Department of Head and Neck Surgery, Kaiser Permanente, Oakland Medical Center, Oakland, California, USA.
Division of Research, Biostatistical Consulting Unit, Oakland, California, USA.
Laryngoscope. 2021 Jul;131(7):E2298-E2302. doi: 10.1002/lary.29429. Epub 2021 Feb 9.
OBJECTIVES/HYPOTHESIS: To evaluate whether language of choice affects compliance with speech therapy for voice disorders.
Retrospective chart review.
A retrospective study was performed at Kaiser Permanente Northern California to compare compliance with referrals to speech therapy for voice disorders between English- and non-English-speaking patients. Patients referred from January 2012 through December 2017 were included. Logistic regression models were used to calculate the adjusted odds ratios (aOR) and to determine social and demographic factors affecting compliance.
Of 7,333 patients referred to speech therapy for a voice disorder, 7,171 were identified as English speaking and 162 as non-English speaking. The two cohorts were similar in terms of gender and proportion over 65 years of age, although non-English-speaking individuals were more likely to be Hispanic or Asian than English speakers, who were more likely to be White or African American. Overall compliance was lower among non-English-speaking patients than English speakers (63% vs 74%) (P = .0011). Logistic regression showed that the need for an interpreter was significantly associated with higher noncompliance (aOR 1.56, 95% CI 1.11-2.18), as was age less than 65 and income less than the study aggregate median income. Being multiracial or having a voice disorder of neurologic origin was associated with better compliance.
This study demonstrates significant noncompliance with speech therapy for a variety of voice disorders. This problem is exacerbated for patients who do not speak English and who are younger, of lower income, or are referred for functional voice disorders. In-person interpreters or multilingual speech therapists may help to improve compliance.
IV Laryngoscope, 131:E2298-E2302, 2021.
目的/假设：评估选择的语言是否会影响语音障碍患者对语音治疗的依从性。
回顾性图表审查。
在 Kaiser Permanente Northern California 进行了一项回顾性研究，比较了英语和非英语患者对语音障碍语音治疗转诊的依从性。纳入了 2012 年 1 月至 2017 年 12 月期间转诊的患者。使用逻辑回归模型计算调整后的优势比（aOR），并确定影响依从性的社会和人口统计学因素。
在转诊至语音治疗的 7333 名语音障碍患者中，有 7171 名被确定为英语患者，162 名为非英语患者。这两个队列在性别和 65 岁以上人群的比例方面相似，尽管非英语患者比英语患者更有可能是西班牙裔或亚裔，而英语患者更有可能是白人或非裔美国人。非英语患者的总体依从性低于英语患者（63%比 74%）（P =.0011）。逻辑回归显示，需要口译员与较高的不依从性显著相关（aOR 1.56，95%CI 1.11-2.18），年龄小于 65 岁和收入低于研究总中位数收入也是如此。多种族或神经源性嗓音障碍与更好的依从性相关。
这项研究表明，各种语音障碍的语音治疗不依从现象明显。对于不会说英语且年龄较小、收入较低或因功能性嗓音障碍而转诊的患者，这一问题更加严重。现场口译员或多语言语音治疗师可能有助于提高依从性。
IV 喉镜，131：E2298-E2302，2021 年。
