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Research Article| Volume 25, ISSUE 4, P430-440, July 2011

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Speaker's Comfort in Teaching Environments: Voice Problems in Swedish Teaching Staff

      Summary

      Objectives

      The primary objective of this study was to examine how a group of Swedish teachers rate aspects of their working environment that can be presumed to have an impact on vocal behavior and voice problems. The secondary objective was to explore the prevalence of voice problems in Swedish teachers.

      Method

      Questionnaires were distributed to the teachers of 23 randomized schools. Teaching staff at all levels were included, except preschool teachers and teachers at specialized, vocational high schools. The response rate was 73%.

      Results

      The results showed that 13% of the whole group reported voice problems occurring sometimes, often, or always. The teachers reporting voice problems were compared with those without problems. There were significant differences among the groups for several items. The teachers with voice problems rated items on room acoustics and work environment as more noticeable. This group also reported voice symptoms, such as hoarseness, throat clearing, and voice change, to a significantly higher degree, even though teachers in both groups reported some voice symptoms. Absence from work because of voice problems was also significantly more common in the group with voice problems—35% versus 9% in the group without problems.

      Conclusion

      We may conclude that teachers suffering from voice problems react stronger to loading factors in the teaching environment, report more frequent symptoms of voice discomfort, and are more often absent from work because of voice problems than their voice-healthy colleagues.

