{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:18:50Z","timestamp":1793398730310,"version":"4.5.0"},"reference-count":122,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1016\/j.jvoice.2025.09.023","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T22:53:48Z","timestamp":1760396028000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Has Research Failed to Identify Risk Factors for Voice Disorders? A Systematic Review of Evidence in Teachers"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8872-0530","authenticated-orcid":false,"given":"Jonas","family":"Hauck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5261-0309","authenticated-orcid":false,"given":"Sarah","family":"Lang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franca","family":"Schultheis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0745-1676","authenticated-orcid":false,"given":"Christian","family":"Gegner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"S1","key":"10.1016\/j.jvoice.2025.09.023_bib1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1177\/0194599817751030","article-title":"Clinical practice guideline: hoarseness (dysphonia)","volume":"158","author":"Stachler","year":"2018","journal-title":"Otolaryngol\u2013Head Neck Surg"},{"key":"10.1016\/j.jvoice.2025.09.023_bib2","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.jvoice.2006.08.007","article-title":"The frequency of perceived stress, anxiety, and depression in patients with common pathologies affecting voice","volume":"22","author":"Dietrich","year":"2008","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib3","first-page":"771.e1","article-title":"The influence of sleep disorders on voice quality","volume":"32","author":"Rocha","year":"2018","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0182286","article-title":"A possible association between dysphonia and sleep duration: a cross-sectional study based on the Korean National Health and nutrition examination surveys from 2010 to 2012","volume":"12","author":"Cho","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.jvoice.2025.09.023_bib5","first-page":"521","article-title":"Personality and voice disorders: a multitrait-multidisorder analysis","volume":"14","author":"Roy","year":"2000","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib6","first-page":"499.e13","article-title":"Relationship between sleep quality and stress with voice functioning among college professors: a systematic review and meta-analysis","volume":"35","author":"Carrillo-Gonzalez","year":"2021","journal-title":"J\u00a0Voice"},{"issue":"Suppl 1","key":"10.1016\/j.jvoice.2025.09.023_bib7","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00171717","article-title":"Aus\u00eancia Ao Trabalho Por Dist\u00farbio Vocal de Professores Da Educa\u00e7\u00e3o B\u00e1sica No Brasil","volume":"35","author":"de Medeiros","year":"2019","journal-title":"Cadernos de Sa\u00fade P\u00fablica"},{"key":"10.1016\/j.jvoice.2025.09.023_bib8","first-page":"37","article-title":"Review: occupational risks for voice problems","volume":"26","author":"Verdolini","year":"2001","journal-title":"Logop\u00a0Phoniatr\u00a0Vocol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib9","doi-asserted-by":"crossref","first-page":"324","DOI":"10.5327\/Z1679443520170044","article-title":"Desfecho dos professores afastados da Secretaria de Estado de Educa\u00e7\u00e3o do Distrito Federal por dist\u00farbios vocais entre 2009-2010","volume":"15","author":"Souza","year":"2017","journal-title":"Revista Brasileira de Medicina do Trabalho"},{"key":"10.1016\/j.jvoice.2025.09.023_bib10","article-title":"The risk factors of voice disorders in non-university teachers: a systematic review and meta-analysis","author":"Jiang","year":"2024","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib11","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.jcomdis.2013.01.001","article-title":"Voice disorders in teachers and their associations with work-related factors: a systematic review","volume":"46","author":"Cantor-Cutiva","year":"2013","journal-title":"J Commun Disord"},{"key":"10.1016\/j.jvoice.2025.09.023_bib12","first-page":"716","article-title":"Voice disorders in teachers. A review","volume":"28","author":"Martins","year":"2014","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib13","first-page":"3675","article-title":"The risk factors related to voice disorder in teachers: a systematic review and meta-analysis","volume":"16","author":"Byeon","year":"2019","journal-title":"Int\u00a0J\u00a0Environ\u00a0Res\u00a0Publ\u00a0Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib14","unstructured":"VERBI Software, MAXQDA 2024 Version 24. Berlin, Germany: VERBI Software, 2023."