Table 3:

Factors associated with receiving a mental health diagnosis prior to a voice diagnosis among all patients with both voice and mental health diagnoses

	Adjusted Odds Ratio	95% CI	P
Age	1.01	1.00–1.01	0.0004
Sex
Male	Reference	-	-
Female	1.29	1.18–1.41	<.0001
Race
White	Reference	-	-
Black	0.82	0.66–1.02	0.072
Other	0.94	0.73–1.21	0.65
Insurance†
Private	2.66	2.27–3.12	<.0001
Medicare	1.11	0.99–1.24	0.078
Medicaid	2.82	2.48–3.21	<.0001
CCI
0	Reference	-	-
2+	1.21	1.08–1.35	0.0007
Voice diagnosis‡
Acute laryngitis	0.96	0.83–1.11	0.58
Chronic laryngitis	0.74	0.55–0.99	0.045
Benign neoplasm of the larynx	0.62	0.48–0.80	0.0002
Laryngeal cancer	0.22	0.17–0.30	<.0001
Combined nonspecific dysphonia	0.98	0.85–1.13	0.80
Vocal fold paresis/paralysis	0.65	0.53–0.79	<.0001
Laryngeal stenosis	0.35	0.24–0.52	<.0001
Laryngeal spasm	0.83	0.62–1.12	0.23
Acute laryngitis	0.96	0.83–1.11	0.58
Chronic laryngitis	0.74	0.55–0.99	0.045
Benign neoplasm of the larynx	0.62	0.48–0.80	0.0002
Laryngeal cancer	0.22	0.17–0.30	<.0001
Combined nonspecific dysphonia	0.98	0.85–1.13	0.80
Vocal fold paresis/paralysis	0.65	0.53–0.79	<.0001
Laryngeal stenosis	0.35	0.24–0.52	<.0001
Laryngeal spasm	0.83	0.62–1.12	0.23

^†Referent is not having the specific type of insurance

^bReferent diagnosis is not having the specific voice diagnosis