      Key Words

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      References

        • Fritzell B.
        Voice disorders and occupation.
        Logoped Phoniatr Vocol. 1996; 21: 7-12
        • Smith E.
        • Lemke J.
        • Taylor M.
        • Kirchner H.L.
        • Hoffman H.
        Frequency of voice problems among teachers and other occupations.
        J Voice. 1998; 12: 480-488
        • Williams N.R.
        Occupational groups at risk of voice disorders: a review of the literature.
        Occup Med. 2003; 53: 456-460
        • Ohlsson A.-C.
        • Järvholm B.
        • Löfqvist A.
        Vocal symptoms and vocal behavior in teachers.
        Scand J Log Phon. 1987; 12: 61-69
        • Pekkarinen E.
        • Himberg L.
        • Pentti J.
        Prevalence of vocal symptoms among teachers compared with nurses: a questionnaire study.
        Scand J Log Phon. 1992; 17: 113-117
        • Roy N.
        • Merrill R.M.
        • Thibeault S.
        • Parsa R.A.
        • Gray S.D.
        • Smith E.M.
        Prevalence of voice disorders in teachers and the general population.
        J Speech Lang Hear Res. 2004; 47: 281-293
        • Vintturi J.
        • Alku P.
        • Sala E.
        • Sihvo M.
        • Vilkman E.
        Loading-related subjective symptoms during a vocal loading test with special reference to gender and some ergonomic factors.
        Folia Phoniatr Logop. 2003; 55: 55-69
        • Vilkman E.
        Occupational safety and health aspects of voice and speech professions.
        Folia Phoniatr Logop. 2004; 56: 220-253
        • Laukkanen A.M.
        • Ilomaki I.
        • Leppanen K.
        • Vilkman E.
        Acoustic measures and self-reports of vocal fatigue by female teachers.
        J Voice. 2008; 22: 283-289
        • McAleavy G.J.
        • Adamson G.
        • Hazlett D.E.
        • Donegan H.A.
        • Livesey G.E.
        Modelling determinants of the vocal health of teachers in Northern Ireland: implications for educational policy and practice.
        Public Health. 2008; 122: 691-699
        • Brunskog J.
        • Gade A.C.
        • Payá-Ballester G.
        • Reig-Calbo L.
        Increase of voice level and speaker comfort in lecture rooms.
        J Acoust Soc Am. 2009; 25: 2072-2082
        • Sala E.
        • Airo E.
        • Olkinuora P.
        • et al.
        Vocal loading among day care center teachers.
        Logoped Phoniatr Vocol. 2002; 27: 21-28
        • Lane H.
        • Tranel B.
        The Lombard sign and the role of hearing in speech.
        J Speech Hear Res. 1971; 14: 677-709
        • Jónsdóttir V.
        • Boyle B.
        • Martin P.
        • Sigurdardóttir G.
        A comparison of the occurrence and nature of vocal symptoms in two groups of Icelandic teachers.
        Logoped Phoniatr Vocol. 2002; 27: 98-105
        • Roy N.
        • Merrill R.M.
        • Gray S.D.
        • Smith E.M.
        Voice disorders in the general population: prevalence, risk factors, and occupational impact.
        Laryngoscope. 2005; 115: 1988-1995
        • Simberg S.
        • Sala E.
        • Vehmas K.
        • Laine A.
        Changes in the prevalence of vocal symptoms among teachers during a twelve-year period.
        J Voice. 2005; 19: 95-102
        • de Jong F.I.C.R.S.
        • Kooijman P.G.C.
        • Thomas G.
        • Huinck W.J.
        • Graamans K.
        • Schutte H.K.
        Epidemiology of voice problems in Dutch teachers.
        Folia Phoniatr Logop. 2006; 58: 186-198
        • de Medeiros A.M.
        • Barreto S.M.
        • Assuncao A.A.
        Voice disorders (dysphonia) in public school female teachers working in Belo Horizonte: prevalence and associated factors.
        J Voice. 2008; 22: 676-687
        • Russell A.
        • Oates J.
        • Greenwood K.M.
        Prevalence of voice problems in teachers.
        J Voice. 1998; 12: 467-479
        • Smith E.
        • Gray S.D.
        • Dove H.
        • Kirchner L.
        • Heras H.
        Frequency and effects of teachers' voice problems.
        J Voice. 1997; 11: 81-87
        • Mattiske J.A.
        • Oates J.M.
        • Greenwood K.M.
        Vocal problems among teachers: a review of prevalence, causes, prevention, and treatment.
        J Voice. 1998; 12: 489-499
        • Jacobson B.
        • Johnson A.
        • Grywalski C.
        • Silbergleit A.
        • Jacobson G.
        • Benninger M.
        The Voice Handicap Index (VHI): development and validation.
        Am J Speech Lang Pathol. 1997; 6: 66-70
        • Kooijman P.G.C.
        • de Jong F.I.C.R.S.
        • Thomas G.
        • Huinck W.
        • Donders R.
        • Graamans K.
        • Schutte H.K.
        Risk factors for voice problems in teachers.
        Folia Phoniatr Logop. 2006; 58: 159-174
        • Ilomäki I.
        • Leppänen K.
        • Kleemola L.
        • Tyrmi J.
        • Laukkanen A.-M.
        • Vilkman E.
        Relationships between self-evaluations of voice and working conditions, background factors, and phoniatric findings in female teachers.
        Logoped Phoniatr Vocol. 2009; 34: 20-31
        • Vintturi J.
        • Alku P.
        • Lauri E.R.
        • Sala E.
        • Sihvo M.
        • Vilkman E.
        The effects of post-loading rest on acoustic parameters with special reference to gender and ergonomic factors.
        Folia Phoniatr Logop. 2001; 53: 338-350
        • Sala E.
        • Laine A.
        • Simberg S.
        • Pentti J.
        • Suonpaa J.
        The prevalence of voice disorders among day care center teachers compared with nurses––a questionnaire and clinical study.
        J Voice. 2001; 15: 413-423
        • Roy N.
        • Merrill R.M.
        • Thibeault S.
        • Gray S.D.
        • Smith E.M.
        Voice disorders in teachers and the general population: effects on work performance, attendance, and future career choices.
        J Speech Lang Hear Res. 2004; 47: 542-551
        • Morton V.
        • Watson D.
        The impact of impaired vocal quality on children's ability to process spoken language.
        Logoped Phoniatr Vocol. 2001; 26: 17-25
        • Rogerson J.
        • Dodd B.
        Is there an effect of dysphonic teachers' voices on children's processing of spoken language?.
        J Voice. 2005; 19: 47-60
        • Sapir S.
        • Keidar A.
        • Mathers-Schmidt B.
        Vocal attrition in teachers: survey findings.
        Eur J Disord Commun. 1993; 28: 177-185
        • Gotaas C.
        • Starr C.
        Vocal fatigue among teachers.
        Folia Phoniatr Logop. 1993; 45: 120-129
        • Ihre E.
        • Zetterstrom O.
        • Hammarberg B.
        Voice problems as side effects of inhaled corticosteroids in asthma patients––a prevalence study.
        J Voice. 2004; 18: 403-414
        • Bhalla R.K.
        • Jones A.S.
        • Roland N.J.
        Prevalence of pharyngeal and laryngeal complications in adult asthmatics using inhaled corticosteroids.
        J Laryngol Otol. 2008; 122: 1078-1083
        • Lyberg Ahlander V.
        • Malm L.
        • Schalén L.
        Hoarseness as a sign of possible nonspecific mucosal hyperreactivity in vocal tract.
        J Voice. 2009; 23: 707-715
        • Simberg S.
        • Laine A.
        • Sala E.
        • Ronnemaa A.M.
        A comparison of the prevalence of vocal symptoms among teacher students and other university students.
        J Voice. 2004; 18: 363-368
        • Rantala L.
        • Vilkman E.
        Relationship between subjective voice complaints and acoustic parameters in female teachers' voices.
        J Voice. 1999; 13: 484-495