},{"key":"10.1016\/j.jvoice.2025.09.023_bib15","series-title":"Analyse Qualitativer Daten mit MAXQDA: Text, Audio und Video","author":"R\u00e4diker","year":"2019"},{"key":"10.1016\/j.jvoice.2025.09.023_bib16","unstructured":"R Core Team, R: A Language and Environment for Statistical Computing. manual. Vienna, Austria: R Foundation for Statistical Computing, 2025."},{"key":"10.1016\/j.jvoice.2025.09.023_bib17","first-page":"574","article-title":"Acoustic parameters and salivary IL-6 levels in overweight and obese teachers","volume":"28","author":"Acurio","year":"2014","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib18","first-page":"1979","article-title":"Vocal fatigue in school teachers and it\u2019s relation to the acoustic analysis of voice, Indian","volume":"74","author":"Arya","year":"2022","journal-title":"J\u00a0Otolaryngol\u00a0Head Neck Surg"},{"key":"10.1016\/j.jvoice.2025.09.023_bib19","first-page":"302","article-title":"Respiratory and laryngeal function in teachers: pre- and postvocal loading challenge","volume":"33","author":"Herndon","year":"2019","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib20","first-page":"2429","article-title":"Comparison of vocal fatigue and vocal tract discomfort between teachers of normal pupils and teachers of mentally disabled pupils","volume":"278","author":"Khoramshahi","year":"2021","journal-title":"Eur\u00a0Arch\u00a0Oto-Rhino-Laryngol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib21","first-page":"851","article-title":"A study of classroom acoustics and school teachers\u2019 noise exposure, voice load and speaking time during teaching, and the effects on vocal and mental fatigue development","volume":"87","author":"Kristiansen","year":"2014","journal-title":"Int\u00a0Arch\u00a0Occup\u00a0Environ\u00a0Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib22","first-page":"1397","article-title":"Multiparametric analysis of voice following prolonged voice use and voice rest in teachers: evidence from discriminant analysis","volume":"279","author":"Narasimhan","year":"2022","journal-title":"Eur\u00a0Arch\u00a0Oto-Rhino-Laryngol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib23","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1007\/s12070-017-1129-y","article-title":"Acoustic analysis of indian teachers\u2019 voice: pre and post teaching circumstances","volume":"71","author":"Alexander","year":"2019","journal-title":"Indian J\u00a0Otolaryngol\u00a0Head Neck Surg"},{"key":"10.1016\/j.jvoice.2025.09.023_bib24","article-title":"Immediate effects of \u201cUjjayi Pranayama\u201d on aerodynamic, acoustic and self perception parameters of voice in teachers","volume":"13","author":"Usha","year":"2022","journal-title":"J\u00a0Ayurveda\u00a0Integr\u00a0Med"},{"key":"10.1016\/j.jvoice.2025.09.023_bib25","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1159\/000529832","article-title":"Effect of pompage on vocal and respiratory measurements from female teachers: a randomized clinical trial","volume":"75","author":"Andriollo","year":"2023","journal-title":"Folia Phoniatr\u00a0Logop"},{"key":"10.1016\/j.jvoice.2025.09.023_bib26","first-page":"363","article-title":"Voice amplification for primary school teachers with voice disorders: a randomized clinical trial","volume":"26","author":"Bovo","year":"2013","journal-title":"Int\u00a0J\u00a0Occup\u00a0Med\u00a0Environ\u00a0Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib27","first-page":"755.e1","article-title":"The effects of a voice education program on VHI scores of elementary school teachers","volume":"30","author":"Faham","year":"2016","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib28","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1159\/000502766","article-title":"Effects of a voice training program on acoustics, vocal use, and perceptual voice parameters in Catalan Teachers","volume":"72","author":"Gassull","year":"2020","journal-title":"Folia Phoniatr\u00a0Logop"},{"key":"10.1016\/j.jvoice.2025.09.023_bib29","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1044\/2020_AJSLP-20-00200","article-title":"A Nonrandomized Trial for student