E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia

Safar Al-Saleem, Mohammed Al-Saleem.

Cited by (2)

Abstract
Background: A teacher with voice disorders is displaying a form of limitation in the teaching activity.

Objectives: To assess the magnitude of voice disorders among teachers and to identify the possible risk factors associated with voice disorders.

Materials: A total of 380 teachers were included. The researcher developed a questionnaire for data collection which comprised personal characteristics and symptoms of voice complaints during the last scholastic year. The Voice Handicap Index was used for assessment of voice and its effects on the life of a teacher.

Results: Most teachers experienced voice related symptoms during the last year (80.9%). Some had 1-2 symptoms (43.2%) while others had more than two symptoms (37.6%). The most frequent voice-related symptoms were dry throat (42.1%), sore throat (33.5%) and hoarseness of voice (32.9%). More than one third of teachers consulted a physician for their voice-related problems (35%). Moderate to serious severity of voice handicap index were reported by 8.2% of the teachers. There was an increasing prevalence of moderate to severe grade of voice handicap according to age group (p=0.004). Practice of non-healthy habits (e.g., smoking of cigarette, sheesha or moaassal and qat chewing) was associated with significantly higher prevalence of moderate to severe grade of voice handicap (p<0.001 for each). There was an increasing prevalence of moderate to severe grade of voice handicap according to experience in teaching (p=0.013). Teachers’ workload was significantly associated with grade of voice handicap (p=0.047). There was a higher prevalence of moderate to severe grade of voice handicap with depression and anxiety (p=0.009 and p<0.001, respectively).

Conclusions: Most teachers have voice related symptoms. The most frequently reported voice-related symptoms are dry throat, sore throat and hoarseness of voice. More than one third of the teachers consult a physician for their voice-related problems. Moderate to severe voice handicap index are experienced by 8.2% of teachers.Risk factors associated with moderate to severe grade of voice handicap are old age, practice of non-healthy habits (e.g., smoking of cigarette, sheesha or moaassal and qat chewing), longer experience in teaching, higher teachers’ workload and presence of psychological disorders.

Key words: Voice disorders, occupational exposure, teachers, voice handicap index.


