Research Article| Volume 37, ISSUE 3, P467.e9-467.e18, May 2023

Download started.


Cannabis Consumption Among Patients With a Voice Disorder: A Multicenter E-Survey Study



      Legalization of cannabis consumption in the United States (U.S.) has increased rapidly, impacting consumption rates in the general U.S. population. The objective of this survey study was to establish prevalence estimates of cannabis consumption among voice patients, in addition to characterizing patterns of cannabis consumption.


      A multicenter, anonymous survey study of cannabis consumption took place at multidisciplinary tertiary voice care clinics in Portland, Oregon (PDX) and Pittsburgh, Pennsylvania (PIT) between April 2017 and December 2018. A convenience sample of 300 consecutively enrolled English-speaking patients 21 years and older with a voice disorder completed the survey. Data were obtained on the prevalence of cannabis consumption, frequency and methods of cannabis consumption, in addition to health impacts and demographics.


      Agresti-Coull prevalence proportion estimates for cannabis consumption were higher among voice patients in PDX compared to PIT. Current consumers in PDX and PIT showed a similar frequency of cannabis consumption. Combustion methods (eg, joint) were more popular than non-combustion methods (eg, vaping) among current consumers; inhaled methods (eg, joint) were more popular than non-inhaled methods (eg, edibles). Though vocal handicap scores for current consumers were similar across sites and comparable to lifetime non-consumers who also were non-smokers of tobacco, a lifetime history of cannabis consumption was associated with vocal and overall health impacts.


      Prevalence estimates for current cannabis consumption among voice patients from tertiary voice care clinics mirrored prevalence estimates reported for large, representative samples from Oregon and Pennsylvania. These findings provide valuable insight on the extent of cannabis consumption among voice patients.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Legislatures NCoS
        State Medical Marijuana Laws.
        2020 (Published November 4. Accessed December 6, 2020)
        • Steigerwald S
        • Cohen BE
        • Vali M
        • et al.
        Differences in opinions about marijuana use and prevalence of use by state legalization status.
        J Addict Med. 2020; 14: 337-344
        • Goodman S
        • Wadsworth E
        • Leos-Toro C
        • et al.
        Prevalence and forms of cannabis use in legal vs. illegal recreational cannabis markets.
        Int J Drug Policy. 2020; 76102658
        • Wong PO
        • Cohen BE
        • Ishida JH
        • et al.
        Smoking, vaping, and use of edibles and other forms of marijuana among U.S. adults.
        Ann Intern Med. 2018; 169: 890-892
        • Meehan-Atrash J
        • Korzun T
        • Ziegler A.
        Cannabis inhalation and voice disorders: a systematic review.
        JAMA Otolaryngol Head Neck Surg. 2019; 145: 956-964
        • Balouch B
        • Alnouri G
        • Valentino W
        • et al.
        The Effect of marijuana on the voice: a pilot study.
        J Voice. 2020; (PMID: 32868144. Epub ahead of print. In press): S0892-1997–1
        • Eysenbach G.
        Improving the quality of web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES).
        J Med Internet Res. 2004; 6 (Erratum in: 10.2196/jmir.2042. PMID: 15471760; PMCID: PMC1550605): e34
        • Von Elm E
        • Altman DG
        • Egger M
        • et al.
        The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.
        Int J Surg. 2014; 12: 1495-1499
        • Rosen CA
        • Lee AS
        • Osborne J
        • et al.
        Development and validation of the Voice Handicap Index-10.
        Laryngoscope. 2004; 114: 1549-1556
        • U.S. Department of Health and Human Services SAaMHSA
        • Center for Behavioral Health Statistics and Quality
        National Survey on Drug Use and Health 2016 (NSDUH-2016-DS0001).
        Published 2016 (Accessed December 29, 2016)
        • Center for Behavioral Health Statistics and Quality
        2017 National Survey on Drug Use and Health: Detailed Tables.
        Substance Abuse and Mental Health Services Administration, Rockville, MD2018 (Accessed December 3rd, 2020)
        • Agresti A
        • Coull BA.
        Approximate is better than “exact” for interval estimation of binomial proportions.
        The American Statistician. 1998; 52: 119-126
        • Krumpal I.
        Determinants of social desirability bias in sensitive surveys: a literature review.
        Qual Quant. 2013; 47: 2025-2047
      1. Oregon public health division. marijuana report: marijuana use, attitudes and health effects in Oregon, December 2016.
        Oregon Health Authority. 2016; (Portland, OR): 1-67
        • Bryant LM
        • Daniels KE
        • Cognetti DM
        • et al.
        Therapeutic cannabis and endocannabinoid signaling system modulator use in otolaryngology patients.
        Laryngoscope Investigative Otolaryngology. 2018; 3: 169-177
        • Mueller PB
        • Wilcox JC.
        Effects of marijuana smoking on vocal pitch and quality.
        Ear Nose Throat J. 1980; 59: 506-509