Voice Disorders in Older Adults Living in Nursing Homes: Prevalence and Associated Factors
Por:
Pernambuco, L, Espelt, A, Gois, ACB, de Lima, KC
Publicada:
1 jul 2017
Resumen:
Objectives. To estimate the prevalence and the associated factors with voice disorders (VDs) in older adults living in nursing homes.
Study design. Cross-sectional.
Methods. A sample of 117 Brazilian individuals of both sexes and preserved cognitive function, aged >59 years, living in 10 nursing homes, was studied. VDs were screened using the validated tool "Rastreamento de Alteracoes Vocais em Idosos" (RAVI-Screening for Voice Disorders in Older Adults). Associated factors included variables related to socioeconomic and demographic profile; nursing home; general health; ear, nose, and throat conditions; lifestyle; functionality; and psychosocial status. Bivariate analysis was performed by Pearson's chi-square or Fisher's exact test, Multivariate analysis was performed by multiple binomial regression. The significance level was 5%.
Results. The prevalence of VDs was 39,3% (95% confidence interval [CI] =30.4-48.1). There was no significant difference in prevalence according to age and sex. Multivariate analysis revealed that the prevalence of VDs were independently associated with anxiety symptoms (prevalence ratio [PR] = 1,97, 95% Cl = 1,17-3.29), smoking (PR = 1,56, CI = 1,02-2.38), general daily inactivity (PR = 1,62, CI = 1.10-2,38), temporomandibular disorder (PR = 1.68, CI = 1.11-2.54), choking (PR = 1,53, CI = 1,06-2.20), and self-reported hearing loss (PR = 1.52, CI = 1,04-2.21),
Conclusion. VDs are common among older adults with preserved cognitive function living in nursing homes. The associated factors with VDs in this population can he prevented, diagnosed, controlled, or treated. Screening procedures and early intervention should be considered.
Filiaciones:
Pernambuco, L:
Fed Univ Paraiba UFPB, Dept Speech Language & Hearing Sci, Joao Pessoa, Paraiba, Brazil
Espelt, A:
Publ Hlth Agcy Barcelona ASPB, Customer Serv & Drug Addict Prevent, Barcelona, Spain
Autonomous Univ Barcelona UAB, Sch Psychol, Dept Psychobiol & Methodol Hlth Sci, Bellaterra, Spain
Carlos III Hlth Inst, CIBER Epidemiol & Publ Hlth, Madrid, Spain
Gois, ACB:
Fed Univ Rio Grande Do Norte UFRN, Postgrad Program Publ Hlth PPGSCol UFRN, Rio Grande Do Norte, Brazil
de Lima, KC:
Fed Univ Rio Grande Do Norte UFRN, Postgrad Program Publ Hlth PPGSCol UFRN, Rio Grande Do Norte, Brazil
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