{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T23:46:16Z","timestamp":1783208776371,"version":"3.54.6"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T00:00:00Z","timestamp":1435881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To estimate the prevalence of dysphonia and the effect of several risk factors on vocal quality in a representative population of older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Korea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals aged 65 and older who underwent laryngoscopy from 2008 to 2010 (N\u00a0=\u00a03,759).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>The prevalence of dysphonia and the effect of potential risk factors on voice quality in elderly adults were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of participants was 72.4. The prevalence of dysphonia was 8.5% (95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      )\u00a0=\u00a07.4\u20139.8). There was no significant difference in prevalence according to age. Multivariable analysis after adjusting for age, sex, vocal fold disease, and all variables that were identified in the univariate analysis revealed that urban residence (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      )\u00a0=\u00a01.83, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.11\u20133.04), underweight (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a02.79, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.45\u20135.38) or normal weight (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a01.63, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.03\u20132.59), poor (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a02.00, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.19\u20133.34) or intermediate (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0= 2.08, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.15\u20133.78) subjective health status, asthma (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a02.08, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.12\u20133.86), chronic obstructive pulmonary disease (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a02.49, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.10\u20135.62), thyroid disease (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a03.08, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a01.50\u20136.34), and vocal fold disease (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a03.72, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a02.16\u20136.42) were independently associated with dysphonia in elderly adults.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides valuable information regarding the prevalence of dysphonia and the risk factors that contribute to vocal quality in older adults. These factors are mostly associated with social, behavioral, and underlying health status variables. Multidisciplinary treatment should be considered to improve voice conditions in elderly adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.13559","type":"journal-article","created":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T14:26:53Z","timestamp":1435933613000},"page":"1608-1614","source":"Crossref","is-referenced-by-count":39,"title":["Voice Changes in Elderly Adults: Prevalence and the Effect of Social, Behavioral, and Health Status on Voice Quality"],"prefix":"10.1111","volume":"63","author":[{"given":"Chang Hwan","family":"Ryu","sequence":"first","affiliation":[{"name":"Specific Organs Cancer Branch Department of Otolaryngology Center for Thyroid Cancer Research Institute and Hospital National Cancer Center Gyeonggi Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seungbong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Biostatistics Asan Medical Center College of Medicine University of Ulsan Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moo\u2010Song","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Biostatistics Asan Medical Center College of Medicine University of Ulsan Seoul Korea"},{"name":"Department of Preventive Medicine Asan Medical Center College of Medicine University of Ulsan Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Yoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Asan Medical Center College of Medicine University of Ulsan Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soon Yuhl","family":"Nam","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Asan Medical Center College of Medicine University of Ulsan Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong\u2010Lyel","family":"Roh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Asan Medical Center College of Medicine University of Ulsan Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junsun","family":"Ryu","sequence":"additional","affiliation":[{"name":"Specific Organs Cancer Branch Department of Otolaryngology Center for Thyroid Cancer Research Institute and Hospital National Cancer Center Gyeonggi Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuh\u2010S","family":"Jung","sequence":"additional","affiliation":[{"name":"Specific Organs Cancer Branch Department of Otolaryngology Center for Thyroid Cancer Research Institute and Hospital National Cancer Center Gyeonggi Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung\u2010Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Asan Medical Center College of Medicine University of Ulsan Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,3]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Elderly Statistics 2013 [on\u2010line]. 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