title: Mapping of Vocal Risk in Amateur Choir.
abstract: OBJECTIVE
  The study aimed to investigate and map the existence of vocal risk in amateur singers, analyzing the contribution of general voice signs and symptoms, specific singing handicap, and generalized anxiety.
  
  
  METHODS
  This is a cross-sectional study.
  
  
  METHODS
  The sample comprised 526 volunteer amateur choristers-186 male and 340 female-(mean age of 42.07 years) from different choirs in the region of São Paulo. Three questionnaires were used: the Voice Symptom Scale (VoiSS), the Modern Singing Handicap Index (MSHI), and the Generalized Anxiety Disorder 7-item (GAD-7) scale.
  
  
  RESULTS
  The mean total score obtained on the VoiSS was 17.57, which is almost two points higher than the protocol's passing score (16). The choristers who scored higher or equal to 16 points (51.5%, n = 271)-considered at vocal risk-and the group who scored less than 16 points (48.5%, n = 255)-healthy group-were analyzed separately. The risk group presented a mean total score of 26.34 on the VoiSS and 20.97 on the MSHI, with higher deviation on the impairment subscale, followed by the disability and handicap subscales, along with mild anxiety. The healthy group presented a mean total score of 8.27 on the VoiSS and 6.11 on the MSHI, also with higher deviation in the impairment subscale, followed by disability and handicap, and a minimum level of anxiety.
  
  
  CONCLUSIONS
  Even in leisure activities, vocal care is necessary for the correct use of the singing voice, which demands individual adaptations. The use of protocols for voice symptoms and singing handicap has revealed the possibility of amateur choristers to present vocal risk.
authors.affiliation: Speech-Language Pathology and Audiology Department, Universidade Federal de São Paulo-UNIFESP, São Paulo, Brazil.. Electronic address: milkabrosa@gmail.com.
authors.forename: Milka
authors.initials: M
authors.lastname: Rosa
authors.affiliation: Speech-Language Pathology and Audiology Department, Universidade Federal de São Paulo-UNIFESP, São Paulo, Brazil.
authors.forename: Mara
authors.initials: M
authors.lastname: Behlau
mesh_terms: D000328:Adult; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D055154:Dysphonia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D011788:Quality of Life; D011998:Recreation; D018570:Risk Assessment; D012307:Risk Factors; D063346:Singing; D011795:Surveys and Questionnaires; D014833:Voice Quality
keywords: dysphonia; quality of life; self-assessment; singing; voice