{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:18:22Z","timestamp":1787980702166,"version":"build-2784847793"},"reference-count":38,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Objectives: Dysphagia in older adults is associated with malnutrition, aspiration, and reduced quality of life. This study aimed to estimate the prevalence of self-reported swallowing difficulties among community-dwelling older adults in Israel and to identify demographic, medical, and socioeconomic predictors. Method: In this cross-sectional study, 1064 community-dwelling adults aged \u2265 60 years (mean 75.1 \u00b1 7.5 years; 68.1% female) completed an online questionnaire capturing demographics, medical diagnoses, physical activity, income, and place of residence, together with the validated Hebrew and Arabic versions of the Eating Assessment Tool-10 (EAT-10). Dysphagia screening was defined as EAT-10 \u2265 3, and demographic, medical, and socioeconomic predictors were examined using multivariable logistic regression. Results: The prevalence of positive dysphagia screening was 29.1%. In the adjusted model, significant independent predictors were older age (odds ratio [OR] = 1.84)), a dysphagia-related medical diagnosis (OR = 3.10), absence of regular physical activity (OR = 2.19), lower income (OR = 1.36), and lower residential socioeconomic cluster (OR = 1.84). Gender, with a mean age of 75.07 years (SD = 7.52), body mass index (BMI), and residential peripherality were not significant after adjustment; the bivariate peripherality effect appeared to be largely mediated by socioeconomic factors. Conclusions: Nearly one in three community-dwelling Israeli older adults screened positive for dysphagia. Beyond established medical risk factors, physical inactivity and socioeconomic disadvantage were independently associated with positive screening, suggesting potentially modifiable targets for future study. Findings support integrating swallowing screening into routine geriatric care and developing equity-focused screening initiatives for lower-socioeconomic and peripheral communities.<\/jats:p>","DOI":"10.3390\/jcm15176629","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:47:13Z","timestamp":1787849233000},"page":"6629","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Predictors of Self-Reported Swallowing Difficulty in Community-Dwelling Older Adults"],"prefix":"10.3390","volume":"15","author":[{"given":"Lana","family":"Fluk","sequence":"first","affiliation":[{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuval","family":"Nachalon","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"},{"name":"Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Shiff","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4945-7293","authenticated-orcid":false,"given":"Haya","family":"Fogel-Grinvald","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Hebrew University, Jerusalem 9190501, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nogah","family":"Nativ-Zeltzer","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"494","DOI":"10.18203\/issn.2454-5929.ijohns20180713","article-title":"Swallowing difficulties among healthy elderly: Prevalence and aetiology","volume":"4","author":"Mubeena","year":"2018","journal-title":"Int. J. Otorhinolaryngol. Head Neck Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1111\/nmo.12467","article-title":"Prevalence and risk factors for dysphagia: A USA community study","volume":"27","author":"Cho","year":"2015","journal-title":"Neurogastroenterol. Motil."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1007\/s00455-024-10696-0","article-title":"Prevalence of Self-Reported Swallowing Difficulties and Swallowing-Related Quality of Life Among Community-Dwelling Older Adults in India","volume":"39","author":"Dodderi","year":"2024","journal-title":"Dysphagia"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.1044\/2024_AJSLP-23-00407","article-title":"Prevalence of Dysphonia and Dysphagia Among Adults in the United States in 2012 and 2022","volume":"33","author":"Hong","year":"2024","journal-title":"Am. J. Speech-Lang. Pathol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1007\/s00455-023-10570-5","article-title":"Prevalence, Incidence, and Predictors of Self-reported Swallowing Difficulties in Community-Dwelling Adults: A Population-Based Study from the Canadian Longitudinal Study on Aging (CLSA)","volume":"38","author":"Lam","year":"2023","journal-title":"Dysphagia"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2165","DOI":"10.1007\/s40520-023-02499-4","article-title":"Association between health literacy and dysphagia in the community-dwelling older population: A cross-sectional study","volume":"35","author":"Zhang","year":"2023","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1016\/S0140-6736(05)71146-6","article-title":"Social determinants of health inequalities","volume":"365","author":"Marmot","year":"2005","journal-title":"Lancet Lond. Engl."