 
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REFERENCES
1. Belin P. Voice processing in human and non-human primates. Philos Trans R Soc Lond B Biol Sci. 2006; 361 (1476): 2091&#8211;107.
2. Hauser MD, Chomsky N, Fitch WT. The faculty of language: what is it, who has it, and how did it evolve? Science. 2002;298:1569&#8211;79.
3. Williams NR. Occupational groups at risk of voice disorders: a review of the literature. Occup Med (Lond) 2003; 53 (7):456-60. [DOI via Crossref]   
4. Vilkman E. Voice problems at work: a challenge for occupational safety and health arrangement. Folia Phoniat et Logop 2000; 52:120-125. [DOI via Crossref]   
5. Jardim R, Barreto SM, Assunção AA. Voice Disorder: case definition and prevalence in teachers. Rev Bras Epidemiol 2007; 10 (4): 625-36 [DOI via Crossref]   
6. Melnyk P, Jamardo B, Cacace M, Pardo H, Pino AA, Tomasetti A, et al. Considerations about teachers´voice disorders. International Congress Series 2003;1240: 1293-6. [DOI via Crossref]   
7. Colton R, Casper J. Understanding Voice Problems: A Physiological Perspective for Diagnosis and Treatment. New York, NY: Williams & Wilkins; 1996. [PMC Free Fulltext]   
8. Yiu EM. Impact and prevention of voice problems in the teaching profession: embracing the consumers&#8217; view. J Voice 2002;16(2):215-28. [DOI via Crossref]   
9. Simberg S, Sala E, Rönnemaa A. A comparison of the prevalence of vocal symptoms among teacher students and other university students. J Voice 2004;18(3):363-8. [DOI via Crossref]    [Pubmed]   
10. Kotby MN, El Sady SR. Care of the Professional Voice in Egypt. International Congress Series 2003;1240: 1257&#8211;1262.
11. Hamdan AH, Sibai AM, Srour ZM, Sabra OA, Deeb RA. Voice disorders in teachers: The role of family physicians. Saudi Med J 2007;28(3):422-8. [Pubmed]   
12. Munier C, Kinsella R. The prevalence and impact of voice problems in primary school teachers. Occupational Medicine 2008;58:74&#8211;76
13. Nerrière E, Vercambre MN, Gilbert F, Kovess-MasfĂ©ty V. Voice disorders and mental health in teachers: a cross-sectional nationwide study. BMC Public Health 2009;9:370. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
14. Angelillo M, Di Maio G, Costa G, Angelillo N, Barillari U. Prevalence of occupational voice disorders in teachers. J Prev Med Hyg 2009; 50(1):26-32. [Pubmed]   
15. Duffy OM, Hazlett DE. The impact of preventive voice care programs for training teachers: A longitudinal study. J Voice 2004;18:63-70. [DOI via Crossref]   
16. Messing K, Seifert AM, Escalona E. The 120-S Minute: Using analysis of work activity to prevent psychological distress among elementary school teachers. Journal of Occupational Health Psychology 1997;2(1),45-62. [DOI via Crossref]    [Pubmed]   
17. Hogikyan ND, Sethuraman G. Validation of an instrument to measure voice-related quality of life (V-RQOL). J Voice 1999;13:557-569. [DOI via Crossref]   
18. The Concise American Heritage Dictionary. Houghton Mifflin, Boston, 1980.
19. Guyton AC, Hall JE. Pulmonary Ventilation. Unit VII: Respiration. Textbook of Medical Physiology, 11th Ed. Philadelphia: Elsevier Saunders 2006; pp 481-2.
20. Feierabend RH, Malik SN. Hoarseness in Adults. Am Fam Physician 2009;80(4):363-370. [Pubmed]   
21. Greene MC: The Voice and Its Disorders, 4th ed. Philadelphia: JB Lippincott, 1980.
22. Rogerson J, Dodd B. Is there an effect of dysphonic teachers&#8217; voices on children&#8217;s processing of spoken language? J Voice 2005;19(1): 47-60. [DOI via Crossref]    [Pubmed]   
23. Aronson AE. Clinical voice disorders. 3 ed., INC. New York: Thieme Medical Publishers; 1990. p. 3-11.
24. Spiegel JR, Sataloff RT, Emerich KA. The young adult voice. J Voice 1997;11(2):138-43. [DOI via Crossref]   
25. Cohen SM, Garrett CG. Hoarseness: is it really laryngopharyngeal reflux? Laryngoscope 2008;118(2):363-366. [DOI via Crossref]    [Pubmed]   
26. Gallivan GJ, Gallivan KH, Gallivan HK. Inhaled corticosteroids: hazardous effects on voice&#8211;an update. J Voice 2007;21(1):101-111. [DOI via Crossref]    [Pubmed]   
27. Kamalipour H, Mowla A, Saadi MH, Davari HR, Kamali K. Determination of the incidence and severity of hoarseness after cardiac surgery. Med Sci Monit 2006;12(5):CR206-CR209. [Pubmed]   
28. Altman KW, Atkinson C, Lazarus C. Current and emerging concepts in muscle tension dysphonia: a 30-month review. J Voice 2005;19(2):261-267. [DOI via Crossref]    [Pubmed]   
29. Grillone GA, Chan T. Laryngeal dystonia. Otolaryngol Clin North Am. 2006;39(1):87-100. [DOI via Crossref]    [Pubmed]   
30. Kinzl J, Biebl W, Rauchegger H. Functional aphonia. A conversion symptom as defensive mechanism against anxiety. Psychother Psychosom 1988;49(1):31-36. [DOI via Crossref]    [Pubmed]   
31. Bartels H, Dikkers FG, van der Wal JE, Lokhorst HM, Hazenberg BP. Laryngeal amyloidosis: localized versus systemic disease and update on diagnosis and therapy. Ann Otol Rhinol Laryngol 2004;113(9):741-748. [Pubmed]   
