Correlation Between Quality of Voice and Conventional Cigarette Smoking: Young Adult Male Perspective
DOI:
https://doi.org/10.61919/zwc3kq86Keywords:
Quality of voice; Smoking; Smokers; Vocal tract discomfort; Voice disordersAbstract
Background: Voice disorders can arise from various factors affecting the anatomical and functional integrity of the vocal tract, with smoking recognized as a significant risk factor contributing to vocal fold irritation and alterations in voice quality. Despite evidence linking tobacco use to voice disturbances, gaps remain regarding the specific correlation between smoking patterns and vocal symptoms in young adult males. Objective: To determine the correlation between quality of voice and conventional cigarette smoking among young adult males. Methods: A cross-sectional study was conducted at PSRD College of Rehabilitation Sciences, Lahore, Pakistan, from October 2022 to March 2023, involving 343 male participants aged 20–40 years. Data collection utilized a demographic questionnaire and the Vocal Tract Discomfort Scale (VTD), assessing both frequency and severity of symptoms. Statistical analysis was performed using SPSS version 23, employing ANOVA to compare VTD scores across groups defined by daily cigarette consumption and duration of smoking, with significance set at p < 0.05. Results: No significant differences were observed in total VTD scores or individual symptoms based on smoking duration (p > 0.05). However, significant associations were identified between the number of cigarettes smoked per day and both frequency (p = 0.042) and severity (p = 0.032) of vocal symptoms, with highest scores among those who smoke fewer than 10 cigarettes daily. Conclusion: A significant relationship exists between the number of cigarettes smoked per day and vocal tract discomfort in young adult males, emphasizing the impact of even lower levels of daily smoking on vocal health.
References
1. Byeon H, Cha S. Evaluating the effects of smoking on the voice and subjective voice problems using a meta-analysis approach. Sci Rep. 2020 Mar 13;10(1):4720. doi: 10.1038/s41598-020-61565-3. PMID: 32170174; PMCID: PMC7069957.
2. Lyberg-Åhlander V, Rydell R, Fredlund P, Magnusson C, Wilén S. Prevalence of voice disorders in the general population, based on the Stockholm public health cohort. J Voice. 2019 Nov;33(6):900-905. doi: 10.1016/j.jvoice.2018.08.006. PMID: 30249430.
3. Winnall WR, Letcher T, Greenhalgh EM, Winstanley MH. 3.21 Health effects for young people who smoke. In: Greenhalgh EM, Scollo MM, Winstanley MH, editors. Tobacco in Australia: Facts and issues. Melbourne: Cancer Council Victoria; 2021. Available from: https://www.tobaccoinaustralia.org.au/chapter-3-health-effects/3-21-health-effects-for-younger-smokers
4. Pink B, Allbon P. Australian Institute of Health and Welfare, Australian Bureau of Statistics: The Health and Welfare of Australia’s Aboriginal and Torres Strait Islander Peoples 2005. ABS Catalogue No. 47040, AIHW Catalogue No. IHW 21. Canberra: AIHW; 2005.
5. Dai X, Gil GF, Reitsma MB, Ahmad NS, Anderson JA, Bisignano C, Carr S, Feldman R, Hay SI, He J, et al. Health effects associated with smoking: a Burden of Proof study. Nat Med. 2022 Oct;28(10):2045-2055. doi: 10.1038/s41591-022-01978-x. PMID: 36216941; PMCID: PMC9556318.
6. Pergadia ML, Agrawal A, Heath AC, Martin NG, Bucholz KK, Madden PAF. Nicotine withdrawal symptoms in adolescent and adult twins. Twin Res Hum Genet. 2010 Aug;13(4):359-369. doi: 10.1375/twin.13.4.359. PMID: 20707706; PMCID: PMC3051418.
