• Job demands : Certain people whose job demands prolong use of voice like singers, actors, teachers, lecturers, voice over artists are at higher risk of getting Vocal Nodules.
• Gender : For some unknown reasons, Vocal Nodules occur more frequently in women of age group 20-50 years.
• Work or living environment : People who work or live in environment where there is too much sound and one have to scream or yell to communicate are at higher risk for Vocal Nodules.