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The Trend of the Association Between Amount of Smoking and Self-reported Voice Problem

흡연량과 본인 인지 음성장애의 관련성에 관한 경향성 분석

  • Byeon, Hae-Won (Department of Language Therapy, Daelim university collage)
  • 변해원 (대림대학교 언어재활과)
  • Received : 2012.01.02
  • Accepted : 2012.03.08
  • Published : 2012.03.31

Abstract

The South Korea has the highest overall smoking rates of male among the thirty member-countries in the Organization for Economic Cooperation and Development. This study was performed to determine the association between amount of smoking and self-reported voice problem in Korean adult population using national survey data. Data were drawn from the Korea National Health and Nutritional Examination Survey 2008. Subjects were 3,600 persons (1,501 male, 2,099 female) aged 19 years and older living in the community. Adjusting for covariates (age, sex, education, income, longest occupation, alcohol drinking, pain and discomfort during the last 2 weeks), Severe smoke (>40.5-55.5 pack year), more than 20 cigarettes per day were independent risk factors for self-reported voice problem. It was found that the number of cigarettes smoked per day (CPD) the proportional increased in risk of voice disorders. These findings suggest that the investigation of CPD are required for effective screening of voice disorder.

우리나라 성인의 현재 흡연율은 감소 추세이지만, 여전히 OECD국가 중에서 가장 높다. 이 연구에서는 2008년 국민건강영양조사에서 이비인후 검진을 완료한 19세 이상 지역사회 성인 3,600명을 대상으로 흡연량이 증가할수록 본인 인지 음성장애의 위험이 비례적으로 증가하는지에 관한 경향성을 분석하였다. 통제변수는 연령, 성, 교육수준, 소득 사분위수, 최장직업, 음주, 최근 2주 동안 만성 및 급성 질환 등으로 인한 통증 및 불편감 여부를 사용하였다. 연구 결과, 고도 흡연(>40.5~55.5 pack year)과 일일 평균 1갑 이상의 흡연은 본인 인지 음성장애의 독립적인 위험요인이었다. 일일 평균 흡연량이 증가할수록 본인 인지 음성장애의 위험이 유의하게 증가하였지만, 평생 흡연량(pack year)은 교차비의 증가가 유의하지 않았다. 본인 인지 음성장애의 조기 선별 및 예방을 위해서 주관적 음성 평가 외에도 추가적으로 현재 흡연량에 대한 조사가 필요하다.

