{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T16:25:36Z","timestamp":1771863936270,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T00:00:00Z","timestamp":1690588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the association of social determinants of health (SDOH) on the presentation and management of unilateral vocal fold immobility (UVFI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of 207 adult UVFI patients evaluated at a tertiary\u2010care hospital between 2018 and 2019 was performed. Sociodemographic factors including gender, median household income, preferred language, and insurance type were recorded. Confounding clinical factors including etiology of UVFI, Voice Handicap Index\u201010 (VHI\u201010) score, laryngoscopic findings, and intervention history were extracted from medical records. Multivariable logistic regression was performed using sociodemographic and clinical factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patient demographics and socioeconomic status were not associated with time to presentation. Patients presenting with glottic insufficiency and UVFI due to malignancy or recurrent laryngeal nerve (RLN) sacrifice had a shorter time to presentation. Higher household income was associated with greater number of interventions (<jats:italic>p<\/jats:italic>\u2009=\u20090.02), but neither income nor insurance type affected intervention type or timing. Female patients were less likely to undergo injection medialization laryngoplasty (odds ratio [OR] 0.25, <jats:italic>p<\/jats:italic>\u2009=\u20090.005). Older patients were more likely to undergo injection (OR 1.04, <jats:italic>p<\/jats:italic>\u2009=\u20090.027). Patients with large glottic gaps (OR 21.2, <jats:italic>p<\/jats:italic>\u2009=\u20090.014) and higher VHI\u201010 scores (OR 1.06, <jats:italic>p<\/jats:italic>\u2009=\u20090.047) were more likely to undergo surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Higher household income was associated with greater number of interventions and longer duration of care at a private tertiary\u2010care hospital. RLN sacrifice, known malignancy, and glottic insufficiency significantly reduced the time to presentation. Type of intervention received was a complex interplay of both demographic and clinical factors. Large prospective studies should examine the role of SDOH in the presentation and management of UVFI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 134:297\u2013304, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30917","type":"journal-article","created":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T11:34:35Z","timestamp":1690630475000},"page":"297-304","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of Sociodemographic Factors on the Presentation and Management of Unilateral Vocal Fold Immobility"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3544-865X","authenticated-orcid":false,"given":"Anahita","family":"Nourmahnad","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Miami Hospital  Miami Florida U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahm","family":"Raslan","sequence":"additional","affiliation":[{"name":"Herbert Wertheim College of Medicine, Florida International University  Miami Florida U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8860-6319","authenticated-orcid":false,"given":"Uche C.","family":"Ezeh","sequence":"additional","affiliation":[{"name":"University of Miami School of Medicine  Miami Florida U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackson","family":"Rossborough","sequence":"additional","affiliation":[{"name":"University of Miami School of Medicine  Miami Florida U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruixuan","family":"Ma","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Public Health Science University of Miami Miller School of Medicine  Miami Florida U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1215-4114","authenticated-orcid":false,"given":"Mursalin M.","family":"Anis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Miami Hospital  Miami Florida 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