7. Yuan K, Yu D, Bi Y, Li Y, Guan Y, Liu J, Zhang Y, Qin W, Lu X, Tian J. The implication of frontostriatal circuits in young smokers: a resting-state study. Hum Brain Mapp. 2016 Jun;37(6):2013-2026. doi: 10.1002/hbm.23153. PMID: 26918784; PMCID: PMC6867544.
8. Tuhanioğlu B, Erkan SO, Özdaş T, Derici Ç, Tüzün K, Şenkal ÖA. The effect of electronic cigarettes on voice quality. J Voice. 2019 Sep;33(5):811.e13-811.e17. doi: 10.1016/j.jvoice.2018.03.015. PMID: 29884511.
9. Pinar D, Cincik H, Erkul E, Gungor A. Investigating the effects of smoking on young adult male voice by using multidimensional methods. J Voice. 2016 Nov;30(6):721-725. doi: 10.1016/j.jvoice.2015.07.007. PMID: 26277074.
10. Aghaei F, Khoramshahi H, Biparva S. Psychometric characteristics of different versions of the Vocal Tract Discomfort (VTD) Scale: a systematic review. Iran J Public Health. 2022 Jan;51(1):37-47. PMID: 35356720.
11. PSRD College of Rehabilitation Sciences. Ethical approval letter PSRD/CRS/SK/REC/Letter-51. Lahore, Pakistan; 2022 Sep 20.
12. Tohidast SA, Fazeli F, Golmohammadi G, Scherer RC, Mansuri B. Vocal tract discomforts among smokers. J Voice. 2023 Oct 30:S0892-1997(23)00289-8. doi: 10.1016/j.jvoice.2023.09.014. Epub ahead of print. PMID: 37914658.
13. Ayoub MR, Larrouy-Maestri P, Morsomme D. The effect of smoking on the fundamental frequency of the speaking voice. J Voice. 2019 Sep;33(5):802.e11-802.e16. doi: 10.1016/j.jvoice.2018.04.001. PMID: 29748027.
14. Vuković B, Ćalasan S, Vegar A. Influence of smoking on voice quality. Biomed Istraž. 2022;13(1):20-26. doi: 10.5937/BII2201020V.
15. Dogan M, Pinar D, Cincik H, Erkul E, Gungor A. Investigating the effects of smoking on young adult male voice by using multidimensional methods. J Voice. 2016 Nov;30(6):721-725. doi: 10.1016/j.jvoice.2015.07.007. PMID: 26277074.
16. Sanlı A, Bekmez E, Yıldız G, Erdoğan BA, Yılmaz HB, Altın G. Relationship between smoking and otorhinolaryngological symptoms. Kulak Burun Bogaz Ihtis Derg. 2016;26(1):28-33. doi: 10.5606/kbbihtisas.2016.87059.
17. Chung KF, McGarvey L, Song WJ, Chang AB, Lai K, Lin L, et al. Cough hypersensitivity and chronic cough. Nat Rev Dis Primers. 2022 Aug;8(1):45. doi: 10.1038/s41572-022-00370-w. PMID: 35987068.
18. Hasan Hamzaçebi, Kayhan S. Smoking behaviours and prevalence of the respiratory symptoms in tobacco workers. Eurasian J Pulmonol. 2012;19(2):72-77. doi: 10.5152/ejp.2012.19.
19. Byeon H, Cha S. Evaluating the effects of smoking on the voice and subjective voice problems using a meta-analysis approach. Sci Rep. 2020 Mar 13;10(1):4720. doi: 10.1038/s41598-020-61565-3. PMID: 32170174; PMCID: PMC7069957.
20. Tuhanioğlu B, Erkan SO, Özdaş T, Derici Ç, Tüzün K, Şenkal ÖA. The effect of electronic cigarettes on voice quality. J Voice. 2019 Sep;33(5):811.e13-811.e17. doi: 10.1016/j.jvoice.2018.03.015. PMID: 29884511.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Shamsa Kanwal, Sadia Ijaz, Sadia Akbar, Ghazal Awais Butt, Ezwah Khalid, Shimza Saeed (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.