{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:14:25Z","timestamp":1787724865156,"version":"build-2784847793"},"reference-count":74,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The domination of the Contemporary Commercial Music (CCM) industry in music markets has led to a significant increase in the number of CCM performers. Performing in a wide variety of singing styles involves exposing CCM singers to specific risk factors potentially leading to voice problems. This, in turn, necessitates the consideration of this particular group of voice users in the Occupational Health framework. The aim of the present research was threefold. First, it sought to profile the group of Polish CCM singers. Second, it was designed to explore the prevalence of self-reported voice problems and voice quality in this population, in both speech and singing. Third, it aimed to explore the relationships between voice problems and lifetime singing involvement, occupational voice use, smoking, alcohol consumption, vocal training, and microphone use, as potential voice risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>The study was conducted in Poland from January 2020 to April 2023. An online survey included socio-demographic information, singing involvement characteristics, and singers\u2019 voice self-assessment. The prevalence of voice problems was assessed by the Polish versions of the Vocal Tract Discomfort Scale (VTDS) and the Singing Voice Handicap Index (SVHI). Also, a self-reported dysphonia symptoms protocol was applied. The perceived overall voice quality was assessed by a Visual Analogue Scale (VAS) of 100\u2009mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      412 singers, 310 women and 102 men, completed the survey. Nearly half of the studied population declared lifetime singing experience over 10\u2009years with an average daily singing time of 1 or 2\u2009h. 283 participants received vocal training. For 11.4% of respondents, singing was the primary income source, and 42% defined their career goals as voice-related. The median scores of the VTDS were 11.00 (0\u201344) and 12.00 (0\u201340) for the Frequency and Severity subscales, respectively. The median SVHI score of 33 (0\u2013139) was significantly higher than the normative values determined in a systematic review and meta-analysis (2018). Strong positive correlations were observed between SVHI and both VTD subscales: Frequency (\n                      <jats:italic>r<\/jats:italic>\n                      =\u20090.632,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) and Severity (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.611,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u20090.001). The relationships between most of the other variables studied were weak or negligible.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The examined CCM singers exhibited substantial diversity with regard to musical genre preferences, aspirations pertaining to singing endeavors, career affiliations, and source of income. Singing voice assessment revealed a greater degree of voice problems in the examined cohort than so far reported in the literature, based on the SVH and VTDS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2024.1256152","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T01:02:31Z","timestamp":1715734951000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Population characteristics and self-assessment of speaking and singing voice in Polish contemporary commercial music singers\u2014an exploratory, cross-sectional study"],"prefix":"10.3389","volume":"12","author":[{"given":"Joanna","family":"Morawska","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wioletta","family":"Pietruszewska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Polita\u0144ski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Niebudek-Bogusz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1016\/j.jvoice.2006.11.002","article-title":"Contemporary commercial music","volume":"22","author":"Lo Vetri","year":"2008","journal-title":"J Voice"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1108\/JARHE-11-2022-0337","article-title":"An assessment framework for contemporary commercial music (CCM) in higher education","author":"de Villiers","year":"2023","journal-title":"J Appl Res High Educ"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0250212","article-title":"Cover versions as an impact indicator in popular music: a quantitative network analysis","volume":"16","author":"Ortega","year":"2021","journal-title":"PLoS One"},{"key":"ref4","first-page":"1","volume-title":"End of year music report 2017","author":"Crawford","year":"2017"},{"key":"ref5","first-page":"183","article-title":"CCM versus music theater: a comparison","volume":"75","author":"Edwards","year":"2018","journal-title":"J Sing"},{"key":"ref6","author":"Soko\u0142owski","year":"2019"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1080\/23268263.2013.829711","article-title":"Reflections on contemporary commercial singing: an insider\u2019s perspective","volume":"8","author":"Bartlett","year":"2014","journal-title":"Voice Speech Rev"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"246.e11","DOI":"10.1016\/j.jvoice.2016.08.007","article-title":"Voice habits and behaviors: voice care among flamenco singers","volume":"31","author":"Garz\u00f3n Garc\u00eda","year":"2017","journal-title":"J Voice"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1016\/S0892-1997(02)00108-X","article-title":"Poor voice quality in future elite vocal performers and professional voice users","volume":"16","author":"Timmermans","year":"2002","journal-title":"J Voice"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1016\/j.jvoice.2017.02.010","article-title":"Prevalence of voice disorders in singers: systematic review and Meta-analysis","volume":"31","author":"Pestana","year":"2017","journal-title":"J Voice"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1996","DOI":"10.1002\/lary.28354","article-title":"Prevalence of vocal fold pathologies among first-year singing students across genres","volume":"130","author":"Lloyd","year":"2019","journal-title":"Laryngoscope"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e445","DOI":"10.1055\/s-0039-1693140","article-title":"Singing style, vocal habits, and general health of professional singers","volume":"23","author":"Santos","year":"2019","journal-title":"Int Arch Otorhinolaryngol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1016\/j.jvoice.2017.06.009","article-title":"Common vocal effects and partial glottal vibration in professional nonclassical singers","volume":"32","author":"Caffier","year":"2018","journal-title":"J Voice"},{"key":"ref14","first-page":"7","article-title":"NATS visits AATS: musicianship training for singers","volume":"65","author":"Sjoerdsma","year":"2003","journal-title":"J Sing - 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