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1038\/nrgastro.2015.49","article-title":"Dysphagia: Current reality and scope of the problem","volume":"12","author":"Shaker","year":"2015","journal-title":"Nat. Rev. Gastroenterol. Hepatol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.clnesp.2021.06.028","article-title":"Association between swallowing function, malnutrition and frailty in community dwelling older people","volume":"45","year":"2021","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_10","first-page":"261","article-title":"Validation of the Hebrew Version of the Eating Assessment Tool-10 (H-EAT-10)","volume":"68","author":"Schechter","year":"2017","journal-title":"Folia Phoniatr. Logop."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1177\/000348940811701210","article-title":"Validity and Reliability of the Eating Assessment Tool (EAT-10)","volume":"117","author":"Belafsky","year":"2008","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1159\/000442199","article-title":"Validation and Cultural Adaptation of the Arabic Version of the Eating Assessment Tool (EAT-10)","volume":"67","author":"Farahat","year":"2016","journal-title":"Folia Phoniatr. Logop."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1111\/nmo.12700","article-title":"Discriminant ability of the Eating Assessment Tool-10 to detect aspiration in individuals with amyotrophic lateral sclerosis","volume":"28","author":"Plowman","year":"2016","journal-title":"Neurogastroenterol. Motil."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s00455-022-10486-6","article-title":"Diagnostic Accuracy of the Eating Assessment Tool-10 (EAT-10) in Screening Dysphagia: A Systematic Review and Meta-Analysis","volume":"38","author":"Zhang","year":"2023","journal-title":"Dysphagia"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1007\/s00455-018-9964-x","article-title":"Does the Hebrew Eating Assessment Tool-10 Correlate with Pharyngeal Residue, Penetration and Aspiration on Fiberoptic Endoscopic Examination of Swallowing?","volume":"34","author":"Yousovich","year":"2019","journal-title":"Dysphagia"},{"key":"ref_16","unstructured":"Central Bureau of Statistics (2026, July 18). Peripherality Index of Local Authorities in Israel, Available online: https:\/\/www.cbs.gov.il\/he\/publications\/doclib\/2019\/1732\/intro_e.pdf."},{"key":"ref_17","unstructured":"Central Bureau of Statistics (2026, July 18). Characterization and Classification of Geographical Units by the Socio-Economic Level of the Population, Available online: https:\/\/www.cbs.gov.il\/he\/mediarelease\/doclib\/2024\/230\/24_24_230t1.pdf."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s13584-019-0306-8","article-title":"The economic burden of health disparities related to socioeconomic status in Israel","volume":"8","author":"Politzer","year":"2019","journal-title":"Isr. J. Health Policy Res."},{"key":"ref_19","unstructured":"(2026, July 18). World Bank Open Data. Available online: https:\/\/data.worldbank.org."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Doan, T.-N., Ho, W.-C., Wang, L.-H., Chang, F.-C., Nhu, N.T., and Chou, L.-W. (2022). Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis. J. Clin. Med., 11.","DOI":"10.3390\/jcm11092605"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Igarashi, K., Kikutani, T., and Tamura, F. (2019). Survey of suspected dysphagia prevalence in home-dwelling older people using the 10-Item Eating Assessment Tool (EAT-10). PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0211040"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"103589","DOI":"10.1016\/j.gerinurse.2025.103589","article-title":"The predictive value of tongue pressure for dysphagia in community-dwelling older adults: A cross-sectional study","volume":"66","author":"Lin","year":"2025","journal-title":"Geriatr. Nur."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.gerinurse.2023.10.002","article-title":"Cross-sectional study on dysphagia evaluation in community-dwelling older adults using the Eating Assessment Tool (EAT)-10, EAT-2, and Water Swallow Test","volume":"54","author":"Zhang","year":"2023","journal-title":"Geriatr. Nur."