teachers of an in-person and telepractice global voice prevention and therapy model with estill voice training assessed by the VoiceEvalU8 App","volume":"30","author":"Grillo","year":"2021","journal-title":"Am J Speech-Lang Pathol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib30","doi-asserted-by":"crossref","first-page":"1523.e17","DOI":"10.1016\/j.jvoice.2022.04.007","article-title":"The effect of vocal hygiene training via videoconference in teachers\u2019 voices","volume":"38","author":"Karatayli Ozgursoy","year":"2022","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib31","first-page":"110","article-title":"Implementation and evaluation of a teacher intervention program on classroom communication","volume":"45","author":"Karjalainen","year":"2020","journal-title":"Logop\u00a0Phoniatr\u00a0Vocol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib32","first-page":"262.e13","article-title":"Lax Vox as a voice training program for teachers: a pilot study","volume":"31","author":"Mail\u00e4nder","year":"2017","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib33","doi-asserted-by":"crossref","first-page":"635.e1","DOI":"10.1016\/j.jvoice.2021.03.012","article-title":"Effectiveness of a blended-learning intervention in teachers\u2019 vocal health","volume":"37","author":"Penha","year":"2023","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib34","first-page":"67","article-title":"Vocal warm-up and breathing training for teachers: randomized clinical trial","volume":"49","author":"de Pina Pereira","year":"2015","journal-title":"Revista de Saude Publica"},{"key":"10.1016\/j.jvoice.2025.09.023_bib35","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/1477-7525-11-28","article-title":"Impact on quality of life in teachers after educational actions for prevention of voice disorders: a longitudinal study","volume":"11","author":"Pizolato","year":"2013","journal-title":"Health Quality\u00a0Life Outcomes"},{"key":"10.1016\/j.jvoice.2025.09.023_bib36","doi-asserted-by":"crossref","first-page":"49","DOI":"10.5001\/omj.2019.08","article-title":"The effectiveness of a voice care program among primary school teachers in Northeastern Malaysia","volume":"34","author":"Sundram","year":"2019","journal-title":"Oman Med\u00a0J"},{"key":"10.1016\/j.jvoice.2025.09.023_bib37","first-page":"1130","article-title":"Incidence of voice disorders among private school teachers in Taiwan: a nationwide longitudinal study","volume":"19","author":"Chen","year":"2022","journal-title":"Int\u00a0J\u00a0Environ\u00a0Res\u00a0Publ\u00a0Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib38","first-page":"550","article-title":"Associations between self-perceived voice disorders in teachers, perceptual assessment by speech-language pathologists, and instrumental analysis","volume":"18","author":"Cantor-Cutiva","year":"2016","journal-title":"Int\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib39","doi-asserted-by":"crossref","first-page":"258.e7","DOI":"10.1016\/j.jvoice.2016.05.018","article-title":"Risk factors for the incidence of perceived voice disorders in elementary and middle school teachers","volume":"31","author":"Rocha","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib40","doi-asserted-by":"crossref","first-page":"325.e23","DOI":"10.1016\/j.jvoice.2019.08.030","article-title":"Risk factors for recurrent perceived voice disorders in elementary school teachers-a longitudinal study","volume":"35","author":"Rocha","year":"2021","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib41","first-page":"438","article-title":"Long-term effects of a voice training program for teachers on vocal and mental health","volume":"35","author":"Nusseck","year":"2021","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib42","first-page":"541.e21","article-title":"The association between work-related stress, indoor air quality, and voice problems among teachers is there a trend?","volume":"38","author":"Putus","year":"2024","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib43","first-page":"57","article-title":"Vocal change patterns during a teaching day: inter- and intra-subject variability","volume":"32","author":"Remacle","year":"2018","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib44","article-title":"A general survey of pharynlaryngeal diseases and voice disorders among basic education teachers in