Relationship between Smoking and Vocal Self-perception of Trans Women
Relación entre el tabaquismo y la autopercepción vocal de las mujeres trans
Abstract
Objective. To verify the relationship between smoking, age, schooling, and the vocal self-perception of trans women.
Methods. Cross-sectional observational quantitative study conducted with 24 trans women over 18 years old, living in their affirmed gender for a minimum of 6 months. Data collection involved selected questions from the translated and authorized Portuguese version of the Trans Woman Voice Questionnaire (TWVQ) and information regarding age, education, occupation, and smoking status. All variables were analyzed descriptively, and the association with smoking was assessed using Pearson's Chi-square, Fisher's Exact, Student's T, and Mann-Whitney tests, with a significance level of 5%.
Results. The mean age of trans women was 28.2 +/- 6.5 years (range: 21 - 48). Most participants (41.6%) had completed their high school education and pursued diverse careers. Regarding smoking habits, 58.3% of women were either current smokers or had smoked at least 100 cigarettes in their lifetime. A statistically significant association was found between smoking and age (p = 0.001), with smokers having a lower average age (24.9 years) compared to nonsmokers (32.9 years). However, no statistical significance was observed between smoking, education, and self-perception of vocal femininity. Only 9 (37.5%) trans women perceived their voices as feminine, while 17 (70.7%) desired a more feminine-sounding voice.
Limitation. The limited sample size in this study may have constrained the ability to detect significant differences between the analyzed groups using statistical tests.
Conclusion. The smoking prevalence was notably high among younger trans women. However, there was no statistically significant difference in vocal self-perception between those who smoked and those who did not. The majority of trans women expressed a desire for their voices to sound more feminine, particularly among smokers.
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World Health Organization. Tabacco. Geneva: World Health Organization; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco
Drope J, Schluger N, Cahn Z, et al. The Tobacco Atlas. Atlanta: American Cancer Society and Vital Strategies; 2018. 56 p. Available from: https://www.drugsandalcohol.ie/30821/
Scherübl H. Tabakrauchen und Krebsrisiko. DMW - Deutsche Medizinische Wochenschrift [Internet]. 2021;146(6):412–17. doi: http://dx.doi.org/10.1055/a-1216-7050
Rezk-Hanna M, Benowitz NL. Cardiovascular Effects of Hookah Smoking: Potential Implications for Cardiovascular Risk. Nicotine Tob Res [Internet]. 2019;21(9):1151–61. doi: http://dx.doi.org/10.1093/ntr/nty065
Wheaton AG, Liu Y, Croft JB, VanFrank B, Croxton TL, Punturieri A, et al. Chronic Obstructive Pulmonary Disease and Smoking Status — United States, 2017. MMWR Morb Mortal Wkly Rep [Internet]. 2019;68(24):533–38.doi: http://dx.doi.org/10.15585/mmwr.mm6824a1
Ford PJ, Rich AM. Tobacco Use and Oral Health. Addiction [Internet]. 2021;116(12):3531–40. doi: http://dx.doi.org/10.1111/add.15513
Vučičević Boras V, Fučić A, Baranović S, Blivajs I, Milenović M, Bišof V, et al. Environmental and behavioural head and neck cancer risk factors. Cent Eur J Public Health [Internet]. 2019;27(2):106–9. doi: http://dx.doi.org/10.21101/cejph.a5565
Buchting FO, Emory KT, Scout, Kim Y, Fagan P, Vera LE, et al. Transgender Use of Cigarettes, Cigars, and E-Cigarettes in a National Study. Am J Prev Med [Internet]. 2017;53(1): e1–7. doi: http://dx.doi.org/10.1016/j.amepre.2016.11.022
