Occupational and individual risk factors for dysphonia in teachers

Assunção, Ada Ávila; Bassi, Iara Barreto; Medeiros, Adriane Mesquita de; Rodrigues, Celeste de Souza; Gama, Ana Cristina Côrtes

doi:10.1093/occmed/kqs145

Cited by 40 publications

(54 citation statements)

References 12 publications

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“…The observed mean age was of approximately 40 years old for both the groups, which is similar to other studies with the population of teachers (18,19) . Time of teaching did not prove to be associated with adhesion or abandonment of speech language pathology and audiology treatment.…”

Section: Discussionsupporting

confidence: 90%

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Ferreira

Campos

Bassi

et al. 2013

CoDAS

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DescritoresTo evaluate the long-term effects of voice therapy on the life quality of teachers who were discharged or abandoned the voice therapy for dysphonia. Methods: This was a longitudinal study based on analysis of assessments with teachers of municipal schools in Belo Horizonte, who were referred to voice therapy and were discharged or abandoned the speechlanguage therapy for more than six months. A total of 33 teachers in the discharged group and 20 teachers in the abandoned group were contacted by phone and invited to participate in the study by answering the Voice activity and participation profile, which was forwarded to the researchers and sent via letter. Results: At the moment of the pre speech therapy, the discharged and abandoned groups were homogeneous, except in relation to daily communication parameter. Comparing the discharged group in the pre and post speech-language therapy, it was showed improvements in social communication parameter as well as in the total score. The discharged group presented worsening in self-perception parameter when comparing the average values in the post therapy and current moments, and the group abandoned presented worsening in work, social communication and total score when comparing to the average values in the pre therapy and current moments. The discharged and abandoned groups differ in the present moment in all investigated parameters. Conclusion: Speech-language therapy for dysphonia have long term positive effects on life quality and voice of teachers who were soon discharged from the therapy and in a period of two years on average. Teachers who have abandoned treatment and did not obtain improvement in the voice showed negative impact in life quality and voice in a time of 2 years and 2 months on average. RESUMOObjetivo: Avaliar os efeitos em longo prazo da fonoterapia na qualidade de vida de professoras que receberam alta ou abandonaram o tratamento fonoaudiológico para disfonia. Métodos: Tratou-se de um estudo longitudinal baseado na análise das avaliações realizadas com docentes da rede municipal de ensino de Belo Horizonte, encaminhados para fonoterapia, que tiveram alta ou abandonaram o tratamento fonoaudiológico há mais de seis meses. Participaram 33 professoras no grupo alta e 20 no grupo abandono que foram contatadas, por meio de ligações telefônicas, e convidadas a responder ao protocolo Perfil de participação em atividades vocais, enviado e reencaminhado às pesquisadoras por meio de carta. Resultados: No momento pré-fonoterapia, os grupos alta e abandono eram homogêneos, exceto em relação ao parâmetro comunicação diária. Na comparação do grupo alta nos momentos pré e pós-fonoterapia observou-se melhora no parâmetro comunicação social e no escore total. O grupo alta apresentou piora no parâmetro autopercepção na comparação das médias nos momentos pós-fonoterapia e atual, e no grupo abandono houve piora nos parâmetros trabalho, comunicação social e no escore total na comparação das médias pré-fonoterapia e atual. Os grupos alta e abandono apresentara...

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Section: Discussionsupporting

confidence: 90%

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Ferreira

Campos

Bassi

et al. 2013

CoDAS

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“…The prevalence found (29% overall; 24% for drivers and 34% for conductors) was similar to the records for other professional groups that have been studied in the same region, such as teachers (32%) [17], but was higher than what has been recorded among singers (23%) [1]. …”

Section: Discussionsupporting

confidence: 83%

Voice Complaints among Public Transport Workers in the Metropolitan Region of Belo Horizonte, Brazil

