Faktor-Faktor yang Berhubungan dengan Permasalahan Suara Anak Prasekolah di Surakarta: Studi Potong Lintang dengan Analisis Jalur
Keywords:
Gangguan suara, anak prasekolah, analisis jalur, perilaku vokal, faktor lingkungan
Abstract
Gangguan suara pada anak prasekolah dapat memengaruhi komunikasi, interaksi sosial, dan proses belajar. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan gangguan suara pada anak prasekolah. Studi potong lintang dilakukan pada 100 anak dari dua taman kanak-kanak di Surakarta, Indonesia, menggunakan teknik random sampling. Gangguan suara dinilai menggunakan Pediatric Voice Handicap Index (pVHI). Analisis dilakukan dengan uji Chi-square dan analisis jalur. Prevalensi gangguan suara sebesar 66%, dan seluruh faktor menunjukkan hubungan signifikan pada analisis bivariat (p<0,001). Analisis jalur mengidentifikasi faktor fungsional (b=4,47; p<0,001), lingkungan (b=3,78; p<0,001), dan perilaku vokal (b=2,66; p=0,025) sebagai factor yang berhubungan langsung dalam model. Faktor fisiologis, psikologis, dan sosial berhubungan secara tidak langsung melalui jalur fungsional, lingkungan, dan perilaku vokal. Gangguan suara berkaitan dengan berbagai faktor yang saling berhubungan, terutama faktor fungsional, lingkungan, dan perilaku vokal.
References
Akhmetzyanova, A., & Artemyeva, T. (2023). EPV0745 The study of speech and communication in preschool children with autism spectrum disorder EPV0747 The specifics of understanding emotions in children with disabilities Validation of the Arabic Version of the Kessler Psychological Distress Scale ( K6 ) among college students in Kuwait. 1402. https://doi.org/10.1192/j.eurpsy.2023.2052
Alrahim, A., Alshaibani, A. K., Algarni, S., Alsaied, A., Alghamdi, A. A., Alsharhan, S., & Al-Bar, M. (2022). Prevalence and Determinants of Hoarseness in School-Aged Children. International Journal of Environmental Research and Public Health, 19(9). https://doi.org/10.3390/ijerph19095468
Aoki, T., Takeyama, T., Sakamoto, Y., Shimada, A., Kondo, E., Nakano, S., Fukuda, J., Azuma, T., Sato, G., Kitamura, Y., Hosokawa, K., Udaka, J., & Takeda, N. (2021). Effects of vocal nodules on acoustic characteristics of voice in children: An acoustic analysis of voice. Journal of Medical Investigation, 68(3.4), 276–279. https://doi.org/10.2152/jmi.68.276
Bielova, O., & Konopliasta, S. (2023). Functionality of oral and articulatory praxis in older preschool children with logopathology. 18(6). https://doi.org/10.22141/2224-0551.18.6.2023.1627
Broeck, R. Van Den, Gistelinck, L., Vettori, S., Deferm, W., Vos, S., & Bollen, B. (2025). Social orienting in prematurely born preschoolers : a case control study showing altered neural tuning towards voices , not faces.
Campano, M., Cox, S. R., Caniano, L., & Koenig, L. L. (2023). A Review of Voice Disorders in School-Aged Children. Journal of Voice, 37(2), 301.e1-301.e7. https://doi.org/10.1016/j.jvoice.2020.12.018
Chan, K. (2021). The Workings of the Human Voice : Common Pathologies and Holistic Approaches to Vocal Health.
Fasano, R. M., Perry, L. K., Bulotsky-shearer, R. J., Custode, S. A., & Messinger, D. S. (2023). Automated measures of vocal interactions and engagement in inclusive preschool classrooms. June, 1586–1599. https://doi.org/10.1002/aur.2980
Feinstein, H., Abbott, K. V., & Morini, G. (2022). Developmental Changes in the Perception of Vocal Loudness and Voice Quality in 3-to 6-Year-Old Children. American Journal of Speech-Language Pathology, 31(6), 2628–2642. https://doi.org/10.1044/2022_AJSLP-22-00106
Hoffmann, C. F., & Cielo, C. A. (2021). Characteristics of the Voice of Dysphonic School Children from 4:0 to 7:11 Years Old. Journal of Voice, 35(4), 664.e11-664.e19. https://doi.org/10.1016/j.jvoice.2019.12.004
Kakuta, K., & Kawasaki, A. (2025). Executive function in preschool children who stutter : a behavioral assessment study. 1–9.
