Gilman Marina, Merati Albert L, Klein Adam M, Hapner Edie R, Johns Michael M
The Emory Voice Center, Emory University, Department of Otolaryngology, Atlanta, Georgia 30308, USA.
J Voice. 2009 Mar;23(2):225-8. doi: 10.1016/j.jvoice.2007.08.003. Epub 2007 Nov 26.
Contemporary commercial music (CCM) performers rely heavily on their voice, yet may not be aware of the importance of proactive voice care. This investigation intends to identify perceptions and barriers to seeking voice care among CCM artists. This cross-sectional observational study used a 10-item Likert-based response questionnaire to assess current perceptions regarding voice care in a population of randomly selected participants of professional CCM conference. Subjects (n=78) were queried regarding their likelihood to seek medical care for minor medical problems and specifically problems with their voice. Additional questions investigated anxiety about seeking voice care from a physician specialist, speech language pathologist, or voice coach; apprehension regarding findings of laryngeal examination, laryngeal imaging procedures; and the effect of medical insurance on the likelihood of seeking medical care. Eighty-two percent of subjects reported that their voice was a critical part of their profession; 41% stated that they were not likely to seek medical care for problems with their voice; and only 19% were reluctant to seek care for general medical problems (P<0.001). Anxiety about seeking a clinician regarding their voice was not a deterrent. Most importantly, 39% of subjects do not seek medical attention for their voice problems due to medical insurance coverage. The CCM artists are less likely to seek medical care for voice problems compared with general medical problems. Availability of medical insurance may be a factor. Availability of affordable voice care and education about the importance of voice care is needed in this population of vocal performers.
当代商业音乐（CCM）表演者严重依赖他们的嗓音，但可能没有意识到积极进行嗓音护理的重要性。本调查旨在确定CCM艺术家在寻求嗓音护理方面的认知和障碍。这项横断面观察性研究使用了一份基于10项李克特量表的应答问卷，以评估在一个随机选择的专业CCM会议参与者群体中对嗓音护理的当前认知。研究询问了受试者（n = 78）对于因轻微医疗问题，特别是嗓音问题寻求医疗护理的可能性。其他问题调查了他们对向内科专家、言语语言病理学家或嗓音教练寻求嗓音护理的焦虑；对喉镜检查、喉部成像程序结果的担忧；以及医疗保险对寻求医疗护理可能性的影响。82%的受试者报告说他们的嗓音是其职业的关键部分；41%表示他们不太可能因嗓音问题寻求医疗护理；只有19%的人不愿因一般医疗问题寻求护理（P < 0.001）。对就嗓音问题寻求临床医生帮助的焦虑并不是一个阻碍因素。最重要的是，39%的受试者因医疗保险覆盖范围而不为其嗓音问题寻求医疗关注。与一般医疗问题相比，CCM艺术家因嗓音问题寻求医疗护理的可能性较小。医疗保险的可获得性可能是一个因素。在这群声乐表演者中，需要有可负担得起的嗓音护理服务以及关于嗓音护理重要性的教育。
