Voice Disorders in Older Adults Living in Nursing Homes: Prevalence and Associated Factors

Leandro Pernambuco, Albert Espelt, Amanda C.B. Góis, Kenio Costa de Lima

Research output: Contribution to journalArticleResearchpeer-review

8 Citations (Scopus)


© 2017 The Voice Foundation Objectives To estimate the prevalence and the associated factors with voice disorders (VDs) in older adults living in nursing homes. Study design Cross-sectional. Methods A sample of 117 Brazilian individuals of both sexes and preserved cognitive function, aged >59 years, living in 10 nursing homes, was studied. VDs were screened using the validated tool “Rastreamento de Alterações Vocais em Idosos” (RAVI—Screening for Voice Disorders in Older Adults). Associated factors included variables related to socioeconomic and demographic profile; nursing home; general health; ear, nose, and throat conditions; lifestyle; functionality; and psychosocial status. Bivariate analysis was performed by Pearson's chi-square or Fisher's exact test. Multivariate analysis was performed by multiple binomial regression. The significance level was 5%. Results The prevalence of VDs was 39.3% (95% confidence interval [CI] = 30.4–48.1). There was no significant difference in prevalence according to age and sex. Multivariate analysis revealed that the prevalence of VDs were independently associated with anxiety symptoms (prevalence ratio [PR] = 1.97, 95% CI = 1.17–3.29), smoking (PR = 1.56, CI = 1.02–2.38), general daily inactivity (PR = 1.62, CI = 1.10–2.38), temporomandibular disorder (PR = 1.68, CI = 1.11–2.54), choking (PR = 1.53, CI = 1.06–2.20), and self-reported hearing loss (PR = 1.52, CI = 1.04–2.21). Conclusion VDs are common among older adults with preserved cognitive function living in nursing homes. The associated factors with VDs in this population can be prevented, diagnosed, controlled, or treated. Screening procedures and early intervention should be considered.
Original languageEnglish
Pages (from-to)510.e15-510.e21
JournalJournal of Voice
Issue number4
Publication statusPublished - 1 Jul 2017


  • Aging
  • Nursing homes
  • Prevalence
  • Voice
  • Voice disorders


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