at all levels was greater than 90%.
The data show that the performance on phonology and vocabulary tests of students from the private institution was worse compared to public institutions.Such data do not corroborate the researched literature 20,21 that shows that children from private institutions got better results 20,21 .The results of this paper can be related to the educational practices used by teachers and to the infrastructure presented in each institution, once the private institution in question includes students from regions of middle

DISCUSSION
The present study was based on a sample consisting of 96 children aged between four and five years and 11 months, of both genders.The participants were mostly students from public institutions and most of the parents have completed the secondary school, a fact that does not corroborates the data of the Census 2010 10 .It demonstrates that there was a reduction in the percentage of people with no education or incomplete primary education, which still represent the majority.The Census is a Brazilian survey, but this data was not found in the municipality of the data collection.
When relating phonology to age, it is observed that the results do not corroborate the literature, because some studies show that with the increase of the age there are less phonological inadequacies, and the child's speech becomes similar to the speech of the adults with advancing age 11 .In the present study, four years old children presented less phonological inadequacies, compared to five years old children.It is worth remembering that the literature 11 shows the probability of error, i.e., five years old children produce more due to better and larger language domain, therefore they can make more mistakes.However the data from this study cannot be used as a generalization due to the size and way the sample was selected.Therefore, it becomes necessary to further research in order to prove this finding.
The vocabulary was analyzed according to the age and, as in the researched literature [12][13][14] , the age influenced the performance in the lexical adequacy.The data showed that lexical errors decrease as the child reaches linguistic maturity [12][13][14] .
In addition, the male participants had poorer performance in the phonology and vocabulary tests, which suggests that the acquisition and development of language occur in different ways between genders.Studies 11,15,16 show similar evidence and a relationship between genders and environment, for a proper language development is highlighted, since this environment is essential for the overall development of the children.A private institution alone does not ensure a good performance in of the child development, and a public institution does not necessarily lead to a lower performance.Another fact worth mentioning is that the parental education, even without statistical significance in this study, is important and influences the language development of the children.It should also be emphasized that the phonology and vocabulary tests used are extremely important tools for the phonological assessment of the child development.
Despite the advances made by this study, some limitations were detected during its elaboration.Among them, it can be mentioned the size and design of the sample, since it only included two public institutions and one private institution.Therefore, this fact prevents the generalization of the findings.In addition, during the study, no activities fully involving the institutions were carried out, covering, for example, its teaching methodology.Thus, it is necessary to conduct further research covering population studies in order to obtain more consistent results to be incorporated into practice.
Finally, the findings of this research reinforce the role of the Speech Therapy in educational institutions as a health promotion area.In this context, the importance of actions in the area of speech therapy for the quality of life, education and health is highlighted, rather than just preventive activities directed to the disease.

CONCLUSION
This study revealed a relationship between phonology and the expressive vocabulary of children aged between four and five years and 11 months and that most of the children who performed well on the vocabulary test also showed adequacy regarding phonological aspects.It is noteworthy that in this study there was no evidence of association between educational institution, parental education and phonological and lexical development.and lower-middle classes.It is worth noting that the population in this context prefers the public schools, remaining the private schools as an alternative in case of no vacancies in the first ones.
The research findings showed that, in all institutions, most of the children who had appropriate vocabulary have also demonstrated appropriate phonology.This fact corroborates the researched literature 22 , which describes that during the acquisition of language, lexicon and phonology are interconnected, regardless of individual variations 22 .Several studies showed that children with phonological disorders had poorer results in the vocabulary test compared to children with normal language development 12,23,24 .This fact is justified by a language development scale in which the acquisition of word meanings, word production and their functional use occurs simultaneously 25 .However, some researches were also found showing that the phonology disorders are only manifested in phonological level, without any effect on the lexical aspect 26 .
Regarding the relationship between the vocabulary and phonology adequacy, considering the odds ratio test, the results confirm the influence of the lexical development on the phonological component, since children with inappropriate vocabulary have more chance to also present greater phonological changes.When comparing the results obtained in both tests, it was noted that the highest percentages of inadequacy occurred in the vocabulary test, proving therefore to be more effective in the assessment of alterations during the child's development.So, if only one of the two tests is required in hearing screenings, in the age range of the research, it is suggested to include the vocabulary test, although both tests are important and necessary tools in the Phonoaudiology as a health promoter.
Thus, it is important to discuss the phonological and lexical development of children aged between four and five years and 11 months, since this theme can contribute to advances in the field of Phonoaudiology and health promotion.The importance of the resources of the family environment

Table 1 -Characteristics of the sample regarding age, gender, parental education and school
Legend: n = number

Table 2 -Relationship between adequacy of phonology and vocabulary and age, gender, family environment, parental education and child education institution
11,15,16tically significant results (p ≤ 0.05) -Fisher's Exact Test Legend: n = number education, neurological factors and hormonal component11,15,16.