Kaline, I., Barbosa, L., Behlau, M., Lopes, L. W., Nadjara, L., & Almeida, A. (n.d.). ARTICLE IN PRESS Voice and Self-Regulation : Integrating Review of the Literature. https://doi.org/10.1016/j.jvoice.2020.06.023
Lee, J. M., Roy, N., Dietrich, M., & City, S. L. (n.d.). ARTICLE IN PRESS Personality , Psychological Factors , and Behavioral Tendencies in Children With Vocal Nodules : A Systematic Review I. https://doi.org/10.1016/j.jvoice.2018.07.016
Milea, A., Milea, A., & Sarafoleanu, C. (2024). Dysphonia in children. Romanian Journal of Rhinology, 14(56), 37–39. https://doi.org/10.2478/rjr-2024-0025
Patel, N., Nabil, A., Alshammari, M., & Alkuraya, F. S. (2021). Hoarse voice in children as the presenting feature of ECM1-related lipoid proteinosis. American Journal of Medical Genetics, Part A, 185(12), 3924–3925. https://doi.org/10.1002/ajmg.a.62406
Poulain, T., Fuchs, M., Vogel, M., Jurkutat, A., Hiemisch, A., Kiess, W., & Berger, T. (2020). Associations of Speaking-Voice Parameters With Personality and Behavior in School-Aged Children. Journal of Voice, 34(3), 485.e23-485.e31. https://doi.org/10.1016/j.jvoice.2018.09.022
Ramos, P. H., Álvarez, M. L., León, N. I., Badía, P. I., & Napolitano, C. A. (2022). Voice Disorders in Children: Experience in the Voice Unit at Universidad Católica Clinical Hospital. Journal of Voice, 36(2), 293.e1-293.e5. https://doi.org/10.1016/j.jvoice.2020.04.035
Rosdiana, I., Kesoema, T. A., Rio, H., & Widanarti, D. (2024). Speech and language delay in Children : Effects of medical and nonmedical Risk Factors. 13(December), 87–99.
Stojanovic, J., Veselinovic, M., Jevtic, M., Jovanovic, M., Nikolic, D., Pficer, J. K., Zivkovic-marinkov, E., & Relic, N. (2023). Assessment of Life Quality in Children with Dysphonia Using Modified Pediatric Voice-Related Quality of Life Questionnaire in Serbia.
Szkiełkowska, A., Miaśkiewicz, B., Gos, E., Skarżyński, P. H., & Świerniak, W. (2020). Voice disorders in children starting school education. Otolaryngologia Polska, 74(6), 16–20. https://doi.org/10.5604/01.3001.0014.1613
Volgina, S. Y., Ahmetova, A. R., & Shaidukova, L. K. (2021). The role of risk factors in the development of speech and language disorders in preschool children. 102(4), 1–7. https://doi.org/10.17816/KMJ2021-537
Alrahim, A., Alshaibani, A. K., Algarni, S., Alsaied, A., Alghamdi, A. A., Alsharhan, S., & Al-Bar, M. (2022). Prevalence and Determinants of Hoarseness in School-Aged Children. International Journal of Environmental Research and Public Health, 19(9). https://doi.org/10.3390/ijerph19095468
Aoki, T., Takeyama, T., Sakamoto, Y., Shimada, A., Kondo, E., Nakano, S., Fukuda, J., Azuma, T., Sato, G., Kitamura, Y., Hosokawa, K., Udaka, J., & Takeda, N. (2021). Effects of vocal nodules on acoustic characteristics of voice in children: An acoustic analysis of voice. Journal of Medical Investigation, 68(3.4), 276–279. https://doi.org/10.2152/jmi.68.276
Bielova, O., & Konopliasta, S. (2023). Functionality of oral and articulatory praxis in older preschool children with logopathology. 18(6). https://doi.org/10.22141/2224-0551.18.6.2023.1627
Broeck, R. Van Den, Gistelinck, L., Vettori, S., Deferm, W., Vos, S., & Bollen, B. (2025). Social orienting in prematurely born preschoolers : a case control study showing altered neural tuning towards voices , not faces.
Campano, M., Cox, S. R., Caniano, L., & Koenig, L. L. (2023). A Review of Voice Disorders in School-Aged Children. Journal of Voice, 37(2), 301.e1-301.e7. https://doi.org/10.1016/j.jvoice.2020.12.018
Chan, K. (2021). The Workings of the Human Voice : Common Pathologies and Holistic Approaches to Vocal Health.
