Academic Journal
Socioeconomic Deprivation and Vocal Handicap in Adults With Voice Disorders.
| Τίτλος: | Socioeconomic Deprivation and Vocal Handicap in Adults With Voice Disorders. |
|---|---|
| Συγγραφείς: | Fujiki RB; Department of Otolaryngology-Head & Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.; Department of Otolaryngology-Head & Neck Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA., Thibeault SL; Department of Otolaryngology-Head & Neck Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA. |
| Πηγή: | The Laryngoscope [Laryngoscope] 2026 Aug; Vol. 136 (8), pp. 3503-3513. Date of Electronic Publication: 2026 Mar 23. |
| Τύπος έκδοσης: | Journal Article; Research Support, N.I.H., Extramural |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell Original Publication: St. Louis, Mo. : [s.n., 1896- |
| Ιατρικοί όροι (MeSH): | Voice Disorders*/psychology , Voice Disorders*/epidemiology , Voice Disorders*/physiopathology , Quality of Life* , Social Deprivation*, Humans ; Female ; Male ; Middle Aged ; Cross-Sectional Studies ; Adult ; Aged ; Disability Evaluation ; Socioeconomic Disparities in Health ; Low Socioeconomic Status ; Socioeconomic Factors |
| Περίληψη: | Objective: This study examined the relationship between socioeconomic deprivation and quality of life as measured by the Voice Handicap Index (VHI) in adults with voice disorders. Methods: A cross sectional design was utilized. One-thousand one-hundred and twenty adults with voice disorders were included in this study (mean age = 53.6, SD = 16.5; males = 429 females = 788). Patients were divided into the following diagnostic groups: muscle tension dysphonia (32%), benign vocal fold lesions (29.4%), laryngospasm (12.3%), vocal fold paralysis (11.1%), neurological voice disorders (6.2%), laryngeal cancer (5.9%), and presbyphonia (3%). VHI scores, Grade Roughness Breathiness Asthenia and Strain (GRBAS) ratings, age, sex, employment status, and smoking history were extracted from initial voice evaluations. Socioeconomic deprivation was measured using the Area Deprivation Index (ADI). Results: Patients living in areas with the highest socioeconomic deprivation presented with greater total (p < 0.001), functional (p < 0.001), physical (p < 0.001), and emotional VHI scores (p < 0.001) when compared to those living in more affluent areas-even when controlling for dysphonia severity, age, sex, voice-related diagnosis, employment status, and smoking history. The association between VHI and ADI was strongest for total score and emotional subscore, as VHI total scores increased by 0.32 (95% CI = 0.26-1.26, p < 0.001) and VHI Emotional scores increased by 0.18 (95% CI = 0.16-0.21, p < 0.001) for every 1-point increase in ADI. Conclusions: Patients living with socioeconomic deprivation experienced greater voice-related handicap from voice disorders than those from more affluent backgrounds. Future work is needed to better characterize the relationship between quality of life and socioeconomic deprivation in those with voice disorders. (© 2026 The Author(s). The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.) |
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| Grant Information: | T32 DC009401 United States DC NIDCD NIH HHS |
| Contributed Indexing: | Keywords: Voice Handicap Index; dysphonia; quality of life; socioeconomic status; voice disorders |
| Entry Date(s): | Date Created: 20260324 Date Completed: 20260712 Latest Revision: 20260813 |
| Update Code: | 20260813 |
| PubMed Central ID: | PMC13036882 |
| DOI: | 10.1002/lary.70510 |
| PMID: | 41872108 |
| Βάση Δεδομένων: | MEDLINE |
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