Analysis of socioeconomic factors in laryngology clinic utilization for treatment of dysphonia

Objective To evaluate the association between patient socioeconomic and demographic factors and tertiary care utilization for dysphonia in a localized metropolitan area of the American Midwest. Methods Multivariate regression analysis was used to correlate patient demographics and population level d...

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Bibliographic Details
Published in:Laryngoscope investigative otolaryngology 2022-02, Vol.7 (1), p.202-209
Main Authors: White, Shane W., Bock, Jonathan M., Blumin, Joel H., Friedland, David R., Adams, Jazzmyne A., Tong, Ling, Osinski, Kristen, Luo, Jake
Format: Article
Language:English
Subjects:
Asthma
Black people
disparity
dysphonia
Education
laryngology
Laryngology, Speech and Language Science
Meniere disease
Original Research
Otolaryngology
Patients
Race
social determinants
Socioeconomic factors
utilization
Womens health
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Summary:Objective To evaluate the association between patient socioeconomic and demographic factors and tertiary care utilization for dysphonia in a localized metropolitan area of the American Midwest. Methods Multivariate regression analysis was used to correlate patient demographics and population level data (e.g., age, gender, race, insurance, median income, education level) with tertiary laryngology utilization for dysphonia care at our institution between 2000 and 2019. Initial analyses characterized tertiary laryngology utilization rates for all regional ZIP codes and correlated these data with census information for household income and education. Dysphonia patient demographics were compared among populations cared for in our entire academic Otolaryngology department, our health system, and the regional population. Results Among 1,365,021 patients in our health system, there were 7066 tertiary laryngology visits with a diagnosis of dysphonia. Dysphonia patients as compared to the overall health system were older (62.0 vs. 50.8 years), more likely to be female (63.7 vs. 50.2%) and more likely to have insurance (98.4 vs. 87.5%, all p 
ISSN:2378-8038
2378-8038
DOI:10.1002/lio2.715