Gender-related differences in the prevalence of voice disorders and awareness of dysphonia.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY

Acta Otorhinolaryngologica Italica Pub Date : 2022-10-01 DOI:10.14639/0392-100X-N2018

Maria Raffaella Marchese, Ylenia Longobardi, Tiziana Di Cesare, Giorgia Mari, Valeria Terruso, Jacopo Galli, Lucia D'Alatri

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Abstract

Objective: Considering the impact of dysphonia on public health and the increasing attention to patient-centred care, we evaluated sex-related differences in the prevalence of benign voice disorders, awareness of dysphonia and voice therapy (VT) results.

Methods: One hundred and seventy-one patients, 129 females and 42 males, with functional or organic benign dysphonia underwent Voice Handicap Index (VHI), auditory-perceptual dysphonia severity scoring (GRBAS) and acoustic analysis (Jitter%, Shimmer%, NHR) before and after VT.

Results: Prevalence of each voice disorder was significantly higher among females. Mean time-to-diagnosis (time elapsed until medical consultation) was not different between males and females. The refusal of therapy and VT adherence (mean number of absences and premature dropout) were similar in the two groups. Pre-VT VHI and "G" parameter were worse in women. The percentage of women with abnormal acoustic analysis was significantly higher. Post-VT VHI gain was higher in women, whereas "G" parameter improvement did not differ by sex.

Conclusions: Our study showed a higher prevalence of voice disorders in females. Awareness of dysphonia was not gender related. Females started with worse voice subjective perception and acoustic analysis, but they perceived greater improvement after therapy.

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语音障碍患病率和语音障碍意识的性别差异。

目的:考虑到发声障碍对公共卫生的影响以及对以患者为中心的护理的日益重视，我们评估了良性语音障碍患病率、发声障碍意识和语音治疗(VT)结果的性别相关差异。方法:对171例功能性或器质性良性发声障碍患者(女性129例，男性42例)进行语音障碍指数(VHI)、听觉-知觉发声障碍严重程度评分(GRBAS)和声音分析(抖动%、闪烁%、NHR)。结果:女性各发声障碍患病率均显著高于男性。平均诊断时间(到就诊的时间)在男性和女性之间没有差异。两组患者的拒绝治疗和静脉血栓栓塞依从性(缺勤和过早退出的平均次数)相似。女性vt前VHI和“G”参数较差。声学分析异常的女性比例明显更高。vt后VHI的增加在女性中较高，而“G”参数的改善没有性别差异。结论:我们的研究显示女性的声音障碍患病率更高。语音障碍的意识与性别无关。女性开始时声音主观感知和声学分析较差，但治疗后改善较大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.