Keywords

References

  1. Ministry of Health and Welfare, The third Korea National Health and Nutritional Examination Survey 2008, Seoul: Ministry of Health and Welfare, 2008.
  2. Menvielle G, Luce D, Goldberg P, Bugel I, Leclerc A, "Smoking, alcohol drinking and cancer risk for various sites of the larynx and hypopharynx. A case-control study in France", European Journal of Cancer Prevention, Vol. 13, pp. 165-172, 2004. https://doi.org/10.1097/01.cej.0000130017.93310.76
  3. Awan SN, "The effect of smoking on the dysphonia severity index in females", Folia Phoniatr Logop, Vol. 63, No. 2, pp. 65-71, 2011. https://doi.org/10.1159/000316142
  4. Wiskirska-Woznica B, Obrebowski A, Swidzinski P, Wojnowski W, Wojciechowska A, "Effect of smoking on phonation", Przegl Lek, Vol. 61, No. 10, pp. 1068-1070, 2004.
  5. Vincent I, Gilbert HR, "The effects of cigarette smoking on the female voice", Logoped Phoniatr Vocol, [Epub ahead of print], 2011.
  6. Park CH, "The effects of cigarette smoking on the vocal fatigue", The Graduate school of Chungnam National University, 2003.
  7. Schultz P, "Vocal fold cancer", Eur Ann Otorhinolaryngol Head Neck Dis, Vol. 128, No. 6, pp. 301-308, 2011. https://doi.org/10.1016/j.anorl.2011.04.004
  8. Feierabend RH, Shahram MN, "Hoarseness in adults", American Family Physician, Vol. 80, No. 4, pp. 363-370, 2009.
  9. Gnjatic M, Stankovic P, Djukić V, "The effect of smoking and forced use of the voice to development of the vocal polyps", Acta Chir Iugosl, Vol. 56, No. 2, pp. 27-32, 2009. https://doi.org/10.2298/ACI0902027G
  10. Hamdan AL, Sibai A, Oubari D, Ashkar J, Fuleihan N, "Laryngeal findings and acoustic changes in hubble-bubble smokers", Eur Arch Otorhinolaryngol, Vol. 267, No. 10, 1587-1592, 2010. https://doi.org/10.1007/s00405-010-1273-4
  11. Boone D, McFarlane SC, Von Berg SL, The voice and voice therapy, MA: Allyn & Bacon, 2004.
  12. Cohen SM, "Self-reported impact of dysphonia in a primary care population: an epidemiological study", The Laryngoscope, Vol. 120, No. 10, pp. 2022-2032, 2010. https://doi.org/10.1002/lary.21058
  13. Miller MK, Verdolini K, "Frequency and risk factors for voice problems in teachers of singing and control subjects", Journal of Voice, Vol. 9, No. 4, pp. 348-362, 1995. https://doi.org/10.1016/S0892-1997(05)80197-3
  14. Byeon H, "The association between smoking and self-reported voice problems in the Korean adult population", Journal of speech & hearing disorders, Vol. 20, No. 3, pp. 17-30, 2011.
  15. Verdolini K, Ramig LO, (2001). "Review: occupational risks for voice problems", Logoped Phoniatr Vocol, Vol. 26, No. 1, pp. 37-46, 2001. https://doi.org/10.1080/140154301300109125
  16. Lehto L, Laaksonen L, Vilkman E, Alku P, "Occupational voice complaints and objective acoustic measurements-do they correlate?", Logoped Phoniatr Vocol, Vol. 31, No. 4, pp. 147-152, 2006. https://doi.org/10.1080/14015430600654654
  17. Ware JE, The assessment of health status: Application of social science to clinical medicine and health policy, NJ: New Brunswick Rutgers University Press, 1986.
  18. Idler EL, Kasl S, "Health perceptions and survival: Do global evaluation of health status really predict mortality?", Journal of Gerontology, Vol. 46, No. 2, pp. 555-565, 1991.
  19. Sabia S, Marmot M, Dufouil C, Singh-Manoux A, "Smoking history and cognitive function in middle age from the Whitehall II Study", Arch Intern Med, Vol. 168, No. 11, pp. 1165-1173, 2008. https://doi.org/10.1001/archinte.168.11.1165
  20. Juan D, Zhou DH, Li J, Wang JY, Gao C, Chen M, "A 2-year follow-up study of cigarette smoking and risk of dementia", European Journal of Neurology, Vol. 11, pp. 277-282, 2004. https://doi.org/10.1046/j.1468-1331.2003.00779.x
  21. Tyas Sl, Manfreda J, Strain LA, Montgimery PR, "Mid-life smoking and late-life dementia: the Honolulu-Asia Aging Study", Neurobiol Aging, Vol. 24, pp. 589-596, 2003. https://doi.org/10.1016/S0197-4580(02)00156-2
  22. Agresti A, An Introduction to categorical data analysis, NY: John Wiley and Sons, 2005.
  23. Glas K, Hoppe U, Eysholdt U, Rosanowski F, "Smoking, carcinophobia and Voice Handicap Index", Folia Phoniatr Logop, Vol. 60, No. 4, pp. 195-198, 2009.
  24. Zvrko E, Gledović, Z, Ljaljević A, "Risk factors for laryngeal cancer in Montenegro", Archives of Industrial Hygiene and Toxicology, Vol. 59, No. 1, pp. 11-18, 2008. https://doi.org/10.2478/10004-1254-59-2008-1863
  25. Marcotullio D, Magliulo G, Pezone T, "Reinke's edema and risk factors: clinical and histopathologic aspects", American Journal of Otolaryngology, Vol. 23, pp. 81-84, 2002. https://doi.org/10.1053/ajot.2002.30961
  26. Duarte JL, de Faria FA, Ceolin DS, Cestari TM, de Assis GF, "Effects of passive smoke inhalation on the vocal cords of rats", Braz J Otorhinolaryngol, Vol. 72, No. 2, pp. 210-216, 2006. https://doi.org/10.1016/S1808-8694(15)30057-4
  27. Isik AC, Kalender Y, Yardimci S, Ergun A, Environmental tobacco smoke in rats. J Otolaryngol, Vol. 33, No. 6, 382-386, 2004. https://doi.org/10.2310/7070.2004.03026
  28. Lubin JH, Alavanja MC, Caporaso N, et al., "Cigarette smoking and cancer: modeling total exposure and intensity", Am J Epideniol, Vol. 166, No. 4, pp. 479-489, 2007. https://doi.org/10.1093/aje/kwm089
  29. Lubin JH, Virtamo J, Weinstein SJ, et al., "Cigarette smoking and cancer: intensity patterns in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study in Finnish men", Am J Epideniol, Vol. 167, No. 8, pp. 970-975, 2008. https://doi.org/10.1093/aje/kwm392