Academic Journal
Association between smoking and vaping behaviors and self-perceived voice handicap in young medical trainees.
| Τίτλος: | Association between smoking and vaping behaviors and self-perceived voice handicap in young medical trainees. |
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| Συγγραφείς: | Alrawashdeh B; Department of Special Surgery, School of Medicine, The University of Jordan & Jordan University Hospital, Amman, Jordan., Abu Nassar R; School of Medicine, The University of Jordan, Amman, 11952, Jordan. rubyroza1998@gmail.com., Shlash O; School of Medicine, The University of Jordan, Amman, 11952, Jordan., Abdul Baqi M; School of Medicine, The University of Jordan, Amman, 11952, Jordan., Abdulhameed J; School of Medicine, The University of Jordan, Amman, 11952, Jordan., Abu Hamdah M; School of Medicine, The University of Jordan, Amman, 11952, Jordan., Jafar L; School of Medicine, The University of Jordan, Amman, 11952, Jordan., Jalal T; School of Medicine, The University of Jordan, Amman, 11952, Jordan., Sawalha A; Department of Special Surgery, School of Medicine, The University of Jordan & Jordan University Hospital, Amman, Jordan., Darweesh M; Department of Special Surgery, School of Medicine, The University of Jordan & Jordan University Hospital, Amman, Jordan., Abu Sukhen R; Department of Health Sciences, Fulda University, Fulda, Germany. |
| Πηγή: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2026 Sep; Vol. 283 (9), pp. 6063-6073. Date of Electronic Publication: 2026 Jul 19. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer International Country of Publication: Germany NLM ID: 9002937 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-4726 (Electronic) Linking ISSN: 09374477 NLM ISO Abbreviation: Eur Arch Otorhinolaryngol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Heidelberg : Springer International, c1990- |
| Ιατρικοί όροι (MeSH): | Voice Disorders*/etiology , Voice Disorders*/epidemiology , Vaping*/adverse effects , Vaping*/epidemiology , Students, Medical*/statistics & numerical data , Students, Medical*/psychology , Smoking*/adverse effects , Smoking*/epidemiology, Jordan/epidemiology ; Humans ; Male ; Female ; Cross-Sectional Studies ; Adult ; Young Adult ; Surveys and Questionnaires ; Self Report ; Internship and Residency |
| Περίληψη: | Purpose: To assess the association between smoking behaviors, including cigarettes, shisha, and vaping, and self-reported voice handicap among medical trainees. Methods: A cross-sectional study was conducted between November 2024 and August 2025 at Jordan University Hospital, Amman, Jordan. Medical students, interns, and residents completed an anonymous online survey assessing demographics, smoking behaviors, and vocal health using the validated Arabic version of the Voice Handicap Index-10 (VHI-10). Smoking exposure was standardized using cigarette-equivalent measures and pack-year history. Group differences and associations between smoking variables and VHI-10 scores were analyzed using nonparametric statistical methods. Results: A total of 326 medical trainees participated (49.7% male). Current smokers comprised 23.9% of the sample, with vaping being the most commonly used product. The median total VHI-10 score was 1 (interquartile range, 0-4). There were no significant differences in total VHI-10 scores or abnormal VHI-10 classification across smoking status groups, and pack-year history was not significantly associated with VHI-10 scores. Male participants had significantly higher total and physical VHI-10 scores compared with females. Lower household income was associated with higher perceived voice handicap. Neither age group nor training level was significantly associated with VHI-10 outcomes. Conclusion: Among young medical trainees, smoking and vaping behaviors were not associated with self-reported voice handicap. However, gender and socioeconomic disparities in perceived vocal impairment were observed. These findings suggest that if early laryngeal effects of smoking and vaping occur in this population, they are not detected by the VHI-10, which demonstrates a significant floor effect in young healthy adults, and support the need for preventive strategies and longitudinal studies incorporating objective voice assessment. (© 2026. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: This study was conducted in accordance with the ethical principles of the Declaration of Helsinki. Ethical approval for this study was obtained from the University of Jordan-Jordan University Hospital Institutional Review Board. Competing interests: All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. |
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| Contributed Indexing: | Keywords: Cross-sectional studies; Dysphonia; Electronic nicotine delivery systems; Medical; Smoking; Students; Voice disorders |
| Entry Date(s): | Date Created: 20260719 Date Completed: 20260925 Latest Revision: 20261008 |
| Update Code: | 20261008 |
| DOI: | 10.1007/s00405-026-10439-x |
| PMID: | 42472938 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1434-4726 |
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| DOI: | 10.1007/s00405-026-10439-x |