Evidence map›Paper›PMID 42298592›Full record

ArticleJournal of occupational medicine and toxicology (London, England)2026

Voice characteristics of iron and steel workers: an acoustic and self-reported cross-sectional study.

Gamze Yesilli-Puzella, İlknur Coşkun-Karaveli

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Article in Journal of occupational medicine and toxicology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Gamze Yesilli-PuzellaDepartment of Speech and Language Therapy, Cappadocia University, Mustafapaşa, Ürgüp, Nevşehir, 50400, Türkiye. gamze.puzella@kapadokya.edu.tr.ORCID http://orcid.org/0000-0002-6035-1983
İlknur Coşkun-KaraveliPrivate Speech and Language Therapy Clinic, Karabük, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOccupational environments with dust, noise, and high vocal demands can adversely impact voice production. Iron and steel workers encounter several environmental risk factors that may impair vocal function, nevertheless, objective acoustic and self-reported voice outcomes in this population have not been thoroughly investigated. This study aimed to evaluate the acoustic and self-reported voice characteristics of iron and steel manufacturing workers and compare these findings with those of a normophonic control group.

methodsThis cross-sectional comparative research comprised 128 male participants: 64 steel and iron factory workers and 64 normophonic controls. Voice evaluation consisted of F0, jitter, shimmer, noise-to-harmonics ratio, smoothed cepstral peak prominence, Acoustic Voice Quality Index, maximum phonation time, Voice Handicap Index-10 and Voice-Related Quality of Life. Mann-Whitney U tests or Welch's t-tests were used for between-group comparisons, as appropriate.

resultsIron and steel workers had significantly lower F0 and smoothed cepstral peak prominence values and higher jitter, shimmer, noise-to-harmonics ratio, and Acoustic Voice Quality Index scores than controls (all p < 0.01). The maximum phonation time was significantly shorter in workers (p < 0.001). The mean Voice Handicap Index-10 score among workers exceeded the Turkish threshold, and the Voice-Related Quality of Life scores were significantly lower than those of controls (p < 0.001).

conclusionsIron and steel industry workers had lower acoustic and self-reported markers of voice quality than normophonic individuals. These findings indicate that exposure to industrial noise and airborne irritants may be associated with subclinical changes in voice characteristics. In occupational health, a comprehensive voice assessment can serve as a time-saving, non-invasive screening tool to support early diagnosis and prevention of work-related voice problems.

Indexed as

Acoustic voice analysisAcoustic Voice Quality IndexIndustrial exposureIron and steel workersOccupational voice healthSmoothed cepstral peak prominenceVoice handicap

Identifiers

PMID42298592
PMCPMC13411114

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