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教师嗓音障碍的相关因素:一项病例对照研究。

Factors associated with voice disorders among teachers: a case-control study.

作者信息

Giannini Susana Pimentel Pinto, Latorre Maria do Rosário Dias de Oliveira, Ferreira Léslie Piccolotto

机构信息

Pontifícia Universidade Católica de São Paulo, São PauloSP, Brazil, Prefeitura do Município de São Paulo; Pontifícia Universidade Católica de São Paulo - PUC-SP - São Paulo (SP), Brazil.

Universidade de São Paulo, Public Health School, São PauloSP, Brasil, Public Health School, Universidade de São Paulo - USP - São Paulo (SP), Brasil.

出版信息

Codas. 2013;25(6):566-76. doi: 10.1590/S2317-17822014000100009.

DOI:10.1590/S2317-17822014000100009
PMID:24626982
Abstract

PURPOSE

We aimed at verifying an association between voice disorders/stress and loss of work ability among female teachers who work in São Paulo's public school system.

METHODS

This is a paired case- control study. The case group was composed offiteachers with alterations in speech and larynges assessments, and the control group was formed by teachers without alterations in these evaluations who work in the same schools. Both groups answered the following questionnaires: Conditions of Vocal Production-Teachers, Job Stress Scale, and Work Ability Index. The analysis was performed using the chi-square association test and logistic regression models with the purpose of estimating the association between independent variables and voice disorders.

RESULTS

We found differences between the groups in relation to stress in the workplace under high demand, a situation that poses greater risks of adverse reactions to the workers' physical and mental health. Regarding the ability to work, the categories poor and moderate ability for work are associated with voice disorders, regardless of job stress factors, age, and the unsatisfactory acoustic properties of the classrooms.

CONCLUSION

This study confirmed the association between voice disorders and job stress, as well as between voice disorders and loss of work ability.

摘要

目的

我们旨在验证圣保罗公立学校系统中女教师的嗓音障碍/压力与工作能力丧失之间的关联。

方法

这是一项配对病例对照研究。病例组由言语和喉部评估有改变的教师组成,对照组由在同一学校工作且这些评估无改变的教师组成。两组都回答了以下问卷:《教师嗓音产生状况》《工作压力量表》和《工作能力指数》。分析采用卡方关联检验和逻辑回归模型,以估计自变量与嗓音障碍之间的关联。

结果

我们发现,在高要求的工作场所压力方面,两组之间存在差异,这种情况对工人的身心健康构成更大的不良反应风险。关于工作能力,无论工作压力因素、年龄以及教室声学特性是否令人不满意,工作能力差和中等与嗓音障碍相关。

结论

本研究证实了嗓音障碍与工作压力之间以及嗓音障碍与工作能力丧失之间的关联。

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