Prevalence and risk factors of voice disorders among tour guides in Cappadocia

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dc.authoridhttps://orcid.org/0000-0001-7155-3591
dc.authoridhttps://orcid.org/0000-0002-0499-073X
dc.authoridhttps://orcid.org/0000-0003-2450-0213
dc.authoridhttps://orcid.org/0000-0002-9092-7728
dc.contributor.authorBirol, Namık Yücel
dc.contributor.authorYaşar Gündüz, Esra
dc.contributor.authorAlkan, Ferhat
dc.contributor.authorTutuş, Zübeyir
dc.date.accessioned2026-07-16T14:10:20Z
dc.date.available2026-07-16T14:10:20Z
dc.date.issuedMay, 2026
dc.departmentKapadokya Üniversitesi, Sağlık Bilimleri Yüksekokulu, Dil ve Konuşma Terapisi Bölümü
dc.departmentKapadokya Üniversitesi, Sağlık Bilimleri Yüksekokulu, Dil ve Konuşma Terapisi Bölümü
dc.departmentDiğer
dc.departmentDiğer
dc.description.abstractPurpose This study aimed to determine the prevalence and risk factors of voice disorders among professional tour guides working in the Cappadocia region of Türkiye, a globally renowned tourism destination with high tourist density. Methods A cross-sectional quantitative design was employed. Eighty-five licensed tour guides (41 females, 44 males; mean age = 42.9 ± 12.2 years) participated by completing an online self-report questionnaire developed for the Cappadocia context. The 61-item survey assessed demographics, vocal symptoms, phonotraumatic behaviors, occupational, lifestyle, and health-related risk factors. Descriptive statistics, chi-square tests, and logistic regression analyses were conducted using SPSS 27. Results Voice problems were reported by 42.4% of guides during their careers (95% CI: 32.4–53.0) and 16.5% currently (95% CI: 10.1–25.8), while 23.5% experienced aphonia at least once annually (95% CI: 15.8–33.6). The most prevalent symptoms were throat dryness (77.6%), vocal fatigue (65.9%), and hoarseness (56.5%). Speaking loudly and continuing to talk despite voice problems were significantly associated with vocal complaints (p = .039 and p < .001, respectively). Environmental and health factors, including guiding noisy groups, long tour durations, and ear–nose–throat (ENT)-related conditions (sinus and other ENT disorders), increased the likelihood of voice problems. Logistic regression identified ENT disorders as an independent predictor (adjusted odds ratio [aOR] = 6.12, 95% CI: 1.33–28.17, p = .020). Conclusion Voice disorders are common among Cappadocia tour guides and are associated with both occupational and health-related factors. These findings suggest that implementing voice hygiene education, ergonomic adaptations, and occupational health monitoring may help reduce risk and support vocal sustainability in this professional group.
dc.identifier.doi10.1007/s00405-026-10328-3
dc.identifier.urihttps://hdl.handle.net/20.500.12695/4219
dc.institutionauthorBirol, Namık Yücel
dc.institutionauthorYaşar Gündüz, Esra
dc.institutionauthoridhttps://orcid.org/0000-0001-7155-3591
dc.institutionauthoridhttps://orcid.org/0000-0002-0499-073X
dc.language.isoen
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTour guides
dc.subjectVoice disorders
dc.subjectPrevalence
dc.subjectRisk factors
dc.titlePrevalence and risk factors of voice disorders among tour guides in Cappadocia
dc.typeArticle

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