Epidemiology Of Voice Disorders Among Government School Teachers - An Analytical Cross-Sectional Study from Kancheepuram District
DOI:
https://doi.org/10.55489/njcm.131220222574Keywords:
School teachers, Voice disorders, Prevalence, Dysphonia, Risk factors.Abstract
Background: Voice disorders cause undesirable effects on school teachers such as reducing their quality of life, decrease in work performance affecting the quality of education, job absenteeism, and reduced social activities as well.
Methodology: Voice disorder among teachers was assessed through the “Voice handicap Index”, which was developed by Jacobson et al in 1997 to self-assess the severity of voice disorder in dysphonia patients
Results: The overall prevalence of voice disorder among government school teachers was found to be 46.5% with a 95% confidence interval from 41.5% to 51.5%. Using Backward Wald, the binary logistic regression analysis showed that female teachers (AOR 1.6, p<0.01*), teaching experience less than 10 years (AOR 2.4, p<0.01*), and teaching hours more than 21 hours per week (AOR 6.7, p<0.01*) had a significant association with voice disorders.
Conclusion: The prevalence of voice disorder was found to be high since teachers are professional voice users. The study also recommends that teachers must receive the required health education on the ergonomic risk factors that they will come into contact with in their daily lives as part of their jobs.
References
Mattiske JA, Oates JM, Greenwood KM. Vocal problems among teachers: A review of prevalence, causes, prevention, and treatment. J Voice. 1998;12(4):489-99. Doi: https://doi.org/10.1016/S0892-1997(98)80058-1 PMid:9988036
Hunter EJ, Titze IR. Variations in intensity, fundamental fre-quency, and voicing for teachers in occupational versus non-occupational settings. J Speech, Lang Hear Res. 2010 Aug 1;53(4):862-75. Doi: https://doi.org/10.1044/1092-4388(2009/09-0040) PMid:20689046
Behlau M, Zambon F, Guerrieri AC, Roy N. Epidemiology of voice disorders in teachers and nonteachers in Brazil: Preva-lence and adverse effects. J Voice. 2012;26(5):665.e9-665.e18. Doi: https://doi.org/10.1016/j.jvoice.2011.09.010 PMid:22516316
Bassi IB, Assunção AÁ, De Medeiros AM, De Menezes LN, Teixeira LC, Côrtes Gama AC. Quality of life, self-perceived dysphonia, and diagnosed dysphonia through clinical tests in teachers. J Voice. 2011;25(2):192-201. Doi: https://doi.org/10.1016/j.jvoice.2009.10.013 PMid:20202785
Sathyanarayan M, Boominathan P, Nallamuthu A. Vocal Health Practices Among School Teachers: A Study From Chennai, India. J Voice [Internet]. 2019;33(5):812.e1-812.e7. Doi: https://doi.org/10.1016/j.jvoice.2018.04.005 PMid:30139639
Voice Disorder - an overview (pdf) | Science Direct Topics [Internet]. [cited 2020 Oct 14]. Available from: https://www.sciencedirect.com/topics/medicine-and-dentistry/ voice-disorder/pdf
Przysiezny PE, Przysiezny LTS. Work-related voice disorder. Braz J Otorhinolaryngol [Internet]. 2015;81(2):202-11. Doi: https://doi.org/10.1016/j.bjorl.2014.03.003 PMid:25458260 PMCid:PMC9449011
Ortiz E, De Costa EA, Spina AL, Crespo AN. Multidisciplinary protocol proposal for professional dysphonia: Preliminary study. Rev Bras Otorrinolaringol [Internet]. 2004 [cited 2020 Oct 15];70(5):590-6. Doi: https://doi.org/10.1590/S0034-72992004000500003
BEPA --- Reference Center for Occupational Health, Disease Control Coordination, State Department of Health São Paulo Work-related voice disorders. Bol Epidemiol (São Paulo). 2006;3:16-22.
