Self-Perceived Voice Handicap During COVID19 Compulsory Facemask Use: A Comparative Study Between Portuguese and Spanish Speakers

Polo Cano, Nuria y Lã, Filipa Martins Baptista . (2021) Self-Perceived Voice Handicap During COVID19 Compulsory Facemask Use: A Comparative Study Between Portuguese and Spanish Speakers. Journal of Voice

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Título Self-Perceived Voice Handicap During COVID19 Compulsory Facemask Use: A Comparative Study Between Portuguese and Spanish Speakers
Autor(es) Polo Cano, Nuria
Lã, Filipa Martins Baptista
Materia(s) Lingüística
Abstract This study investigates self-perceptions of voice-related handicap as a function of facemask use in the general working population during the COVID19 outbreak, using the Voice Handicap Index (VHI). Each VHI item was answered twice in a row; the first answer referred to the condition of not wearing a facemask (henceforth, the Without condition) and the second to the condition of using a facemask (henceforth, the With condition). VHI scores were collected via Google Forms (Google, Mountain View, California), targeting 2 groups of speakers of different nationalities, Portuguese (n = 261) and Spanish (n = 297). A Wilcoxon test was carried out to compare VHI scores between With and Without conditions for each group of speakers; a Mann-Whitney U test was used to compare groups within each condition. Results suggested that VHI overall scores and scores for all dimensions were higher for the With condition, for both Portuguese and Spanish speakers. When comparing groups of speakers, Spanish speakers presented higher scores for functional and emotional dimensions, for both With and Without conditions. In addition, the overall score for the Without condition was higher for Spanish speakers. No differences between groups were found for the total VHI score for the With condition. When comparing overall VHIdiff between speakers, that is, the difference in the VHI total score between With and Without conditions, no significant differences could be found. Thus, a multiple regression analysis was carried out between the VHIdiff and the independent variables of interest: age, sex, smoking habits, professional occupation, nationality, facemask type and its hours of use. The resulting model providing the highest association suggested that 2.5% of the variation in overall VHIdiff total score could be associated with sex, smoking habits, and professional level. Female smokers who use their voices during prolonged hours at work (e.g., teachers, lawyers, sales people) presented a higher VHI total score when wearing a mask. Future voice-related health interventions should address preventive strategies towards speaking behaviors leading to vocal fatigue and vocal effort as a consequence of compulsory facemask use, especially with respect to female professional voice users who smoke.
Palabras clave COVID19
voice handicap index
facemask use
Portuguese speakers
Spanish speakers
Editor(es) Elsevier
Fecha 2021-08-02
Formato application/pdf
Identificador bibliuned:DptoLenguaEsp-LingGral-Articulos-Npolo-0001
DOI - identifier
ISSN - identifier 0892-1997
Nombre de la revista Journal of Voice
Publicado en la Revista Journal of Voice
Idioma eng
Versión de la publicación acceptedVersion
Tipo de recurso Article
Derechos de acceso y licencia
Tipo de acceso Acceso abierto
Notas adicionales Este es el manuscrito aceptado del artículo publicado por Elsevier en "Journal of Voice" el 15-8-2021, disponible en línea:
Notas adicionales This is an Accepted Manuscript of an article published by Elsevier in "Journal of Voice" on 15-8-2021, available at:

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Creado: Fri, 03 Sep 2021, 22:58:05 CET