Prevalence of Self-Reported Voice Concerns and Associated Risk Markers in a Nonclinical Sample of Military Service Members.
Introduction: Difficult communication environments are common in military settings, and effective voice use can be critical to mission success. This study aimed to estimate the prevalence of self-reported voice disorders among U.S. military service members and to identify factors that contribute to...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 66; no. 9; pp. 3364 - 3382 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Sep2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=171950378&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 171950378 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Sep2023 vid: 66 iid: 9 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 171950378 10.1044/2023_JSLHR-23-00150 ppf: 3364 ppct: 18 formats: fmt: @attributes: type: P size: 1.4MB tig: atl: Prevalence of Self-Reported Voice Concerns and Associated Risk Markers in a Nonclinical Sample of Military Service Members. aug: au: Perry, Trevor T. Brungart, Douglas S. Myers, Jennifer Rae Cord, Laura L. Solomon, Nancy Pearl affil: National Military Audiology & Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD Oak Ridge Institute for Science and Education, APHC Research Participation Program, TN National Center for Rehabilitative Auditory Research, VA Portland Health Care System, OR Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD su: United States Self-evaluation Sex distribution Communication Psychology of military personnel Disease risk factors Tinnitus Hoarseness Confidence intervals Cadmium Occupational exposure Military service Surveys Risk assessment Audiometry Questionnaires Chi-squared test Descriptive statistics Research funding Logistic regression analysis Odds ratio Fatigue (Physiology) Voice disorders Epidemiological research Symptoms sug: subj: Self-evaluation Sex distribution Communication Psychology of military personnel Disease risk factors United States Tinnitus Hoarseness Confidence intervals Cadmium Occupational exposure Military service Surveys Risk assessment Audiometry Questionnaires Chi-squared test Descriptive statistics Research funding Logistic regression analysis Odds ratio Fatigue (Physiology) Voice disorders Epidemiological research Symptoms ab: Introduction: Difficult communication environments are common in military settings, and effective voice use can be critical to mission success. This study aimed to estimate the prevalence of self-reported voice disorders among U.S. military service members and to identify factors that contribute to their voice concerns. Method: A nonclinical sample of 4,123 active-duty service members was recruited across Department of Defense hearing conservation clinics. During their required annual hearing evaluation, volunteers provided responses to voice-related questions including a slightly adapted version of the Voice Handicap Index-10 (VHI-10) as part of a larger survey about communication issues. Changepoint detection was applied to age and years of service to explore cohort effects in the reporting of voice concerns. Logistic regression analyses examined multiple available factors related to communication to identify factors associated with abnormal results on the VHI-10. Results: Among the respondents, 41% reported experiencing vocal hoarseness or fatigue at least several times per year, and 8.2% (n = 336) scored above the recommended abnormal cut-point value of 11 on the VHI-10. Factors independently associated with the greatest risk for self-reported voice concerns were sex (female), cadmium exposure, vocal demands (the need for a strong, clear voice), and auditory health measures (frequency of experiencing temporary threshold shifts; self-reported hearing difficulties). Conclusions: Based on self-reported voice concerns and false negative rates reported in the literature, the prevalence of dysphonia in a large sample of active-duty service members is estimated to be 11.7%, which is higher than that in the general population. Certain predictors for voice concerns were expected based on previous literature, like female sex and voice use, but frequency of temporary threshold shifts and exposure to cadmium were surprising. The strong link between voice and auditory problems has particular implications regarding the need for effective communication in high-noise military and other occupational environments. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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