Tianjin","author":"Fu","year":"2023","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib45","first-page":"508.e11","article-title":"Difference in voice problems and noise reports between teachers of public and private schools in Upper Egypt","volume":"31","author":"Abo-Hasseba","year":"2017","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib46","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1093\/occmed\/kqu052","article-title":"Voice disorders in Nigerian primary school teachers","volume":"64","author":"Akinbode","year":"2014","journal-title":"Occup\u00a0Med"},{"key":"10.1016\/j.jvoice.2025.09.023_bib47","doi-asserted-by":"crossref","first-page":"e350","DOI":"10.18295\/squmj.2018.18.03.014","article-title":"Association between voice handicap index and reflux symptom index: a cross-sectional study of undiagnosed general and teacher cohorts in Saudi Arabia","volume":"18","author":"Alanazi","year":"2018","journal-title":"Sultan Qaboos Univ Med J"},{"key":"10.1016\/j.jvoice.2025.09.023_bib48","doi-asserted-by":"crossref","first-page":"1526.e1","DOI":"10.1016\/j.jvoice.2022.04.006","article-title":"The effect of online teaching on vocal health among Saudi Teachers during COVID-19 pandemic","volume":"38","author":"Alarfaj","year":"2024","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib49","first-page":"289.e1","article-title":"A comparative study utilizing the Voice Handicap Index-10 (VHI-10) in teachers and the general population of Kuwait","volume":"36","author":"Alarouj","year":"2022","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib50","first-page":"319","article-title":"Kuwaiti Teachers\u2019 perceptions of voice handicap","volume":"32","author":"Albustan","year":"2018","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib51","first-page":"132","article-title":"Voice problems among school teachers employing the tele-teaching modality","volume":"39","author":"Alkhunaizi","year":"2025","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib52","first-page":"205","article-title":"Hoarseness among school teachers: a cross-sectional study from Dammam","volume":"25","author":"Alrahim","year":"2018","journal-title":"J\u00a0Fam\u00a0Commun\u00a0Med"},{"key":"10.1016\/j.jvoice.2025.09.023_bib53","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jvoice.2022.07.001","article-title":"Voice disorders among teachers in Al-Ahsa, Eastern Region, KSA: vocal complaints, treatment-seeking behaviors, and knowledge of vocal care","volume":"39","author":"Alshuhayb","year":"2025","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib54","first-page":"MC01","article-title":"Study of risk factors for development of voice disorders and its impact on the quality of life of school teachers in Mangalore, India","volume":"11","author":"Alva","year":"2017","journal-title":"J\u00a0Clin\u00a0Diagn\u00a0Res"},{"key":"10.1016\/j.jvoice.2025.09.023_bib55","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1159\/000484558","article-title":"The effect of classroom capacity on vocal fatigue as quantified by the Vocal Fatigue Index","volume":"69","author":"Banks","year":"2018","journal-title":"Folia Phoniatr\u00a0Logop"},{"key":"10.1016\/j.jvoice.2025.09.023_bib56","first-page":"113","article-title":"Factors influencing teachers\u2019 experience of vocal fatigue and classroom voice amplification","volume":"39","author":"Banks","year":"2025","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib57","first-page":"260.e11","article-title":"Silence and voicing accumulations in Italian Primary School Teachers with and without voice disorders","volume":"31","author":"Bottalico","year":"2017","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib58","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.anl.2022.08.009","article-title":"Vocal fatigue perceived in remote working by teachers of different school grades during COVID-19 pandemic","volume":"50","author":"Cantarella","year":"2023","journal-title":"Auris Nasus Larynx"},{"key":"10.1016\/j.jvoice.2025.09.023_bib59","first-page":"17","article-title":"Effects of noise and acoustics in schools on vocal health in teachers","volume":"17","author":"Cantor-Cutiva","year":"2015","journal-title":"Noise\u00a0Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib60","first-page":"590","article-title":"Work-related determinants of voice complaints among school workers: an eleven-month follow-up