Sawyer AN, Bono RS, Kaplan B, Breland AB. Nicotine/tobacco use disparities among transgender and gender diverse adults: Findings from wave 4 PATH data. Drug Alcohol Depend [Internet]. 2022;232:109268. doi: http://dx.doi.org/10.1016/j.drugalcdep.2022.109268
Heffner JL, Mull KE, Watson NL, McClure JB, Bricker JB. Long-Term Smoking Cessation Outcomes for Sexual Minority Versus Nonminority Smokers in a Large Randomized Controlled Trial of Two Web-Based Interventions. Nicotine Tob Res [Internet]. 2020;22(9):1596–604. doi: http://dx.doi.org/10.1093/ntr/ntz112
Raghuwanshi N, Mundra A, Dubey NK, Godha S, Mundra R. Multimodal Analysis of Dysphonia in Smokers: A Two Year Comprehensive Study. Indian J Otolaryngol Head Neck Surg [Internet]. 2021;74(Suppl 3):4948–53. doi: http://dx.doi.org/10.1007/s12070-021-02419-w
Hashibe M, Boffetta P, Zaridze D, Shangina O, Szeszenia-Dabrowska N, Mates D, et al. Contribution of Tobacco and Alcohol to the High Rates of Squamous Cell Carcinoma of the Supraglottis and Glottis in Central Europe. Am J Epidemiol [Internet]. 2007;165(7):814–20. doi: http://dx.doi.org/10.1093/aje/kwk066
Pinto AGL, Crespo AN, Mourão LF. Influence of smoking isolated and associated to multifactorial aspects in vocal acoustic parameters. Braz J Otorhinolaryngol [Internet]. 2014;80(1):60-7. doi: http://dx.doi.org/10.5935/1808-8694.20140013
Ferreira LP, Heringer MRC, Pompeu ATS, Pedra AM, Latorre M do RD de O. Harmful Effects of Tobacco and Marijuana Smoking on College students’ voices. Distúrb comun [Internet]. 2016;28(1):102-13. Available from: https://revistas.pucsp.br/index.php/dic/article/view/23698
Hancock AB, Krissinger J, Owen K. Voice Perceptions and Quality of Life of Transgender People. J Voice [Internet]. 2011;25(5):553–8. doi: http://dx.doi.org/10.1016/j.jvoice.2010.07.013
Barra BGA, Gusmão ÚM de AS, Araújo ANB de. Self-perception of voice in transgender people. Revista CEFAC [Internet]. 2020;22(4). doi: http://dx.doi.org/10.1590/1982-0216/20202244819
Kidd JD, Dolezal C, Bockting WO. The Relationship Between Tobacco Use and Legal Document Gender-Marker Change, Hormone Use, and Gender-Affirming Surgery in a United States Sample of Trans-Feminine and Trans-Masculine Individuals: Implications for Cardiovascular Health. LGBT Health [Internet]. 2018;5(7):401–11. doi: http://dx.doi.org/10.1089/lgbt.2018.0103
Masumori N, Nakatsuka M. Cardiovascular Risk in Transgender People with Gender-Affirming Hormone Treatment. Circ Rep [Internet]. 2023;5(4):105–13. doi: http://dx.doi.org/10.1253/circrep.cr-23-0021
Dewes JO. Snowball Sampling and Respondent-Driven Sampling: a description of the methods [undergraduate thesis]. [Porto Alegre (RG)]: Universidade Federal do Rio Grande do Sul; 2013. 53 p. Available from: https://lume.ufrgs.br/handle/10183/93246
Santos HH de ANM dos, Aguiar AG de O, Baeck HE, Van Borsel J. Translation and preliminary evaluation of the Brazilian Portuguese version of the Transgender Voice Questionnaire for male-to-female transsexuals. CoDAS [Internet]. 2015;27(1):89–96. doi: http://dx.doi.org/10.1590/2317-1782/20152014093
21.Dacakis G, Davies S, Oates JM, Douglas JM, Johnston JR. Development and Preliminary Evaluation of the Transsexual Voice Questionnaire for Male-to-Female Transsexuals. J Voice [Internet]. 2013;27(3):312–20. doi: http://dx.doi.org/10.1016/j.jvoice.2012.11.005
Pan American Health Organization: PAHO/WHO. Guías para el control y monitoreo de la epidemia tabaquica. PAHO/WHO; 1996. 120 p.