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1177\/0194599814549156","article-title":"The prevalence of dysphagia among adults in the United States","volume":"151","author":"Bhattacharyya","year":"2014","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"He, P., Li, Y., Ding, F., Liu, X., and Lin, Q. (2025). Prevalence and risk factors of sarcopenic dysphagia in elderly hospitalized patients: A retrospective cohort study based on data from a comprehensive geriatric assessment system. BMC Geriatr., 25.","DOI":"10.1186\/s12877-025-06162-7"},{"key":"ref_26","first-page":"1","article-title":"Aging Effects on Eating Assessment Tool-10 (EAT-10) Total Scores in Healthy, Community-Dwelling Adults","volume":"44","author":"Hill","year":"2020","journal-title":"Can. J. Speech-Lang. Pathol. Audiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1007\/s00455-020-10125-y","article-title":"Self-reported Swallowing and Nutrition Status in Community-Living Older Adults","volume":"36","author":"Jardine","year":"2021","journal-title":"Dysphagia"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"406","DOI":"10.4162\/nrp.2018.12.5.406","article-title":"Socio-demographic factors and diet-related characteristics of community-dwelling elderly individuals with dysphagia risk in South Korea","volume":"12","author":"Lim","year":"2018","journal-title":"Nutr. Res. Pract."},{"key":"ref_29","first-page":"174","article-title":"The Silent Struggles: A Comprehensive Review of Hormonal Effects on Swallowing Difficulty in Aging Women","volume":"7","author":"Florence","year":"2023","journal-title":"Int. J. Geriatr. Gerontol."},{"key":"ref_30","first-page":"1290","article-title":"Decreased Skeletal Muscle Mass and Risk Factors of Sarcopenic Dysphagia: A Prospective Observational Cohort Study","volume":"72","author":"Maeda","year":"2017","journal-title":"J. Gerontol. A. Biol. Sci. Med. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"10893","DOI":"10.1038\/s41598-023-37605-z","article-title":"Association of daily physical activity and leisure-time exercise with dysphagia risk in community-dwelling older adults: A cross-sectional study","volume":"13","author":"Maehara","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1007\/s40520-019-01128-3","article-title":"Sarcopenia and swallowing disorders in older people","volume":"31","author":"Azzolino","year":"2019","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"103774","DOI":"10.1016\/j.amjoto.2022.103774","article-title":"Disparities in the prevalence of self-reported dysphagia and treatment among U.S. adults","volume":"44","author":"Zheng","year":"2023","journal-title":"Am. J. Otolaryngol."},{"key":"ref_34","unstructured":"State Comptroller and Ombudsman of Israel (2013). Annual Report 63c for 2012 and for Fiscal Year 2011, State Comptroller and Ombudsman of Israel."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1007\/s00455-016-9754-2","article-title":"Evaluating the Psychometric Properties of the Eating Assessment Tool (EAT-10) Using Rasch Analysis","volume":"32","author":"Cordier","year":"2017","journal-title":"Dysphagia"},{"key":"ref_36","first-page":"91","article-title":"An introduction to Item Response Theory and Rasch Analysis of the Eating Assessment Tool (EAT-10)","volume":"19","author":"Kean","year":"2018","journal-title":"Brain Impair. Multidiscip. J. Aust. Soc. Study Brain Impair."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1080\/09638288.2017.1398787","article-title":"Construct validity of the Eating Assessment Tool (EAT-10)","volume":"41","author":"Wilmskoetter","year":"2019","journal-title":"Disabil. Rehabil."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s12955-020-01384-2","article-title":"Item analysis of the Eating Assessment Tool (EAT-10) by the Rasch model: A secondary analysis of cross-sectional survey data obtained among community-dwelling elders","volume":"18","author":"Hansen","year":"2020","journal-title":"Health Qual. Life Outcomes"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/17\/6629\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:33:39Z","timestamp":1787978019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/17\/6629"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,27]]},"references-count":38,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["jcm15176629"],"URL":"https:\/\/doi.org\/10.3390\/jcm15176629","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,27]]}}}