study","volume":"25","author":"Cantor-Cutiva","year":"2016","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib61","first-page":"120.e1","article-title":"Four-day follow-up study on the self-reported voice condition and noise condition of teachers: relationship between vocal parameters and classroom acoustics","volume":"31","author":"Cantor-Cutiva","year":"2017","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib62","first-page":"226","article-title":"The effect of upper airway ailments on teachers\u2019 experience of vocal fatigue","volume":"36","author":"Cantor-Cutiva","year":"2022","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib63","first-page":"933.e23","article-title":"Associations between Teachers\u2019 posture, muscle tension and voice complaints","volume":"35","author":"Cardoso","year":"2021","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib64","first-page":"843","article-title":"Associations between teachers\u2019 autonomic dysfunction and voice complaints","volume":"35","author":"Cardoso","year":"2021","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib65","first-page":"776","article-title":"Impact of classroom determinants on psychosocial aspects of voice among school teachers of Indore, India: a preliminary survey","volume":"71","author":"Chowdhury","year":"2019","journal-title":"Indian J\u00a0Otolaryngol\u00a0Head\u00a0Neck Surg"},{"key":"10.1016\/j.jvoice.2025.09.023_bib66","first-page":"581.e7","article-title":"Voice disorder and burnout syndrome in teachers","volume":"33","author":"de Brito Mota","year":"2019","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib67","doi-asserted-by":"crossref","first-page":"1135.e21","DOI":"10.1016\/j.jvoice.2023.02.010","article-title":"Voice disorders and mental health of basic education teachers in a Brazilian Municipality","volume":"39","author":"de Magalh\u00e3es","year":"2025","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib68","first-page":"117.e1","article-title":"Prevalence and risk factors of voice problems among primary school teachers in India","volume":"31","author":"Devadas","year":"2017","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib69","doi-asserted-by":"crossref","first-page":"507.e1","DOI":"10.1016\/j.jvoice.2016.10.011","article-title":"Relationship between voice complaints and subjective and objective measures of vocal function in Iranian Female Teachers","volume":"31","author":"Faham","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib70","first-page":"790","article-title":"The prevalence and risk factors for perceived voice disorders in public school teachers","volume":"7","author":"Feng","year":"2022","journal-title":"Laryngosc\u00a0Investig\u00a0Otolaryngol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib71","first-page":"1045","article-title":"Voice burden in teachers and non-teachers in a UK population: a questionnaire-based survey","volume":"44","author":"Gadepalli","year":"2019","journal-title":"Clin\u00a0Otolaryngol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib72","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1159\/000531982","article-title":"Vocal problems and burnout syndrome in nonuniversity teachers in Galicia, Spain","volume":"76","author":"Garc\u00eda-Real","year":"2024","journal-title":"Folia Phoniatr\u00a0Logop"},{"key":"10.1016\/j.jvoice.2025.09.023_bib73","doi-asserted-by":"crossref","first-page":"756.e1","DOI":"10.1016\/j.jvoice.2015.09.005","article-title":"The prevalence of teachers\u2019 vocal symptoms in municipal network of education in Campo Grande, Mato Grosso do Sul, Brazil","volume":"30","author":"Hermes","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib74","first-page":"813","article-title":"Gender differences in the reporting of vocal fatigue in teachers as quantified by the Vocal Fatigue Index","volume":"126","author":"Hunter","year":"2017","journal-title":"Ann\u00a0Otol\u00a0Rhinol\u00a0Laryngol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib75","first-page":"539","article-title":"The effect of pulmonary function on the incidence of vocal fatigue among teachers","volume":"34","author":"Hunter","year":"2020","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib76","first-page":"2324","article-title":"Prevalence of voice disorders in indian female secondary school teacher population-a cross sectional study","volume":"74","author":"Joshi","year":"2022","journal-title":"Indian\u00a0J\u00a0Otolaryngol\u00a0Head Neck