32. Andrus JG, Shapshay SM. Contemporary management of laryngeal papilloma in adults and children. Otolaryngol Clin North Am 2006;39(1):135-158. [DOI via Crossref]    [Pubmed]   
33. Altieri A, Garavello W, Bosetti C, Gallus S, La Vecchia C. Alcohol consumption and risk of laryngeal cancer. Oral Oncol 2005;41(10):956-965. [DOI via Crossref]    [Pubmed]   
34. Qadeer MA, Colabianchi N, Strome M, Vaezi MF. Gastroesophageal reflux and laryngeal cancer: causation of association? A critical review. Am J Otolaryngol 2006;27(2):119-128. [DOI via Crossref]    [Pubmed]   
35. Garrett CG, Ossoff RH. Hoarseness. Med Clin North Am 1999;83(1):115-123. [DOI via Crossref]   
36. Jones K, Sigmon J, Hock L, Nelson E, Sullivan M, Ogren F. Prevalence and Risk Factors for Voice Problems Among Telemarketers. Arch Otolaryngol Head Neck Surg 2002;128:571-7. [DOI via Crossref]    [Pubmed]   
37. Ford CN. Evaluation and management of laryngopharyngeal reflux. JAMA 2005;294(12):1534-1540. [DOI via Crossref]    [Pubmed]   
38. Yun YS, Kim MB, Son YI. The effect of vocal hygiene education for patients with vocal polyp. Otolaryngol Head Neck Surg 2007;137(4):569-575. [DOI via Crossref]    [Pubmed]   
39. Morton V, Watson DR. Voice in the classroom. A re-evaluation. In: Dejonckere PH (Ed.), Occupational voice: Care and cure pp. 53&#8211;69. Hague: Kugel Publications, 2001.
40. Roy N, Merrill RM, Thibeault S, Gray SD, Smith EM. Voice disorders in teachers and the general population: effects on work performance, attendance, and future career choices. Journal of Speech, Language, and Hearing Research 2004;47:542-51. [DOI via Crossref]   
41. Verdolini K, Ramig LO. Review: Occupational risks for voice problems. Logopedics, Phoniatrics, Vocology 2001;26:37&#8211;46.
42. Ohlsson AC, Brink O, Löfqvist A. A voice accumulation &#8211; validation and application. Journal of Speech, Language and Hearing Research 1989;32:451&#8211;7.
43. Marge M. Introduction to the prevention and epidemiology of voice disorders. Seminars in Speech and Language1991;12:49&#8211;73.
44. Rammage L. Advocacy issues for occupational voice users. Poster presentation ASHA, 1996 Seattle, WA.
45. Roy N, Weinrich B, Gray S, Tanner K, Walker Toledo S, Dove H, Corbin-Lewis K, Stemple J. Voice amplification versus vocal hygiene instruction for teachers with voice disorders: A treatment outcomes study. Journal of Speech, Language, and Hearing Research 2002;45(4): 625-638. [DOI via Crossref]   
46. Rammage L, Morrison M, Nichol H. Management of the Voice and Its Disorders. San Diego-Singular, 2001.
47. Thody S. The Teacher&#8217;s Survival Guide. London: Continuum, 2000.
48. Ministry of Education (2009): http://www2.moe.gov.sa/schools/ schooldetailsboysG.aspx
49. Smith E, Lemke J, Taylor M, Kirchner HL, Hoffman H. Frequency of voice problems among teachers and other occupations. J Voice 1998;12:480-488. [DOI via Crossref]   
50. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, Newman CW. The Voice Handicap Index (VHI). Development and Validation. American Journal of Speech-Language Pathology1997;6(3):66-70.
51. Sapir S, Keidar A, Mathers-Schmidt B. Vocal attrition in teachers; survey findings. Eur J Disord Commun 1993;28:177-185. [DOI via Crossref]    [Pubmed]   
52. Russell A, Oates J, Greenwood KM. Prevalence of voice problems in teachers. Journal of Voice 1998;12:467&#8211;79.
53. Smith E, Verdolini K, Gray S, Nichols S, Lemke J, Barkmeier J, et al. Effect of voice disorders on quality of life. J Med Speech Lang Pathol 1996;4:223-244.
54. Herrington-Hall BL, Lee L, Stemple JC, Niemi KR, McHone MM. Description of laryngeal pathologies by age, sex, and occupation in a treatment seeking sample. Journal of Speech and Hearing Disorders 1988;53:57&#8211;64.
55. Coyle SM, Weinrich BD, Stemple JC. Shifts in relative prevalence of laryngeal pathology in a treatment-seeking population. Journal of Voice 2001;15:424&#8211;40.
56. Pekkarinen E, Himberg L, Pentti J. Prevalence of vocal symptoms among teachers compared with nurses: A questionnaire study. Scandinavian Journal of Logpedics and Phoniatrics 1992;17:113&#8211;117.
57. Smith E, Gray SD, Dove H, Kirchner L, Heras H. Frequency and effects of teachers&#8217; voice problems. J Voice 1997;11:81-87. [DOI via Crossref]   
58. Gotaas C, Starr CD Vocal fatigue among teachers. Folia Phoniatrica 1993;45:120-129. [DOI via Crossref]   
59. Morrison MD, Rammage LA, Bellisle G, Pullan B, Nichol H. Muscular Tension Dysphonia. The Transactions of the American Laryngological Association 1983;104:100-3.
60. Rammage L. The Prevalence, Nature and Risks of Voice Problems in Teachers. Final Report WCB Grant RS2000/01-001. March 2003
61. Ma EP, Yiu EM. Voice activity and participation profile: Assessing the impact of voice disorders on daily activity. J Speech Lang Hear Res 2001;44:511-524. [DOI via Crossref]   

