Research Article| Volume 33, ISSUE 5, P806.e1-806.e7, September 2019

Prevalence and Associated Factors With Voice Disorders in Brazilian Community-dwelling Older Adults

  • Amanda C.B. Góis
    Post-Graduate Program in Public Health (PPgSCol-UFRN), Universidade Federal do Rio Grande do Norte (UFRN), Rio Grande do Norte, Brazil
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  • Leandro Pernambuco
    Address correspondence and reprint requests to Leandro Pernambuco, Jardim Universitário, S/N, Castelo Branco, João Pessoa, PB 58051-900, Brazil.
    Department of Speech, Language and Hearing Sciences, Universidade Federal da Paraíba (UFPB), Paraíba, Brazil

    Post-Graduate Program in Speech, Language and Hearing Sciences (PPgFon-UFPB/UFRN), Paraíba, Brazil
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  • Kenio Costa de Lima
    Post-Graduate Program in Public Health (PPgSCol-UFRN), Universidade Federal do Rio Grande do Norte (UFRN), Rio Grande do Norte, Brazil
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      This study aimed to estimate the prevalence and factors associated with voice disorders (VDs) in Brazilian community-dwelling older adults.

      Study design

      This is a cross-sectional study.


      The sample comprised 463 older adults (60 years or more) of both sexes living in a Brazilian northeastern city. Variables were related to socioeconomic and demographic profile, lifestyle, and general health conditions, in addition to the validated “Screening for Voice Disorders in Older Adults” (RAVI) questionnaire. A bivariate analysis was performed using the Pearson chi-square test or the Fisher exact test, and the magnitude of the association was the prevalence ratio (PR). Poisson regression model was performed, considering only the variables with a critical value of P < 0.20. The significance level was 5%.


      There was a prevalence of women (60.9%), and the average age of participants was 70 (±7.74) years. The prevalence of VDs was 51.4% (95% confidence interval [CI]: 46.8–55.9). The most common symptoms were throat sensation of phlegm (46.9%) and dry throat (46.7%), both related to physical sensations of laryngeal discomfort. Multivariate analysis indicated that the prevalence of VDs was independently associated with hyposalivation (PR = 2.28, 95% CI = 1.80–2.88), smoking (PR = 2.04, 95% CI = 1.65–2.52), self-reported hearing loss (PR = 1.51, 95% CI = 1.28–1.78), and not seeking a physician or other health professional care for VDs (PR = 0.73, 95% CI = 0.60–0.88).


      VDs are prevalent among Brazilian community-dwelling older adults and are associated with variables related to general health and lifestyle.

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