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Prevalence of Voice Disorders in Teachers and the General Population
Abstract
Over 3 million teachers in the United States use their voice as a primary tool of trade and are thought to be at higher risk for occupation-related voice disorders than the general population. However, estimates regarding the prevalence of voice disorders in teachers and the general population vary considerably. To determine the extent that teachers are at greater risk for voice disorders, 2,531 randomly selected participants from Iowa and Utah (1,243 teachers and 1,288 nonteachers) were interviewed by telephone using a voice disorder questionnaire. Prevalence—the number of cases per population at risk at a specific time—was determined. The prevalence of reporting a current voice problem was significantly greater in teachers compared with nonteachers (11.0% vs. 6.2%), χ 2 (1)=18.2, p <.001, as was the prevalence of voice disorders during their lifetime (57.7% for teachers vs. 28.8% for nonteachers), χ 2 (1)=215.2, p <.001. Teachers were also significantly more likely than nonteachers to have consulted a physician or speech-language pathologist regarding a voice disorder (14.3% vs. 5.5%), χ 2 (1)=55.3, p <.001. Women, compared with men, not only had a higher lifetime prevalence of voice disorders (46.3% vs. 36.9%), χ 2 (1)=20.9, p <.001, but also had a higher prevalence of chronic voice disorders (>4 weeks in duration), compared with acute voice disorders (20.9% vs. 13.3%), χ 2 (1)=8.7, p =.003. To assess the association between past voice disorders and possible risks, adjusted odds ratios (ORs) were estimated using multiple logistic regression. The results identified that being a teacher, being a woman, being between 40 and 59 years of age, having 16 or more years of education, and having a family history of voice disorders were each positively associated with having experienced a voice disorder in the past. These results support the notion that teaching is a high-risk occupation for voice disorders. Important information is also provided regarding additional factors that might contribute to the development of voice disorders.
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Research works printed but not linked: 27
- Agresti A. (1984). Analysis of ordinal categorical data. New York: Wiley.
- Butler J. E., 2001, Gender-related differences of hyaluronic acid distribution in the human vocal fold, Laryngoscope, 11, 907, 10.1097/00005537-200105000-00029 · DOI · Paper page
- Calas M., 1989, La pathologie vocale chez l’enseignant [Vocal pathology of teachers], Review of Laryngology, Otology, Rhinology, 110, 397
- 10.1016/S0892-1997(01)00043-1 · DOI · Paper page
- Digest of Education Statistics. (2000). Chapter 1: All levels of Education [Table 4]. Retrieved March 14 2003 from the National Center for Education Statistics Electronic Catalog at http:/nces.ed.gov/pub2001/digest/ch1.asp#1/
- Duffy J. R. (1995). Motor speech disorders: Substrates differential diagnosis and management. St. Louis MO: Mosby-Year Book.
- Fienberg S. E. (1977). The analysis of cross-classified data (p. 9). Cambridge MA: MIT Press.
- Fritzell B., 1996, Voice disorders and occupations, Logopedics Phoniatrics and Vocology, 27, 7, 10.3109/14015439609099197 · DOI · Paper page
- Hammond T. H., 1997, The intermediate layer: A morphologic study of the elastin and hyaluronic acid constituents of normal human vocal folds, Journal of Voice, 11, 59, 10.1016/S0892-1997(97)80024-0 · DOI
- Jacobson K., 1984, Redistribution of a major cell surface glycoprotein during cell movement, Journal of Cell Biology, 99, 1613, 10.1083/jcb.99.5.1613 · doi:10.1083/jcb.99.5.1613
- Labastida L., 1961, A proposito de 150 peritajes fonaiatricos en maestros de escuela primaria [On the subject of 150 phoniatric surveys on primary school teachers], Acta Otorhinolaryngologica, 12, 200
- Laguaite J. K., 1972, Adult voice screening, Journal of Speech and Hearing Disorders, 37, 141, 10.1044/jshd.3702.147 · DOI
- Lejska V., 1967, Occupational voice disorders in teachers, Pracovini Lekarstvi, 19, 119
- Marks J. B., 1985, Unpublished master’s thesis
- 10.1016/S0892-1997(98)80058-1 · DOI · Paper page
- 10.1044/jshd.1701.25 · DOI
- Pekkarinen E., 1992, Prevalence of vocal symptoms among teachers compared with nurses: A questionnaire study, Scandinavian Journal of Logopedics and Phoniatrics, 17, 112, 10.3109/14015439209098721 · DOI
- 10.1044/1092-4388(2001/023) · doi:10.1044/1092-4388(2001/023 · Paper page
- 10.1044/1092-4388(2003/053) · doi:10.1044/1092-4388(2003/053 · Paper page
- 10.1044/1092-4388(2002/050) · doi:10.1044/1092-4388(2002/050 · Paper page
- 10.1016/S0892-1997(98)80056-8 · DOI · Paper page
- Simberg S., 2000, Prevalence of voice disorders among future teachers, Journal of Voice, 14, 231, 10.1016/S0892-1997(00)80030-2 · DOI · Paper page
- Smith E., 1997, Frequency and effects of teachers’ voice problems, Journal of Voice, 11, 81, 10.1016/S0892-1997(97)80027-6 · DOI · Paper page
- 10.1016/S0892-1997(98)80022-2 · DOI · Paper page
- 10.1016/S0892-1997(98)80057-X · DOI · Paper page
- 10.1016/S0892-1997(97)80002-1 · DOI · Paper page
- 10.1016/S0892-1997(02)00101-7 · DOI
Cited by
Voice Disorders in the General Population: Prevalence, Risk Factors, and Occupational Impact
Roy, N., Merrill, R. M., Gray, S. D., & Smith, E. M. (2005) · The Laryngoscope · doi:10.1097/01.mlg.0000179174.32345.41 · Cited by 847
Self-citationClinical Practice Guideline: Hoarseness (Dysphonia) (Update)
Stachler, R. J., Francis, D. O., Schwartz, S. R., Damask, C. C., Digoy, G. P., Krouse, H. J., McCoy, S. J., Ouellette, D. R., Patel, R. R., Reavis, C. (. W., et al. (2018) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599817751030 · Cited by 368
Roy, N., Stemple, J., Merrill, R. M., & Thomas, L. (2007) · Annals of Otology, Rhinology & Laryngology · doi:10.1177/000348940711601112 · Cited by 326
Self-citationVan Houtte, E., Claeys, S., Wuyts, F., & Van Lierde, K. (2011) · Journal of Voice · doi:10.1016/j.jvoice.2010.04.008 · Cited by 290
The Prevalence and Risk Factors for Occupational Voice Disorders in Teachers
Sliwinska-Kowalska, M., Niebudek-Bogusz, E., Fiszer, M., Los-Spychalska, T., Kotylo, P., Sznurowska-Przygocka, B., & Modrzewska, M. (2006) · Folia Phoniatrica et Logopaedica · doi:10.1159/000089610 · Cited by 273
Metadata
- Authors
- Roy, N., Merrill, R. M., Thibeault, S., Parsa, R. A., Gray, S. D., & Smith, E. M.
- Venue
- Journal of Speech, Language, and Hearing Research
- Published
- 2004-04
- Volume
- 47
- Issue
- 2
- Pages
- 281-293
- ISSN
- 1092-4388 (ISSN-L)
- 1558-9102
- DOI
- 10.1044/1092-4388(2004/023
- OpenAlex
- W2023733739
- Cited by
- 925
- References
- 0
- FWCI
- 9.12
- Type
- journal article
- Language
- en
- Open access
- closed
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