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How to Cite this Article
Pubmed Style

Safar Al-Saleem, Mohammed Al-Saleem. Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia. Int J Med Sci Public Health. 2013; 2(2): 330-338. doi:10.5455/ijmsph.2013.2.344-352


Web Style

Safar Al-Saleem, Mohammed Al-Saleem. Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia. http://www.ijmsph.com/?mno=30055 [Access: August 30, 2020]. doi:10.5455/ijmsph.2013.2.344-352


AMA (American Medical Association) Style

Safar Al-Saleem, Mohammed Al-Saleem. Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia. Int J Med Sci Public Health. 2013; 2(2): 330-338. doi:10.5455/ijmsph.2013.2.344-352



Vancouver/ICMJE Style

Safar Al-Saleem, Mohammed Al-Saleem. Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia. Int J Med Sci Public Health. (2013), [cited August 30, 2020]; 2(2): 330-338. doi:10.5455/ijmsph.2013.2.344-352



Harvard Style

Safar Al-Saleem, Mohammed Al-Saleem (2013) Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia. Int J Med Sci Public Health, 2 (2), 330-338. doi:10.5455/ijmsph.2013.2.344-352



Turabian Style

Safar Al-Saleem, Mohammed Al-Saleem. 2013. Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia. International Journal of Medical Science and Public Health, 2 (2), 330-338. doi:10.5455/ijmsph.2013.2.344-352



Chicago Style

Safar Al-Saleem, Mohammed Al-Saleem. "Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia." International Journal of Medical Science and Public Health 2 (2013), 330-338. doi:10.5455/ijmsph.2013.2.344-352



MLA (The Modern Language Association) Style

Safar Al-Saleem, Mohammed Al-Saleem. "Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia." International Journal of Medical Science and Public Health 2.2 (2013), 330-338. Print. doi:10.5455/ijmsph.2013.2.344-352



APA (American Psychological Association) Style

Safar Al-Saleem, Mohammed Al-Saleem (2013) Epidemiology of voice disorders among male school teachers in Khamis Mushayt city, Saudi Arabia. International Journal of Medical Science and Public Health, 2 (2), 330-338. doi:10.5455/ijmsph.2013.2.344-352





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