Coprevalence and impact of dysphonia and hearing loss in the elderly.

Journal Article (Journal Article)

OBJECTIVES/HYPOTHESIS: To determine the coprevalence of voice problems and hearing loss in the elderly, to assess whether hearing loss is a risk factor for dysphonia, and to evaluate the quality-of-life impact of dysphonia and hearing loss among the elderly. STUDY DESIGN: Cross-sectional study of independent living residents in two retirement communities. METHODS: Main outcome measures include prevalence of dysphonia and hearing loss, Voice Related Quality of Life (VRQOL), Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S), and the Center for Epidemiologic Studies Depression (CES-D) scale. Relationships between continuous variables were analyzed with Spearman correlation, between categorical variables with chi-square, and between categorical and continuous variable with analysis of variance (ANOVA) on ranks. RESULTS: A total of 248 residents responded with a mean age of 82.4 years. Of those, 19.8% had dysphonia, 50.0% had hearing loss, and 10.5% had both. Respondents with hearing loss were more likely to have dysphonia than those without hearing loss (odds ratio = 2.31, 95% confidence interval, 1.19-4.47). Worse VRQOL scores were associated with more impairment on the HHIE-S (Spearman correlation = -0.36, P < .001). Respondents with both dysphonia and hearing loss had greater depression scores than those with neither symptom (median CES-D score 13 vs. 8, P = .03, ANOVA on ranks, Dunn's method, P < .05). CONCLUSIONS: Voice problems and hearing loss are common in the elderly, adversely impact quality of life, and require simultaneous management.

Full Text

Duke Authors

Cited Authors

  • Cohen, SM; Turley, R

Published Date

  • September 2009

Published In

Volume / Issue

  • 119 / 9

Start / End Page

  • 1870 - 1873

PubMed ID

  • 19572385

Electronic International Standard Serial Number (EISSN)

  • 1531-4995

Digital Object Identifier (DOI)

  • 10.1002/lary.20590


  • eng

Conference Location

  • United States