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基于斯德哥尔摩公共卫生队列的普通人群中嗓音障碍的流行率。

Prevalence of Voice Disorders in the General Population, Based on the Stockholm Public Health Cohort.

机构信息

Lund University, Department of Clinical Sciences, Logopedics, Phoniatrics and Audiology, Lund, Scania University Hospital, Lund, Sweden; Linnaeus Research Environment, Cognition, Communication and Learning, Lund University, Lund, Sweden.

Lund University, Department of Clinical Sciences, Logopedics, Phoniatrics and Audiology, Lund, Scania University Hospital, Lund, Sweden.

出版信息

J Voice. 2019 Nov;33(6):900-905. doi: 10.1016/j.jvoice.2018.07.007. Epub 2018 Aug 17.

DOI:10.1016/j.jvoice.2018.07.007
PMID:30126692
Abstract

OBJECTIVE

To investigate the prevalence of voice disorders in the general population.

STUDY DESIGN

Analysis of data from the Stockholm Public Health Cohort.

METHODS

A public health survey was distributed to an open cohort of 114,538 adults >18 years of age in the area of Stockholm County, Sweden. The survey included one question about voice problems, estimating the extent of occurrence of voice problems, excluding voice problems during colds/upper airway infections. The question was tested for validity and reliability in n = 166 voice healthy individuals and n = 183 patients with benign voice lesions. The construct validity was tested against two established self-assessment questionnaires. The question was established to correspond to tiring, strain, and hoarseness. Prevalence of voice problems and correlations with age, gender, occupation, hearing, smoking, and socio-economic status were calculated.

RESULTS

The overall prevalence of voice disorders in the entire group was estimated to 16.9%, where 15.5% voice problems were rated to occur to a small extent and 1.4% to a great extent. Women were significantly more prone to report voice problems than men. The highest ratings of a great extent of voice problems were found in both women and men >85 years of age. As for occupation, the highest prevalence of voice problems was found in teaching and service occupations.

CONCLUSIONS

The prevalence of voice problems was estimated to 16.9% in the entire group. Women reported significantly more voice problems than men and voice problems were significantly more common in ages >65. This study of self-reported voice problems in a general population is one of the largest of its kind.

摘要

目的

调查普通人群中声音障碍的患病率。

研究设计

对斯德哥尔摩公共卫生队列数据的分析。

方法

在瑞典斯德哥尔摩县地区向一个 114538 名年龄>18 岁的开放队列人群发放了一项公共卫生调查。该调查包括一个关于声音问题的问题,估计声音问题的发生程度,不包括感冒/上呼吸道感染期间的声音问题。该问题在 n=166 名声音健康个体和 n=183 名良性声音病变患者中进行了有效性和可靠性测试。构建有效性针对两个既定的自我评估问卷进行了测试。该问题的设定与疲劳、紧张和嘶哑相对应。计算了声音问题的患病率以及与年龄、性别、职业、听力、吸烟和社会经济地位的相关性。

结果

整个组别的声音障碍总体患病率估计为 16.9%,其中 15.5%的声音问题被评为轻度发生,1.4%为重度发生。女性报告声音问题的比例明显高于男性。女性和>85 岁的男性中,声音问题严重程度的评分最高。就职业而言,教学和服务职业的声音问题患病率最高。

结论

整个组别的声音问题患病率估计为 16.9%。女性报告的声音问题明显多于男性,65 岁以上的人群中声音问题更为常见。这项对普通人群自我报告声音问题的研究是此类研究中规模最大的研究之一。

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