传播阅读的喜悦：由父母开展的社区调研

Background Literacy is an important social determinant of health. Failure to develop emergent literacy skills before kindergarten is a risk factor for academic failure, poverty, incarceration, and early death. Reading comprehension depends on both language comprehension and alphabetic decoding skills. The Home Literacy Environment literature tends to focus on reading aloud to develop oral language but less is known about letter-themed tools. Design Our hypothesis was that letter-themed toys and books would be acceptable to all families but that lower socio-economic status (SES) households woul