Fasano, R. M., Perry, L. K., Bulotsky-shearer, R. J., Custode, S. A., & Messinger, D. S. (2023). Automated measures of vocal interactions and engagement in inclusive preschool classrooms. June, 1586–1599. https://doi.org/10.1002/aur.2980
Feinstein, H., Abbott, K. V., & Morini, G. (2022). Developmental Changes in the Perception of Vocal Loudness and Voice Quality in 3-to 6-Year-Old Children. American Journal of Speech-Language Pathology, 31(6), 2628–2642. https://doi.org/10.1044/2022_AJSLP-22-00106
Hoffmann, C. F., & Cielo, C. A. (2021). Characteristics of the Voice of Dysphonic School Children from 4:0 to 7:11 Years Old. Journal of Voice, 35(4), 664.e11-664.e19. https://doi.org/10.1016/j.jvoice.2019.12.004
Kakuta, K., & Kawasaki, A. (2025). Executive function in preschool children who stutter : a behavioral assessment study. 1–9.
Kaline, I., Barbosa, L., Behlau, M., Lopes, L. W., Nadjara, L., & Almeida, A. (n.d.). ARTICLE IN PRESS Voice and Self-Regulation : Integrating Review of the Literature. https://doi.org/10.1016/j.jvoice.2020.06.023
Lee, J. M., Roy, N., Dietrich, M., & City, S. L. (n.d.). ARTICLE IN PRESS Personality , Psychological Factors , and Behavioral Tendencies in Children With Vocal Nodules : A Systematic Review I. https://doi.org/10.1016/j.jvoice.2018.07.016
Milea, A., Milea, A., & Sarafoleanu, C. (2024). Dysphonia in children. Romanian Journal of Rhinology, 14(56), 37–39. https://doi.org/10.2478/rjr-2024-0025
Patel, N., Nabil, A., Alshammari, M., & Alkuraya, F. S. (2021). Hoarse voice in children as the presenting feature of ECM1-related lipoid proteinosis. American Journal of Medical Genetics, Part A, 185(12), 3924–3925. https://doi.org/10.1002/ajmg.a.62406
Poulain, T., Fuchs, M., Vogel, M., Jurkutat, A., Hiemisch, A., Kiess, W., & Berger, T. (2020). Associations of Speaking-Voice Parameters With Personality and Behavior in School-Aged Children. Journal of Voice, 34(3), 485.e23-485.e31. https://doi.org/10.1016/j.jvoice.2018.09.022
Ramos, P. H., Álvarez, M. L., León, N. I., Badía, P. I., & Napolitano, C. A. (2022). Voice Disorders in Children: Experience in the Voice Unit at Universidad Católica Clinical Hospital. Journal of Voice, 36(2), 293.e1-293.e5. https://doi.org/10.1016/j.jvoice.2020.04.035
Rosdiana, I., Kesoema, T. A., Rio, H., & Widanarti, D. (2024). Speech and language delay in Children : Effects of medical and nonmedical Risk Factors. 13(December), 87–99.
Stojanovic, J., Veselinovic, M., Jevtic, M., Jovanovic, M., Nikolic, D., Pficer, J. K., Zivkovic-marinkov, E., & Relic, N. (2023). Assessment of Life Quality in Children with Dysphonia Using Modified Pediatric Voice-Related Quality of Life Questionnaire in Serbia.
Szkiełkowska, A., Miaśkiewicz, B., Gos, E., Skarżyński, P. H., & Świerniak, W. (2020). Voice disorders in children starting school education. Otolaryngologia Polska, 74(6), 16–20. https://doi.org/10.5604/01.3001.0014.1613
Volgina, S. Y., Ahmetova, A. R., & Shaidukova, L. K. (2021). The role of risk factors in the development of speech and language disorders in preschool children. 102(4), 1–7. https://doi.org/10.17816/KMJ2021-537
Published
2026-10-30
How to Cite
Putri, A., & Susanti, N. (2026). Faktor-Faktor yang Berhubungan dengan Permasalahan Suara Anak Prasekolah di Surakarta: Studi Potong Lintang dengan Analisis Jalur. urnal romotif reventif, 9(5), 845-855. https://doi.org/10.47650/jpp.v9i5.2936
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Articles
Copyright (c) 2026 Anggi Resina Putri, Nadya Susanti
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