Surg"},{"key":"10.1016\/j.jvoice.2025.09.023_bib77","first-page":"E221","article-title":"Risk factors for voice disorders in public school teachers in Cyprus","volume":"61","author":"Kyriakou","year":"2020","journal-title":"J\u00a0Prev\u00a0Med\u00a0Hyg"},{"key":"10.1016\/j.jvoice.2025.09.023_bib78","first-page":"645.e1","article-title":"Voice problems in New Zealand Teachers: a national survey","volume":"29","author":"Le\u00e3o","year":"2015","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib79","first-page":"43","article-title":"Effect of teacheras working conditions on voice disorder in Korea: a nationwide survey","volume":"30","author":"Lee","year":"2018","journal-title":"Ann\u00a0Occup\u00a0Environ\u00a0Med"},{"key":"10.1016\/j.jvoice.2025.09.023_bib80","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/j.jvoice.2017.01.017","article-title":"Effectiveness of a short voice training program for teachers: a preliminary study","volume":"31","author":"L\u00f3pez","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib81","doi-asserted-by":"crossref","first-page":"509.e1","DOI":"10.1016\/j.jvoice.2016.10.025","article-title":"A comparative study of the VHI-10 and the V-RQOL for quality of life among Chinese Teachers with and without voice disorders","volume":"31","author":"Lu","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib82","doi-asserted-by":"crossref","first-page":"841.e5","DOI":"10.1016\/j.jvoice.2014.03.006","article-title":"Teachers\u2019 voice use in teaching environments: a field study using ambulatory phonation monitor","volume":"28","author":"Lyberg-\u00c5hlander","year":"2014","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib83","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3109\/14015439.2013.821521","article-title":"Jordanian teachers' perceptions of voice handicap","volume":"39","author":"Marie","year":"2014","journal-title":"Logoped Phoniatr Vocol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib84","first-page":"1","article-title":"Prevalence of voice disorders in school teachers in a district in South India","volume":"35","author":"Menon","year":"2021","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib85","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0141963","article-title":"Determinants and effects of voice disorders among secondary school teachers in Peninsular Malaysia using a validated Malay Version of VHI-10","volume":"10","author":"Moy","year":"2015","journal-title":"PLOS One"},{"key":"10.1016\/j.jvoice.2025.09.023_bib86","first-page":"127.e31","article-title":"Working conditions and workplace barriers to vocal health in primary school teachers","volume":"30","author":"Munier","year":"2016","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib87","first-page":"488.e29","article-title":"Vocal health, voice self-concept and quality of life in german school teachers","volume":"34","author":"Nusseck","year":"2020","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib88","first-page":"4383","article-title":"Voice symptoms in teachers during distance teaching: a survey during the COVID-19 pandemic in Finland","volume":"278","author":"Patjas","year":"2021","journal-title":"Eur\u00a0Arch\u00a0Oto-Rhino-Laryngol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib89","first-page":"802.e1","article-title":"Influence of noise resulting from the location and conditions of classrooms and schools in Upper Egypt on Teachers\u2019 Voices","volume":"33","author":"Phadke","year":"2019","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib90","first-page":"1271","article-title":"Which teachers are most at risk for voice disorders? Individual factors predicting vocal acoustic parameters monitored in situ during a workweek","volume":"94","author":"Remacle","year":"2021","journal-title":"Int\u00a0Arch\u00a0Occup Environ Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib91","first-page":"79","article-title":"Factors associated with the limitation at work because of the voice: study with teachers of basic education in Brazil","volume":"37","author":"Rezende","year":"2023","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib92","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/j.jvoice.2012.10.001","article-title":"Voice Handicap Index associated with common mental disorders in elementary school teachers","volume":"27","author":"Rocha","year":"2013","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib93","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.jvoice.2014.10.011","article-title":"Behavioral