What is it about?

This paper is a tutorial on trauma-informed voice care. It reviews the literature on adverse childhood experiences and discrimination which are both social determinants of health. It then describes how these SDOHs can cause toxic stress and trauma and explains how psychosocial factors influence health. Finally, it relates what we know about SDOHs, toxic stress and trauma to voice disorders and emphasizes how trauma-informed care can improve patient outcomes and advance health equity for all.

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Why is it important?

Until now there has been very little research on social determinants of health in the voice literature. This paper serves as a call for more research on SDOHs and voice disorders. There is also a call for universal practice of trauma-informed voice care.


I hope this article adds to the voices of other researchers and practitioners calling for the practice of trauma-informed care. I also hope that it inspires more research on the relationship between social determinants of health and voice disorders.

Geneva Mayne
Kean University

Read the Original

This page is a summary of: Social Determinants of Health: Implications for Voice Disorders and Their Treatment, American Journal of Speech-Language Pathology, May 2023, American Speech-Language-Hearing Association (ASHA), DOI: 10.1044/2023_ajslp-21-00183.
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