{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T20:59:30Z","timestamp":1781816370593,"version":"3.54.5"},"reference-count":14,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2026,6]]},"DOI":"10.1016\/j.jvoice.2026.05.041","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T20:47:40Z","timestamp":1781815660000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Characteristics and Risk Factors of Voice Disorders Among Singers: A Clinic-Based Cross-Sectional Study in the Country Georgia"],"prefix":"10.1016","author":[{"given":"Irina","family":"Katsarava","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3904-4073","authenticated-orcid":false,"given":"Natalia","family":"Pavliashvili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Kekelidze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8057-2204","authenticated-orcid":false,"given":"Natia","family":"Gamkrelidze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lela","family":"Shengelia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2026.05.041_bib1","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.1121\/1.395910","article-title":"The physics of vocal fold oscillation","volume":"83","author":"Titze","year":"1988","journal-title":"J Acoust Soc Am"},{"key":"10.1016\/j.jvoice.2026.05.041_bib2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1080\/14015430119969","article-title":"Occupational risks for voice problems","volume":"26","author":"Verdolini","year":"2001","journal-title":"Logoped Phoniatr Vocol"},{"key":"10.1016\/j.jvoice.2026.05.041_bib3","first-page":"125","article-title":"Vocal health and preventive care for professional voice users","volume":"31","author":"Behlau","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.05.041_bib4","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/S0892-1997(00)80082-X","article-title":"Voice handicap index in singers","volume":"14","author":"Rosen","year":"2000","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.05.041_bib5","first-page":"281","article-title":"Prevalence of voice disorders in teachers and the general population","volume":"48","author":"Roy","year":"2005","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.jvoice.2026.05.041_bib6","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1001\/jamaoto.2024.1516","article-title":"Voice disorder prevalence and vocal health characteristics among professional voice users","volume":"150","author":"Fujiki","year":"2024","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2026.05.041_bib7","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1002\/lary.30414","article-title":"Association of singing genre and phonotraumatic vocal lesions","volume":"133","author":"Childs","year":"2023","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.05.041_bib8","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000004971","article-title":"Prevalence and factors associated with vocal nodules in occupational voice users","volume":"95","author":"Won","year":"2016","journal-title":"Medicine"},{"key":"10.1016\/j.jvoice.2026.05.041_bib9","first-page":"1093","article-title":"Evaluation and management of laryngopharyngeal reflux disease: state of the art review","volume":"8","author":"Lechien","year":"2019","journal-title":"J Clin Med"},{"key":"10.1016\/j.jvoice.2026.05.041_bib10","doi-asserted-by":"crossref","DOI":"10.3389\/fcell.2025.1501341","article-title":"Biophysical aspects of mechanotransduction in cells and their physiological\/biological implications in vocal fold vibration: a narrative review","volume":"13","author":"Cha","year":"2025","journal-title":"Front Cell Dev Biol"},{"key":"10.1016\/j.jvoice.2026.05.041_bib11","article-title":"vitro mechanical vibration down-regulates pro-inflammatory and pro-fibrotic signaling in human vocal fold fibroblasts","volume":"15","author":"Gugatschka","year":"2020","journal-title":"PLoS One"},{"key":"10.1016\/j.jvoice.2026.05.041_bib12","first-page":"60","article-title":"Effects of raised-intensity phonation on inflammatory mediator gene expression in normal rabbit vocal fold","volume":"144","author":"Rousseau","year":"2011","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2026.05.041_bib13","first-page":"321","article-title":"The effect of oxidative stress on the human voice","volume":"13","author":"Hirano","year":"2024","journal-title":"Antioxidants"},{"key":"10.1016\/j.jvoice.2026.05.041_bib14","doi-asserted-by":"crossref","first-page":"773.e25","DOI":"10.1016\/j.jvoice.2017.02.010","article-title":"Prevalence of voice disorders in singers: a systematic review and meta-analysis","volume":"31","author":"Pestana","year":"2017","journal-title":"J Voice"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726002626?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726002626?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T20:47:42Z","timestamp":1781815662000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199726002626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":14,"alternative-id":["S0892199726002626"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.05.041","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical Characteristics and Risk Factors of Voice Disorders Among Singers: A Clinic-Based Cross-Sectional Study in the Country Georgia","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.05.041","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Voice Foundation. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}