Assunção

Jardim²,

Medeiros³

2013

Folia Phoniatr Logop

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Objective: To investigate the prevalence of voice complaints among bus transport workers in a metropolitan area in Brazil and examine whether sociodemographic and occupational factors were associated with this outcome. This study is part of a larger study that investigated the working conditions and health of drivers and conductors of urban transportation. Methods: The sample size (1,607 participants) was calculated by means of quotas and was stratified according to occupation (drivers and conductors) in the bus companies of Belo Horizonte, Betim and Contagem. Face-to-face interviews were facilitated by means of a digital questionnaire, applied by the interviewer using a netbook. The outcome variable was constructed from combining the responses to the following two questions: (1) Over the last two weeks, have you felt tired when speaking? (no/sometimes/every day). (2) Over the last two weeks, have you noticed any worsening of your voice quality? (no/sometimes/every day). Sociodemographic, lifestyle, occupational characteristic and health situation data were gathered. Results: The prevalence found was 29% overall: 24% for drivers and 34% for conductors. Attention was drawn to positive associations with the function of conductor and with reports of exposure to vibration and thermal discomfort. Among the individual factors, only female gender reached statistical significance. Conclusion: Risk factors exist that justify interventions to promote voice health within the urban transport sector under study. It would be appropriate to investigate whether vibration of the whole body would influence the functioning and morphology of the larynx.

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“…Thus, the teacher exposed to the worst working conditions are prone to excessive use of voice, and negative vocal behavior, signaled in his voice, for example, by fatigue and hoarseness, among other health problems that cause losses in their daily communication and work 22,23 .…”

Section: Discussionmentioning

confidence: 99%

Impacto da voz na comunicação social e emoção de professoras antes e após fonoterapia

et al. 2016

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Purpose: to compare the impact of voice on the quality of teachers' life before the speech therapy and follow-up after high therapy and identify associated factors. Methods: observational study, based on information collected in two stages: secondary data from medical records and questionnaires on line, after rising speech. The participants were 54 teachers, sent by the municipal occupational service with the diagnosis of dysphonia, for the Speech Therapy Clinic of a Teaching hospital. Speech therapy occurred from January 2012 to December 2013. The information of interest were responses to the Voice Activity and Participation Profile, number of vocal symptoms, issues relating to working conditions and living habits. A descriptive and inferential analysis using a statistical program.Results: there was a decrease in reported symptoms when comparing the before and post speech therapy. As for the medians of the parameters of the above-mentioned protocol on both occasions, the groups differed in of social communication and in emotion. For these parameters were no statistical differences between the groups regarding the absence of noise generated in the classroom . The other independent variables did not differ between groups. Conclusion: speech therapy brings positive impact on the voice of teachers in relation to behavioral and occupational factors. The improvement is evidenced by the reduction in the number of reported vocal symptoms after high speech. After speech therapy, there is lower limit of dysphonia vocal activities related to social communication and emotion, especially in the absence of noise in the classroom. Keywords: Voice; Faculty; Speech Therapy; Quality of Life; Speech, Language and Hearing Sciences RESUMO Objetivo: comparar o impacto da voz na qualidade de vida de professoras no momento inicial e após alta fonoterápica e identificar os fatores associados. Métodos: estudo observacional prospectivo, por meio de informações coletadas em dois momentos: dados secundários dos prontuários e questionários online, após alta fonoaudiológica. Participaram da pesquisa 54 professoras, encaminhadas pelo serviço ocupacional municipal com o diagnóstico de disfonia, para o Ambulatório de Fonoaudiologia de um Hospital de ensino. A fonoterapia ocorreu entre janeiro de 2012 e dezembro de 2013. As informações de interesse foram: respostas ao Protocolo do Perfil de Participação e Atividades Vocais, número de sintomas vocais, questões relativas às condições de trabalho e hábitos de vida. Realizou-se análise descritiva e inferencial por meio de um programa estatístico. Resultados: houve redução no relato de sintomas ao comparar os momentos pré e pós-fonoterapia. Quanto às medianas dos parâmetros do protocolo supracitado nos dois momentos, observou-se que os grupos se diferenciaram em comunicação social e em emoção. Para estes parâmetros houve diferença estatística entre os grupos em relação à ausência de ruído gerado em sala de aula. As demais variáveis independentes não se diferenciaram entre os grupos. Conclusão...

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Occupational and individual risk factors for dysphonia in teachers

Abstract: The high prevalence of dysphonia in teachers was not associated with any individual variables, except for sex and comorbidity (diagnosis of gastritis). Limited technical resources and equipment were associated with dysphonia and suggests policy change is important in preventing dysphonia.

Cited by 40 publications

References 12 publications

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Voice Complaints among Public Transport Workers in the Metropolitan Region of Belo Horizonte, Brazil

Impacto da voz na comunicação social e emoção de professoras antes e após fonoterapia

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