“…Table 3 -Association between average intensity of the voice (dependent variable) and independent variables in teachers of public schools in Piracicaba, SP, Brazil, 2010 DISCUSSION Nowadays, teachers represent the occupational group with the highest incidence of vocal alterations 1,6,13 . In surveys conducted in Brazil and worldwide, the most cited complaints by teachers were: hoarseness, vocal fatigue, pain or irritation and hoarseness; among Brazilians, the symptom of hoarseness was the most frequent [14][15][16] . In this study, among the symptoms of vocal problems most often cited, the most prevalent were: dry throat (30.39%), hoarseness (51.96%), vocal fatigue (53.92%) and breathlessness during speech (81.37 %).…”