Abstract
Objective
To identify associations with voice disorders in elementary school teachers of a Brazilian
municipality
Study design
This was a quantitative cross-sectional and analytical study with probability sampling
carried out in the 2016 school year
Method
Self-report of vocal complaints was used for the dependent variable vocal disorder.
The independent variables were sociodemographic and occupational characteristics,
working conditions that generate discomfort, habits and behaviors, mental health and
self-perception of health. For the evaluation of the Burnout Syndrome (BS), the questionnaire
Cuestionário para la Evaluación del Syndrome de Quemarse por el Trabajo (CESQT) was used and, for depression, the Beck Depression Inventory (BDI) scale instrument.
Multiple fit models were used applying the Binary Logistic Regression
Results
A total of 634 teachers participated in this study. There was a predominance of women
(85.3%) with mean age 40.6 years (SD ±9.5); 62.1% were married, 70.2% had children
and a mean teaching time of 12.9 years (SD ±8.4); 19.3% had voice disorders; 14.5%
experienced BS and 24.0% depression. Voice disorders were associated with women (OR=2.30)
working longer weekly hours (OR=1.75), with psycho-emotional problems, with burnout
(OR=1.95) and depressive symptoms (OR=1.70), and were also associated with women who
reported negative self-perception of health (OR= 1.97)
Conclusion
Voice disorders appear to be strongly associated with mental health problems, mainly
in women, in those with a longer working week and those who reported a negative perception
of health. Public policies are required to prevent psycho-emotional problems and for
vocal health promotion of the teaching category.
Key Words
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 accessOne-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:
Subscribe to Journal of VoiceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Docência e exaustão emocional [Teaching and emotional exhaustion].Educ Soc. 2006; 27: 229-253
- Intensificação do trabalho e saúde dos professores [Work intensification and teachers' health].Educ Soc. 2009; 30: 349-372
- Diagnosis of dysphonia among municipal employees: individual and work factors.J Voice. 2015; 29: P389.E19-P389.E26https://doi.org/10.1016/j.jvoice.2014.07.017
- Implicações do ambiente, condições e organização do trabalho na saúde do professor: uma revisão sistemática [Implications of the environment, conditions and organization of work on teacher health: a systematic review].Ciênc Saúde Colet. 2019; 24: 4621-4632https://doi.org/10.1590/1413-812320182412.26352017
- The risk factors related to voice disorder in teachers: a systematic review and meta-analysis.Int J Environ Res Public Health. 2019; 16: 3675https://doi.org/10.3390/ijerph16193675
- Self-reported acute and chronic voice disorders in teachers.J Voice. 2016; 30 (p): 755.e25-755.e33https://doi.org/10.1016/j.jvoice.2015.08.003
- Risk factors of voice disorders and impact of vocal hygiene awareness program among teachers in public schools in Egypt.J Voice. 2017; 31: 251.e9-251.e16https://doi.org/10.1016/j.jvoice.2016.07.010
- Work absenteeism due to voice disorders in Brazilian schoolteachers.Cad Saúde Pública. 2019; 35: 17-27https://doi.org/10.1590/0102-311X00171717
- Voice disorders are associated with stress among teachers: a cross-sectional study in Finland.J Voice. 2020; 34: 488.e1-488.e8https://doi.org/10.1016/j.jvoice.2018.08.021
BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Protocolo de Distúrbio de Voz relacionado ao trabalho /Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Saúde Ambiental e Saúde do Trabalhador. – Brasília: Editora do Ministério da Saúde, 2018. Disponível em: https://j.pucsp.br/sites/default/files/protocolo.de.voz.2018.3.pdf. Acesso em: 11 de maio de 2021.
