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公立学校教师中感知到的嗓音障碍的患病率及风险因素

The prevalence and risk factors for perceived voice disorders in public school teachers.

作者信息

Feng Shuxiu, Weng Chingfeng, Cai Shaofang, Yang Zijiang, Wu Meina, Kang Ning

机构信息

Second Affiliated Hospital of Xiamen Medical College Xiamen Fujian China.

Xiamen Medical College Xiamen Fujian China.

出版信息

Laryngoscope Investig Otolaryngol. 2022 Apr 27;7(3):790-798. doi: 10.1002/lio2.803. eCollection 2022 Jun.

Abstract

OBJECTIVES

The aim of this study was to explore the prevalence and risk factors in public kindergarten and elementary school teachers in the Jimei district in Xiamen. We took particular interest in the relationship between work-related factors and voice disorders.

STUDY DESIGN

A cross-sectional investigation; a General Investigation.

METHODS

This study was conducted from September 14 to 18, 2020 at public kindergarten and elementary schools in Xiamen, China. A total of 3140 teachers were separated into a perceived voice disorder group (PVD) and no perceived voice disorder group (NPVD) according to the Voice Handicap Index. The chi-square test was applied to explore the differences between the PVD and NPVD groups. The univariate logistic regression models were used to identify the risk factors in terms of unadjusted odds ratio and 95% confidence interval. Stepwise logistic regression was then used to ascertain independent determinants.

RESULTS

We found that the prevalence of PVD was 47.52%. The results showed that risk factors of PVD included being female (OR = 1.574), middle-rank technical title and higher (OR = 2.199), continuous lecturing for more than 3 classes (OR = 3.034), lectured more than 10 classes a week (OR = 1.436) and taught art or physical education (OR = 1.742).

CONCLUSIONS

Teachers' work-related characteristics were associated with PVD. This proves that a preventive voice care program for teachers, administered by the school or education bureau, is urgent. This could include components such as the reasonable arrangement of timetables and recruitment of a sufficient number of kindergarten and elementary school teachers.Level of evidence: Case-series.

摘要

目的

本研究旨在探讨厦门集美区公办幼儿园及小学教师嗓音疾病的患病率及其危险因素。我们特别关注与工作相关的因素和嗓音疾病之间的关系。

研究设计

横断面调查;一般性调查。

方法

本研究于2020年9月14日至18日在中国厦门的公办幼儿园及小学开展。根据嗓音障碍指数,共3140名教师被分为嗓音障碍感知组(PVD)和无嗓音障碍感知组(NPVD)。采用卡方检验探究PVD组与NPVD组之间的差异。单因素logistic回归模型用于确定未调整比值比和95%置信区间下的危险因素。然后采用逐步logistic回归确定独立决定因素。

结果

我们发现PVD的患病率为47.52%。结果显示,PVD的危险因素包括女性(OR = 1.574)、中级及以上职称(OR = 2.199)、连续授课超过3节(OR = 3.034)、每周授课超过10节(OR = 1.436)以及教授艺术或体育(OR = 1.742)。

结论

教师与工作相关的特征与PVD有关。这证明由学校或教育局为教师实施预防性嗓音保健计划迫在眉睫。这可能包括合理安排课程表以及招聘足够数量的幼儿园和小学教师等内容。证据水平:病例系列。

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