Table 3.

Behavioral Health Outcomes by Communication Disability Type (n = 33,222)

 Communication Disability
No communication DisabilityVoice Only DisabilitySpeech/Language Only DisabilitySpeech/Language and Voice Disability
%(n)%(n)P*%(n)P*%(n)P*
Ever diagnosed with           
 ADD/ADHD3.8(940)4.8(103).076‡,‖14.2(89)<.00111.7(52)<.001
 Bipolar disorder1.8(578)3.5(84)<.001‡,‖11.7(76)<.00111.4(45)<.001
In the past 12 months           
 Diagnoses           
  Phobia/fears3.3(986)7.1(156)<.001‡,‖12.8(102)<.00121.4(84)<.001
  Depression8.6(2880)15.1(381)<.001‡,‖30.4(232)<.00135.9(178)<.001
  Other mental health disorders2.1(696)4.3(106)<.001‡,‖13.1(107)<.00115.4(62)<.001
 Substance use           
  Excessive alcohol or tobacco use5.5(1714)7.1(170).004‡,‖15.5(109)<.00115.7(63)<.001
 Other substance abuse0.7(200)0.7(21).9791.6(11).0241.5(8).075
 Experiences           
 Fatigue or lack of energy for > 3 days13(4010)31.6(717)<.00138.7(291)<.00154.3(264)<.001‖,¶
 Regularly had excessive sleepiness10.5(3249)24(568)<.001‡,‖38.1(282)<.001‡,¶55.2(255)<.001‖,¶
 Regularly had insomnia or trouble sleeping17(5405)34.9(794)<.00142.2(327)<.00153.8(254)<.001
 Frequently anxious, nervous, or worried16.5(5173)34(765)<.001‡,‖51.2(389)<.00157.4(275)<.001
 Frequently stressed26.4(7969)47.1(1027)<.001‡,‖57.5(420)<.00162.4(296)<.001
 Difficulty participating in social activities8.4(2837)16.2(417)<.001‡,‖33.9(280<.001‡,¶47.2(231)<.001‖,¶
 Health care utilization           
 Visited mental health professional6.8(2133)11.4(265)<.001‡,‖19.1(152)<.00123.1(108)<.001
 Could not afford mental health visit2(687)4(90)<.001‡,‖11.9(76)<.00111.7(54)<.001
In the past 30 days           
 Non-specific psychological distress (K-6)2.3(787)4.6(117)<.001‡,‖14.7(112)<.00122.3(105)<.001
 Feelings interfered with life/activities11.2(885)10.7(124).716‡,‖30.2(138)<.00127.9(106)<.001
  • * Statistical significance compares each communication disability group to the group with no communication disabilities.

  • n = 9510; This question was only asked of persons who reported at least one of the items queried in the K6 “all”, “most,” or “some” of the time.

  • Comparison of voice only with speech/language only, P < .0029.

  • Comparison of voice only with speech/language and voice, P < .0029.

  • Comparison of speech/language only with speech/language and voice, P < .0029.

  • ADD/ADHD, attention deficit disorder/attention deficit hyperactivity disorder.