Ondokuz Mayıs University, School of Medicine, Department of Otolaryngology, Samsun, Turkey.
Ondokuz Mayıs University, School of Medicine, Department of Otolaryngology, Samsun, Turkey.
J Voice. 2021 Nov;35(6):933.e1-933.e6. doi: 10.1016/j.jvoice.2020.02.008. Epub 2020 Mar 12.
Exposure to cigarette smoke has significant effects on the respiratory mucosa. However, little is known about the effects of household smoke exposure on children's voice-related quality of life. The aim of this study was to elucidate the effect of parental smoking (PS) on voice-related quality of life in the pediatric population.
The Pediatric Voice-related Quality of Life (PVRQoL) instrument was administered to the parents of 104 healthy children without any known voice disorder. The children were evaluated in two groups. The first group of children had no PS history and no household smoke exposure (non-PS group), in the second group, at least one parent of the child consumed tobacco products in the house (PS group). Social emotional and physical functional subdomains of the PVRQoL were also calculated.
A total of 104 surveys were analyzed. The overall percentage of dysphonia in the PS group was 23.6%, whereas it was 6.1% in the non-PS group. The mean PVRQoL scores were 89.1 (±13.8) in the PS group and 97.7 (±4.7) in the non-PS group (P < 0.001). The mean physical functional-PVRQoL score was 35.4 (±7.2) in the PS group and 39.0 (±6.0) in the non-PS group. The mean social emotional-PVRQoL scores were 51.2 (±9.3) in the PS group and 57.2 (±5.6) in the non-PS group. The overall voice quality was significantly lower in the PS group than in the non-PS group.
Exposure to PS has negative effects on voice-related quality of life in children that cannot be underestimated. Parents should be informed about the detrimental effects of passive smoking on the voice quality of their children. Inclusion of items in pediatric voice surveys about PS that lead to dysphonia would be suggested.
吸烟会对呼吸道黏膜产生显著影响。然而，人们对家庭烟雾暴露对儿童声音相关生活质量的影响知之甚少。本研究旨在阐明父母吸烟（PS）对儿科人群声音相关生活质量的影响。
向 104 名无任何已知声音障碍的健康儿童的父母发放《儿科声音相关生活质量（PVRQoL）量表》。将儿童分为两组。第一组儿童无 PS 史且无家庭烟雾暴露（非 PS 组），第二组儿童至少有一位家长在家中吸烟（PS 组）。还计算了 PVRQoL 的社会情感和身体功能子领域。
共分析了 104 份调查。PS 组的总体发音障碍百分比为 23.6%，而非 PS 组为 6.1%。PS 组的 PVRQoL 平均得分为 89.1（±13.8），非 PS 组为 97.7（±4.7）（P<0.001）。PS 组的平均身体功能-PVRQoL 得分为 35.4（±7.2），非 PS 组为 39.0（±6.0）。PS 组的平均社会情感-PVRQoL 得分为 51.2（±9.3），非 PS 组为 57.2（±5.6）。PS 组的整体声音质量明显低于非 PS 组。
PS 暴露对儿童声音相关生活质量有负面影响，不容忽视。应告知家长被动吸烟对子女声音质量的有害影响。建议在儿科声音调查中纳入与 PS 导致发音障碍相关的项目。