dysphonia and depression in elementary school teachers","volume":"29","author":"Rocha","year":"2015","journal-title":"J Voice"},{"issue":"3","key":"10.1016\/j.jvoice.2025.09.023_bib94","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.jvoice.2019.10.009","article-title":"Incidence of common mental disorders in teachers: is there a relationship with voice disorders?","volume":"35","author":"Rocha","year":"2021","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib95","article-title":"The economic impact of vocal attrition in public school teachers in Miami-Dade County","volume":"126","author":"Rosow","year":"2015","journal-title":"Laryngology"},{"key":"10.1016\/j.jvoice.2025.09.023_bib96","doi-asserted-by":"crossref","first-page":"755.e25","DOI":"10.1016\/j.jvoice.2015.08.003","article-title":"Self-reported acute and chronic voice disorders in teachers","volume":"30","author":"Rossi-Barbosa","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib97","doi-asserted-by":"crossref","DOI":"10.1590\/0034-7167-2019-0832","article-title":"Factors associated with health dissatisfaction of elementary school teachers","volume":"73","author":"Santos","year":"2020","journal-title":"Revista Brasileira de Enfermagem"},{"key":"10.1016\/j.jvoice.2025.09.023_bib98","doi-asserted-by":"crossref","first-page":"506.e19","DOI":"10.1016\/j.jvoice.2015.05.019","article-title":"Prevalence of voice disorders and associated risk factors in teachers and nonteachers in Iran","volume":"30","author":"Seifpanahi","year":"2016","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib99","first-page":"1252.e1","article-title":"Voice symptoms and Wellbeing in School Teachers in England","volume":"38","author":"Sharp","year":"2024","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib100","doi-asserted-by":"crossref","first-page":"124","DOI":"10.11606\/S1518-8787.2017051000092","article-title":"Analysis of possible factors of vocal interference during the teaching activity","volume":"51","author":"Silva","year":"2017","journal-title":"Revista de Sa\u00fade P\u00fablica"},{"key":"10.1016\/j.jvoice.2025.09.023_bib101","first-page":"68","article-title":"Vocal tract discomfort symptoms in elementary and high school teachers","volume":"37","author":"Tahamtan","year":"2023","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib102","first-page":"3081","article-title":"Relevant work factors associated with voice disorders in early childhood teachers: a comparison between kindergarten and elementary school teachers in Yancheng, China","volume":"17","author":"Tao","year":"2020","journal-title":"Int\u00a0J\u00a0Environ\u00a0Res\u00a0Publ\u00a0Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib103","first-page":"141.e1","article-title":"Comparison of habitual and high pitch phonation in teachers with and without vocal fatigue","volume":"36","author":"Thomas","year":"2022","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib104","first-page":"508.e1","article-title":"Epidemiology of voice disorders in Latvian School Teachers","volume":"31","author":"Trinite","year":"2017","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib105","first-page":"47","article-title":"Investigating voice differences in teachers with and without self-reported voice disorders, and healthcare workers without self-reported voice disorders","volume":"46","author":"Trinite","year":"2021","journal-title":"Logop\u00a0Phoniatr\u00a0Vocol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib106","first-page":"488.e1","article-title":"Voice disorders are associated with stress among teachers: a cross-sectional study in Finland","volume":"34","author":"Vertanen-Greis","year":"2020","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2025.09.023_bib107","first-page":"34","article-title":"Comparison of teachers\u2019 voice disorders before and during COVID-19 pandemic","volume":"76","author":"\u017burek","year":"2021","journal-title":"Polish J\u00a0Otolaryngol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib108","first-page":"87","article-title":"Recall bias in epidemiologic studies","volume":"43","author":"Coughlin","year":"1990","journal-title":"J\u00a0Clin\u00a0Epidemiol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib109","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1001\/jamapediatrics.2019.3351","article-title":"Pain and sedation