Evidence map›Paper›PMID 42756768›Full record

ArticleFrontiers in public health2026

Mapping vocal health risk for active vocal users across European urban soundscapes: a computational framework with exploratory empirical evaluation.

Yuwen Sun

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Yuwen SunCollege of Design and Innovation, Tongji University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urban soundscape assessments focus on the listener-the person who hears an environment-while largely overlooking the person who must produce sound within it. However, speaking or singing in noisy settings imposes substantial physiological demands due to Lombard effect, which causes vocal intensity to increase as ambient noise raises. In this study, we present a computational framework that integrates the Lombard effect, subglottal pressure estimation, and signal-to-noise ratio (SNR) to translate urban noise levels into quantitative estimates of vocal load. Calibrated against professional-singer data, the subglottal-pressure estimates reproduce independently measured sound levels to within 0.7 dB. This framework has been applied to strategic road-traffic noise reported under the European Environmental Noise Directive, mapping vocal health risks across urban areas in Denmark, the Netherlands, and France. In these regions, high-risk zones account for 4.3-5.6% of the noise-affected area; an exploratory analysis of 16 singers recorded in two environments is directionally consistent with the framework's central assumption. The framework's principal finding is a divergence between its two risk indicators. As vocal compensation strengthens, SNR-based risk falls, while estimated subglottal pressure rises. This means that successfully compensating for sound typically raises audibility and adds to the physiological load, so an assessment based only on SNR indicates improvement at the moment the hazard increases. Communication-based metrics can therefore conceal, rather than reveal, rising vocal load, and should not be used in isolation. More broadly, the results argue for extending the human-centered soundscape paradigm to those who actively produce sound in the city, rather than only to those who receive it.

Indexed as

NoiseNoise, TransportationSingingEuropeHumansRisk AssessmentSignal-To-Noise Ratioactive vocal usersLombard effectsubglottal pressureurban soundscapevocal health risk

Identifiers

PMID42756768
PMCPMC13584711

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.