Ministério da Saúde. Vigitel Brasil 2019. Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019. Ministério da Saúde; 2020. 137 p. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/cartilhas/2019/vigitel-brasil-2019-vigilancia-fatores-risco-pdf/view
Tamí-Maury I, Sharma A, Chen M, Blalock J, Ortiz J, Weaver L, et al. Comparing smoking behavior between female-to-male and male-to-female transgender adults. Tob Prev Cessat [Internet]. 2020 Jan 14;6:1-6. doi: http://dx.doi.org/10.18332/tpc/114513
Gamarel KE, Mereish EH, Manning D, Iwamoto M, Operario D, Nemoto T. Minority Stress, Smoking Patterns, and Cessation Attempts: Findings From a Community-Sample of Transgender Women in the San Francisco Bay Area. Nicotine Tob Res [Internet]. 2015;18(3):306–13. doi: http://dx.doi.org/10.1093/ntr/ntv066
Delahanty J, Ganz O, Hoffman L, Guillory J, Crankshaw E, Farrelly M. Tobacco use among lesbian, gay, bisexual and transgender young adults varies by sexual and gender identity. Drug Alcohol Depend [Internet]. 2019;201:161–70. doi: http://dx.doi.org/10.1016/j.drugalcdep.2019.04.013
Ferreira LP, Guerra JR, Loiola CM, De Assis Moura Ghirardi AC. Relationship between vocal symptoms in college students and their possible causes. Int Arch Otorhinolaryngol [Internet]. 2013;16(3):306–12. doi: http://dx.doi.org/10.7162/s1809-97772012000300002
Barbosa REC, Fonseca GC. Prevalência de tabagismo entre professores da Educação Básica no Brasil, 2016. Cad. Saúde Pública [Internet]. 2019;35(suppl 1). doi: http://dx.doi.org/10.1590/0102-311x00180217
Devóglio LL, Corrente JE, Borgato MH, Godoy I de. Smoking among female sex workers: prevalence and associated variables. J bras pneumol [Internet]. 2017;43(1):6–13. doi: http://dx.doi.org/10.1590/s1806-37562016000000162
Silva Costa MC, Souza Monteiro CF, Guedes da Silva Junior FJ, De Araujo Lima LA. Women in tobacco consumption and risk factors associated. Rev Enferm UFPI [Internet]. 2017 Mar 28;6(1):20-5. doi: http://dx.doi.org/10.26694/reufpi.v6i1.5736
do Amaral Júnior OL, Braccini Fagundes ML, Menegazzo GR, do Amaral Giordani JM. Desigualdades socioeconômicas associadas ao hábito de fumar em brasileiros com 50 anos ou mais. Revista de Atenção à Saúde. 2020; 18(66):172-82. Available from: https://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/7263
Ayoub MR, Larrouy-Maestri P, Morsomme D. The Effect of Smoking on the Fundamental Frequency of the Speaking Voice. J Voice [Internet]. 2019;33(5):802.e11-802.e16. doi: http://dx.doi.org/10.1016/j.jvoice.2018.04.001
Chadwick KA, Coleman R, Andreadis K, Pitti M, Rameau A. Outcomes of Gender‐Affirming Voice and Communication Modification for Transgender Individuals. Laryngoscope [Internet]. 2021;132(8):1615–21. doi: http://dx.doi.org/10.1002/lary.29946
McNeill EJM, Wilson JA, Clark S, Deakin J. Perception of Voice in the Transgender Client. J Voice [Internet]. 2008;22(6):727–33. doi: http://dx.doi.org/10.1016/j.jvoice.2006.12.010
Kim H-T. Vocal Feminization for Transgender Women: Current Strategies and Patient Perspectives. Int J Gen Med [Internet]. 2020;13:43–52. doi: http://dx.doi.org/10.2147/ijgm.s205102
Santos JDP dos, Silveira DV, Oliveira DF de, Caiaffa WT. Instrumentos para avaliação do tabagismo: uma revisão sistemática. Ciênc saúde coletiva [Internet]. 2011;16(12):4707–20. doi: http://dx.doi.org/10.1590/s1413-81232011001300020
Lopes FM, Peuker AC, Bizarro L. Viés atencional em fumantes. Psico. 2008;39(3):382-90. Available from: https://revistaseletronicas.pucrs.br/ojs/index.php/revistapsico/article/view/4462
World Health Organization. MPOWER: A policy package to reverse the tobacco epidemic. Geneva: WHO; 2008. 41 p. Available from: https://www.afro.who.int/publications/mpower-policy-package-reverse-tobacco-epidemic
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0).