- Voice disorder and burnout syndrome in teachers.J Voice. 2019; 33: 581.e7-581.e16https://doi.org/10.1016/j.jvoice.2018.01.022
- Risk factors for recurrent perceived voice disorders in elementary school teachers - a longitudinal Study.J Voice. 2019; 35: 325.e23-325.e27https://doi.org/10.1016/j.jvoice.2019.08.030
- The prevalence and correlates of burnout among Chinese preschool teachers.BMC Public Health. 2020; 20: 160https://doi.org/10.1186/s12889-020-8287-7
- Prevalência e fatores associados à síndrome de Burnout entre docentes da rede pública de ensino: estudo de base populacional [Prevalence and associated factors of burnout syndrome among teachers of the public network: a population-based study].Rev Bras Saude Ocup. 2021; 46: e11https://doi.org/10.1590/2317- 6369000030318
- Individual and contextual covariates of burnout: a cross-sectional nationwide study of French teachers.BMC Public Health. 2009; 9: 333https://doi.org/10.1186/1481-2458-9-333
- Depression and other common mental disorders: Global health estimates 2017.WHO, Geneva2017
- Opinion paper: poor response to treatment of depression in people in high occupational levels.Psychol Med. 2019; 49: 49-54https://doi.org/10.1017/S003329171800288X
- Sofrimento mental de professores do ensino público [Mental distress of public school teachers].Saúde em Debate. 2018; 42: 87-99https://doi.org/10.1590/0103-1104201811607
- Levels of anxiety and depression among early childhood education and primary education teachers.Pro-Posições. 2019; 30e20160143https://doi.org/10.1590/1980-6248-2016-0143
- Prevalência e fatores associados à Síndrome de Burnout nos professores de ensino especial.Aná Psicológica. 2012; 30: 315-327https://doi.org/10.14417/ap.569
- Mental disorders in university teachers: study in a service of medical investigation.J Res Fund Care. 2016; 8: 4238-4548https://doi.org/10.9789/2175-5361.2016.v8i2.4538-4548
IBGE-CIDADES. Instituto Brasileiro de Geografia e Estatística. Disponível em:https://cidades.ibge.gov.br/v4/brasil/mg/montes-claros/panorama.Acesso em: Fevereiro/ 2020.
- Self-reported voice problems among teachers: prevalence and associated factors.Rev Saúde Pública. 2011; 45: 503-511https://doi.org/10.1590/S0034-89102011005000025
- Screening Index for Voice Disorder (SIVD): development and validation.J Voice. 2013; 27: 195-200https://doi.org/10.1016/j.jvoice.2012.11.004
ABEP. Critério de Classificação Econômica Brasil. Associação Brasileira de Empresas de Pesquisa. 2014. http://www.abep.org/criterio-brasil
- Questionário Internacional de Atividade Física (IPAQ): Estupo de Validade e Reprodutibilidade no Brasil [International Physical Activity Questionnaire (lpaq): study of validity and reliability in Brazil].RBAFS. 2001; 6: 5-18https://doi.org/10.12820/rbafs.v.6n2p5-18
Brasil. Ministério da Saúde. Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. 2014. http://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2013.pdf
- Análise de Cluster.Augusto Guzzo Revista Acadêmica. 2012; 1: 77-87https://doi.org/10.22287/ag.v0i4.107
- Risk and protective factors for chronic diseases by telephone survey in capitals of Brazil, Vigitel 2014.Rev Bras Epidemiol. 2015; 18: 238-255https://doi.org/10.1590/1980-5497201500060021
- Validation of the Brazilian version of the “Spanish Burnout Inventory” in teachers.Revista de Saúde Pública. 2010; 44: 140-147https://doi.org/10.1590/S0034- 89102010000100015
- Prevalence of burnout in a sample of Brazilian teachers.Eur J Psychiat. 2011; 25: 205-212https://doi.org/10.4321/S0213-61632011000400003
- Manual em português das Escalas Beck.Casa do Psicólogo, São Paulo2001
- Absenteeism due to voice disorders in female teachers: a public health problem.Int Arch Occup Environ Health. 2012; 85: 853-864
- Effectiveness of the Teacher's Vocal Health Program (TVHP) in the Municipal Education Network of Campo Grande.J Voice. 2018; 32: 681-688https://doi.org/10.1016/j.jvoice.2017.08.029
- Distúrbio vocal em professores e seus preditores biopsicossociais: um estudo epidemiológico [Voice disorders in teachers and their biopsychosocial predictors: an epidemiological study].RBCS. 2019; 23: 11-22
