Epidemiology of voice and swallowing disorders in Rheumatoid Arthritis

Update item information
Publication Type thesis
School or College College of Health
Department Communication Sciences & Disorders
Author Wright, Charisse E.
Title Epidemiology of voice and swallowing disorders in Rheumatoid Arthritis
Date 2014-08
Description Rheumatoid Arthritis (RA) is an autoimmune disease that causes inflammation of the joints and organs that may produce voice and swallowing disorders. However, little is known regarding the true prevalence of voice and swallowing disorders in RA. This epidemiological investigation examined questionnaire responses from 100 individuals with RA to determine the frequency, severity, risks associated with, and socioemotional impact of voice and swallowing disorders in RA. Detailed medical, psychosocial, occupational, and lifestyle histories, as well as health, voice, and swallowing-related quality-of-life instruments were also included. The results were analyzed using summary statistics, frequencies, chi square tests, risk ratios, and associated confidence intervals (p < 0.05). The prevalence of a current voice disorder was 35%. The majority of these voice disorders began gradually (82.9%), and were chronic (85.7% persisting for more than 4 weeks). Forty-one percent of participants reported a current swallowing disorder, which began gradually (90.2%) and was chronic (82.9%). The most common voice symptoms included frequent throat-clearing, chronic throat dryness, hoarseness, and loss of singing range. Voice disorders were more common in those with sleep disorder, tension in the neck/throat or jaw, among those who were quiet, and among those who were physically inactive. The prevalence of a current voice disorder did not significantly differ across the levels of age, sex, severity of RA, race/ethnicity, income, or education. The most common swallowing symptoms included dry mouth, difficulty swallowing solids, coughing frequently during meals, needing to take smaller bites to swallow safely, and foods sticking in the throat. Risk factors for swallowing problems included thyroid problems, esophageal reflux, tension in shoulders or abdomen, experiencing voice problems with a job, and being physically inactive. Both voice and swallowing problems produced adverse effects on quality of life. These results indicate that voice and swallowing disorders are relatively common in RA. These results have important implications for the recognition and treatment of voice and swallowing disorders in this population.
Type Text
Publisher University of Utah
Subject Autoimmune; Epidemiology; Rheumatoid arthritis; Swallowing; Voice; Speech therapy; Epidemiology; Immunology
Dissertation Institution University of Utah
Dissertation Name Master of Science
Language eng
Rights Management (c) Charisse E. Wright
Format Medium application/pdf
Format Extent 546,269 bytes
Identifier etd3/id/3271
ARK ark:/87278/s6380hzz
Setname ir_etd
Date Created 2015-02-03
Date Modified 2021-05-06
ID 196836
Reference URL https://collections.lib.utah.edu/ark:/87278/s6380hzz
Back to Search Results