Stuttering experience of people in China: A cross-cultural perspective

Yan Ma; Judith D Oxley; J Scott Yaruss; John A Tetnowski

doi:10.1016/j.jfludis.2023.105994

Stuttering experience of people in China: A cross-cultural perspective

J Fluency Disord. 2023 Sep:77:105994. doi: 10.1016/j.jfludis.2023.105994. Epub 2023 Jul 6.

Authors

Yan Ma¹, Judith D Oxley², J Scott Yaruss³, John A Tetnowski⁴

Affiliations

¹ Department of Communication Sciences and Disorders, Purdue University Fort Wayne, 2101 East Coliseum Boulevard, CLCB 111, Fort Wayne, IN 46805, United States. Electronic address: ma869@pfw.edu.
² Department of Communicative Disorders, University of Louisiana at Lafayette, P.O. Box 43170, Lafayette, LA 70504, United States.
³ Department of Communicative Sciences and Disorders, Michigan State University, 1026 Red Cedar Rd, Room 112, East Lansing, MI 48824, United States.
⁴ Department of Communication Sciences and Disorders, Oklahoma State University, Social Sciences and Humanities Building, Room 011, Stillwater, OK 74078, United States.

PMID: 37478807
DOI: 10.1016/j.jfludis.2023.105994

Abstract

Purpose: This study uses the Simplified Chinese version of the Overall Assessment of the Speaker's Experience of Stuttering for Adults (OASES-A-SC) to examine the stuttering experience of people in China and determine if there are differences between the data collected in China and other countries.

Methods: A total of 139 responses to the OASES-A-SC were collected in an online self-help community of people in China who stutter. Descriptive analyses were conducted to obtain the understanding of how stuttering impacts the life experience of people in China who stutter. Comparisons were conducted regarding the groups of gender, highest education, and therapy history. Cross-cultural comparisons among the data collected from China, Australia, the Netherlands, Japan, Sweden, and the USA were also conducted.

Results: The data for the OASES-A-SC showed a skewed distribution toward the severe end of the OASES-A impacting scale. About 93.5% participants rated the overall impact of stuttering on their life at and above the "Moderate" category. The mean scores of the General Information, Reaction to Stuttering, and Qualify of Life sections fell in the moderate-to-severe category. Compared with the data in other five countries, the Chinese data were significantly higher in the impact severity level.

Conclusion: The results showed that people in China who stutter have more adverse experiences related to stuttering compared with their counterparts in western or developed countries. Higher negative attitudes toward stuttering in China, social stigma against people with disabilities, and the fewer professional supports were discussed to be associated with this more adverse experience. Cultural differences such as a greater power distance and higher collectivism in Chinese culture were considered to be associated with the elevated level of adverse impact of stuttering in China.

Keywords: Chinese; Cultural comparisons; Impact; Stuttering; The OASES-A.

MeSH terms

Adult
China
Cross-Cultural Comparison
Humans
Quality of Life
Stuttering*
Surveys and Questionnaires