scales for neonatal and pediatric patients in a preverbal stage of development: a systematic review","volume":"173","author":"Giordano","year":"2019","journal-title":"JAMA Pediatr"},{"key":"10.1016\/j.jvoice.2025.09.023_bib110","first-page":"9","article-title":"Instrumentation in voice assessment and treatment: What\u2019s the use?","volume":"6","author":"Behrman","year":"1997","journal-title":"Am\u00a0J\u00a0Speech-Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2025.09.023_bib111","first-page":"953","article-title":"Physical examination of voice professionals","volume":"40","author":"Sataloff","year":"2007","journal-title":"Otolaryngol\u00a0Clin\u00a0N\u00a0Am"},{"key":"10.1016\/j.jvoice.2025.09.023_bib112","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/20552076251351805","article-title":"Effectiveness of a mobile phone application in managing voice health for teachers: a randomized controlled trial","volume":"11","author":"Hauck","year":"2025","journal-title":"Digital Health"},{"key":"10.1016\/j.jvoice.2025.09.023_bib113","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1159\/000316140","article-title":"Comparison of subjective assessment of voice disorders and objective voice measurement","volume":"63","author":"Hanschmann","year":"2010","journal-title":"Folia Phoniatr\u00a0Logop"},{"key":"10.1016\/j.jvoice.2025.09.023_bib114","first-page":"441","article-title":"Gender differences in objective and subjective measures of ADHD among clinic-referred children","volume":"13","author":"Slobodin","year":"2019","journal-title":"Front\u00a0Human Neurosci"},{"key":"10.1016\/j.jvoice.2025.09.023_bib115","first-page":"523","article-title":"Difference between self-reported and accelerometer measured moderate-to-vigorous physical activity in youth","volume":"22","author":"LeBlanc","year":"2010","journal-title":"Pediatr\u00a0Exercise Sci"},{"key":"10.1016\/j.jvoice.2025.09.023_bib116","article-title":"Objective vs self-report assessment of height, weight and body mass index: relationships with adiposity, aerobic fitness and physical activity","volume":"9","author":"Wilson","year":"2019","journal-title":"Clin\u00a0Obes"},{"key":"10.1016\/j.jvoice.2025.09.023_bib117","first-page":"1067","article-title":"What do self-reported, objective, measures of health measure?","volume":"XXXIX","author":"Baker","year":"2004","journal-title":"J\u00a0Human Resour"},{"key":"10.1016\/j.jvoice.2025.09.023_bib118","first-page":"161","article-title":"Home care workers\u2019 objective and subjective recovery from work","volume":"66","author":"S\u00e4yn\u00e4j\u00e4kangas","year":"2024","journal-title":"J\u00a0Occup\u00a0Environ\u00a0Med"},{"key":"10.1016\/j.jvoice.2025.09.023_bib119","first-page":"184","article-title":"Gender differences in pain and its relief","volume":"52","author":"Pieretti","year":"2016","journal-title":"Annali DellaIstituto Superiore di Sanita"},{"key":"10.1016\/j.jvoice.2025.09.023_bib120","first-page":"447","article-title":"Sex, gender, and pain: a review of recent clinical and experimental findings","volume":"10","author":"Fillingim","year":"2009","journal-title":"J\u00a0Pain"},{"key":"10.1016\/j.jvoice.2025.09.023_bib121","first-page":"102","article-title":"An overview of ethnic and gender differences in pain sensation","volume":"238","author":"Kvachadze","year":"2015","journal-title":"Georgian Med\u00a0News"},{"key":"10.1016\/j.jvoice.2025.09.023_bib122","first-page":"900","article-title":"Prevalence of voice disorders in the general population, based on the Stockholm Public Health Cohort","volume":"33","author":"Lyberg-\u00c5hlander","year":"2019","journal-title":"J\u00a0Voice"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199725003868?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199725003868?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:50:54Z","timestamp":1777578654000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199725003868"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":122,"alternative-id":["S0892199725003868"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2025.09.023","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Has Research Failed to Identify Risk Factors for Voice Disorders? A Systematic Review of Evidence in Teachers","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2025.09.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of The Voice Foundation.","name":"copyright","label":"Copyright"}]}}