My understanding.
Language is complicated by a few things. You learn to emulate sounds by hearing them as a baby. If one of your parents has an atypical way of saying certain sounds then the baby may well learn to as well through simple repetition and nurture.
It could also be a cognitive and/or auditory dysfunction thing as well , so nature. But when you put the two together it is likely to carry on generationally. I would expect that there might be some visual discrimination things co-existing too. So, if the person, while developing their language omitted the first and last sounds for an example that would be indicative of something cognitive. If that is detected in the early years up to 2 years then early childhood screening is recommended.
The presence of Otitis Media complicates things as well because to a child managing or not managing with it they can hear sounds as though they are garbled through water and importantly through the formative years of language development. That might be affected by social structures if undetected or treatments unavailable.
happy to be corrected on the thoughts expressed.
As far as the class based questions no idea. Never been there. I don't know there is any basis to that.