- The association between possible stress markers and vocal symptoms.J Voice. 2013; 27: 787.e1-787.e10https://doi.org/10.1016/j.jvoice.2013.06.012
- Effect of teacher's working conditions on voice disorder in Korea: a nationwide survey.Ann Occup Environ Med. 2018; : 30-43https://doi.org/10.1186/s40557-018-0254-8
- Factors associated with perception of loud occupational noise by school teachers in basic education in Brazil.Rev Bras Epidemiol. 2019; 5e190063https://doi.org/10.1590/1980- 549720190063
- Gender differences in the prevalence of occupational voice disorders.in: Dejonckere PH Occupational Voice: Care and Cure. Kugler Publications, The Hague, The Netherlands2001
- [Auditory vocal analysis andfactors associated with voice disorders among teachers].Revista Brasileira de Epidemiologia. 2011; 14: 285-295
- Comparison of the occurrence of signs and symptoms of vocal and change discomfort in the vocal tract in teachers from different levels of education.CoDAS. 2019; 31e20180115https://doi.org/10.1590/2317-1782/20182018115
- Risk factors for the incidence of perceived voice disorders in elementary and middle school teachers.J Voice. 2017; 31: 258.e7-258.e12https://doi.org/10.1016/j.jvoice.2016.05.018
- Teachers’ voice disorders and loss of work ability: A case-control study.J Voice. 2015; 29: 209-217https://doi.org/10.1016/j.jvoice.2014.06.004
- Distúrbio de voz relacionado ao trabalho: revisão integrativa [Work-related voice disorder: an integrative review].Rev Bras Saúde Ocup. 2020; https://doi.org/10.1590/2317-6369000040218
- Distúrbio de voz e estresse no trabalho docente: um estudo caso-controle, [Voice disorders related to job stress in teaching: a case-control study].Cadernos De Saúde Pública. 2012; 28: 2115-2124
- Fatores associados a piores níveis na escala de Burnout em professores da educação básica [Factors associated with worse levels in the Burnout scale in basic education teachers].Cad Saude Colet. 2015; 23: 268-275
- Percepção do Trabalho Docente em uma Universidade da Região Norte do Brasil [Perception of the teaching profession at a university in Northern Brazil].Trab Educ Saude. 2015; 13: 429-450
- Voice disorder and teaching work ability.Revista CEFAC. 2016; 18: 932-940
- Pressure to work, health status, and work conditions of schoolteachers in Basic Education in Brazil.Cadernos de Saúde Pública. 2019; 35e00169517https://doi.org/10.1590/0102-311x00169517
- Self-rated health conditions of the adult population, Southern Brazil.Revista de Saúde Pública. 2011; 45: 789-793https://doi.org/10.1590/S0034-89102011005000036
- Prevalence of negative self-rated health and associated factors among healthcare workers in a Southeast Brazilian city.Epidemiol Serv Saúde. 2020; 29e2019358https://doi.org/10.5123/S1679-49742020000200013
- Autoavaliação negativa da saúde em trabalhadoras de enfermagem da atenção básica [Poor self-assessment of the health of primary health care nursing workers].Trab Educ Saúde. 2018; 16https://doi.org/10.1590/1981-7746-sol00160
- Auto-avaliação de saúde entre trabalhadores de uma indústria no sul do Brasil [Self-rated health among industrial workers in Southern Brazil].Rev Saúde Pública. 2007; 41: 777-787https://doi.org/10.1590/S0034-89102007000500012
- Autoavaliação do estado de saúde e a associação com fatores sociodemográficos, hábitos de vida e morbidade na população: um inquérito nacional [Self-rated health and the association with social and demographic factors, health behavior, and morbidity: a national health survey].Cadernos de Saúde Pública. 2013; 29: 723-734
- Indicadores do estilo de vida e autoavaliação negativa de saúde em universitários de uma instituição pública do nordeste do Brasil [Lifestyle indicators and negative health self-assessment among students of a public university in northeastern Brazil].Revista Brasileira de Atividade Física e Saúde. 2012; 17: 263-269
- Distúrbio de voz como doença relacionada ao trabalho no Brasil: reconhecimento e desafios [Voice disorder as a work-related disease in Brazil: recognition and challenges].Cadernos de Saúde Pública. 2019; 35e00174219
Article info
Publication history
Published online: April 11, 2023
Accepted:
February 7,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