Roy N, Merrill RM, Thibeault S, Parsa RA, Gray SD, Smith EM. Prevalence of Voice Disorders in Teachers and the General Population. J Speech, Lang Hear Res [Internet]. 2004 Apr [cit-ed 2020 Dec 21];47(2):281-93. Doi: https://doi.org/10.1044/1092-4388(2004/023) PMid:15157130
Russell A, Oates J, Greenwood KM. Prevalence of voice prob-lems in teachers. J Voice. 1998;12(4):467-79. Doi: https://doi.org/10.1016/S0892-1997(98)80056-8 PMid:9988034
Verdolini K, Ramig LO. Review: Occupational risks for voice problems. Logop Phoniatr Vocology. 2001;26(1):37-46. Doi: https://doi.org/10.1080/14015430119969
Sala E, Laine A, Simberg S, Pentti J, Suonpää J. The prevalence of voice disorders among day care center teachers compared with nurses: A questionnaire and clinical study. J Voice. 2001;15(3):413-23. Doi: https://doi.org/10.1016/S0892-1997(01)00042-X
de Medeiros AM, Barreto SM, Assunção AÁ. Voice Disorders (Dysphonia) in Public School Female Teachers Working in Be-lo Horizonte: Prevalence and Associated Factors. J Voice. 2008;22(6):676-87. Doi: https://doi.org/10.1016/j.jvoice.2007.03.008 PMid:17981015
Sapir S. Vocal attrition in voice students: Survey findings. J Voice. 1993;7(1):69-74. Doi: https://doi.org/10.1016/S0892-1997(05)80113-4 PMid:8353621
Smith E, Gray SD, Dove H, Kirchner L, Heras H. Frequency and effects of teachers' voice problems. J Voice. 1997;11(1):81-7. Doi: https://doi.org/10.1016/S0892-1997(97)80027-6 PMid:9075180
Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, et al. The Voice Handicap Index (VHI): De-velopment and Validation. Am J Speech-Language Pathol. 1997;6(3):66-9. Doi: https://doi.org/10.1044/1058-0360.0603.66
Menon UK, Raj M, Antony L, Soman S, Bhaskaran R. Prevalence of Voice Disorders in School Teachers in a District in South India. J Voice [Internet]. 2019;1-8. Doi:https://doi.org/10.1016/j.jvoice.2019.07.005 PMid:31350112
Boominathan P, Rajendran A, Nagarajan R, Seethapathy J, Gnanasekar M. Vocal Abuse and Vocal Hygiene Practices Among Different Level Professional Voice Users in India: A Survey. Asia Pacific J Speech, Lang Hear. 2008;11(1):47-53. Doi: https://doi.org/10.1179/136132808805297322
Lee SYY, Lao XQ, Yu ITS. A cross-sectional survey of voice dis-orders among primary school teachers in Hong Kong. J Occup Health. 2010;52(6):344-52. Doi: https://doi.org/10.1539/joh.L10015 PMid:20924152
Moy FM, Hoe VCW, Hairi NN, Chu AHY, Bulgiba A, Koh D. De-terminants and effects of voice disorders among secondary school teachers in peninsular Malaysia using a validated Ma-lay version of VHI-10. PLoS One. 2015;10(11):1-13. Doi: https://doi.org/10.1371/journal.pone.0141963 PMid:26540291 PMCid:PMC4634998
Leão SHDS, Oates JM, Purdy SC, Scott D, Morton RP. Voice Problems in New Zealand Teachers: A National Survey. J Voice. 2015; 29(5):645.e1-645.e13. Doi: https://doi.org/10.1016/j.jvoice.2014.11.004 PMid:25619465
Marçal CCB, Peres MA. Self-reported voice problems among teachers: prevalence and associated factors. Rev Saude Publi-ca [Internet].2011; 45(3):503-11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21519720
Vilkman E. Occupational safety and health aspects of voice and speech professions. In: Folia Phoniatrica et Logopaedica [Internet]. Folia Phoniatr Logop; 2004 [cited 2020 Oct 15]. p. 220-53. Doi:https://doi.org/10.1159/000078344 PMid:15258436
Luce FL, Teggi R, Ramella B, Biafora M, Girasoli L, Calori G, et al. Disturbi vocali nelle educatrici delle scuole d'infanzia. Acta Otorhinolaryngol Ital [Internet]. 2014 [cited 2020 Nov 18]; 34(6):412-8. Available from: /pmc/articles/PMC4347001/? report=abstract
Gomes da Costa de Ceballos A, Martins Carvalho F, de Araujo TM, Farias Borges dos Reis E. Auditory vocal analysis and fac-tors associated with voice disorders among teachers fatores associados à alteração vocal em professores. Rev Bras Epi-demiol. 2011;14(2):285-95. Doi: https://doi.org/10.1590/S1415-790X2011000200010 PMid:21655695
Alva A, Machado M, Bhojwani K, Sreedharan S. Study of risk factors for development of voice disorders and its impact on the quality of life of school teachers in Mangalore, India. J Clin Diagnostic Res. 2017;11(1):MC01-5. Doi: https://doi.org/10.7860/JCDR/2017/17313.9234 PMid:28273984 PMCid:PMC5324429
Korn GP, Augusto A, Pontes DL, Abranches D, Augusto P, Pon-tes DL. Hoarseness and Risk Factors in University Teachers. J Voice [Internet]. 2015;29(4):518.e21-518.e28. Doi:https://doi.org/10.1016/j.jvoice.2014.09.008 PMid:25795353
Devadas U, Bellur R, Maruthy S. Prevalence and Risk Factors of Voice Problems Among Primary School Teachers in India. J Voice [Internet]. Available from: http://dx.doi.org/10.1016/ j.jvoice. 2016.03.006
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