Associação entre limitação no trabalho por causa da voz, condições de trabalho e vulnerabilidade social de escolas metropolitanas no Brasil
Association between limitation at work because of the voice, working conditions and social vulnerability of metropolitan schools in Brazil
Andrezza Maynara Vieira Araújo; Talisson Farley Evangelista Antunes; Bárbara Antunes Rezende; Adriane Mesquita de Medeiros
Resumo
Palavras-chave
Abstract
Purpose: To verify the prevalence of limitations at work due to the voice of Brazilian basic education teachers in metropolitan schools and the association with working hours, self-reported noise and Social Vulnerability Index (SVI) in schools.
Methods: Cross-sectional observational study with a probabilistic sample of Brazilian teachers. A total of 4979 teachers from metropolitan schools participated and the following variables were analyzed: age, gender, level of education, workday for 40 hours/week or more, perception of intense noise with the need to raise the voice and SVI of the municipality. Descriptive analysis and multivariate Poisson regression model with robust variance were performed and a significance level of 5%.
Results The Brazilian prevalence of limitation at work due to voice was 20.37%. It was found that there was a statistically significant difference between limitation at work due to voice and being female, elementary school level or combined levels, 40 or more working hours , perception of raising one’s voice in the presence of intense noise at work and medium and high/very high SVI.
Conclusion: Of every 100 teachers, approximately 20 reported limitations at work due to voice in Brazil, and considering the federative units, higher prevalences were observed in the North and Northeast regions. Being female, working 40 hours or more per week, teaching elementary school or at combined levels, perceiving raising one’s voice due to intense noise, and working in schools located in regions with medium, high/very high SVI increased the prevalence of perception of limitation at work due to vocal problems.
Keywords
Referências
1 Brasil. Ministério da Saúde. Distúrbio de Voz Relacionado ao Trabalho – DVRT. Brasília; Ministério da Saúde; 2018.
2 Medeiros AM, Vieira MT. Ausência ao trabalho por distúrbio vocal de professores da Educação Básica no Brasil. Cad Saude Publica. 2019;35(Suppl 1):e00171717.
3 Rezende BA, Abreu MNS, Assunção AA, de Medeiros AM. Factors associated with the limitation at work because of the voice: study with teachers of basic education in Brazil. J Voice. 2023;37(1):79-91.
4 Jesus MTA, Ferrite S, Araújo TM, Masson MLV. Distúrbio de voz relacionado ao trabalho: revisão integrativa. Rev Bras Saúde Ocup. 2020;45:e26.
5 Medeiros AM, Lobo MF, Vieira ML, Duarte L, Carvalho JPM, Teodoro AC, et al. Social vulnerability of brazilian metropolitan schools and teachers absence from work due to vocal and psychological symptoms: a multilevel analysis. Int J Environ Res Public Health. 2023;20(4):2972.
6 Bernardo AMG, de Oliveira CM, Rosa DRQ. Disfonia: impacto no processo ensino-aprendizagem no ensino superior. Rev Bra de Edu e Saude. 2020;10(2):136-42.
7 Lyberg-Åhlander V, Brännström KJ, Sahlén BS. On the interaction of speakers’ voice quality, ambient noise and task complexity with children’s listening comprehension and cognition. Front Psychol. 2015;6:871.
8 Schiller IS, Morsomme D, Kob M, Remacle A. Noise and a Speaker’s impaired voice quality disrupt spoken language processing in school-aged children: evidence from performance and response time measures. J Speech Lang Hear Res. 2020;63(7):2115-31.
9 Viegas de Oliveira CM, Pereira TT, Marques HR. Saúde coletiva e determinantes sociais de Saúde no Brasil: uma revisão integrativa da literatura. Contrib Cienc Soc. 2019;7-14.
10 Virtanen M, Kivimäki M, Pentti J, Oksanen T, Ahola K, Linna A, et al. School neighborhood disadvantage as a predictor of long-term sick leave among teachers: prospective cohort study. Am J Epidemiol. 2010;171(7):785-92.
11 Vieira MT, Claro RM, Assunção AA. Desenho de amostra e participação no Estudo Educatel. Cad Saude Publica. 2019;35(Suppl 1):e00167217.
12 Costa MA, Marguti BO, editores. Atlas da Vulnerabilidade Social Nos Municípios Brasileiros. Rio de Janeiro: IPEA; 2015. 77 p.
13 Fuess VLR, Lorenz MC. Disfonia em professores do ensino municipal: prevalência e fatores de risco. Rev Bras Otorrinolaringol. 2003;69(6):807-12.
14 Silva ÉC, De Araújo MVR, De Oliveira EC. Teaching work, gender relations and illness. Re Tempos e Espaços Educ. 2022;15(34):19.
15 Matias JNM. Perspectivas históricas e atuais sobre o gênero feminino e a divisão sexual do trabalho na educação infantil. Educação e (Trans)formação. 2022;7(1):1-11.
16 Ferreira EM, Teixeira KMD, Ferreira MAM. Prevalência racial e de gênero no perfil de docentes do ensino superior. Rev Katálysis. 2022;25(2):303-15.
17 Gomes R, Nascimento EF, Araújo FC. Por que os homens buscam menos os serviços de saúde do que as mulheres? As explicações de homens com baixa escolaridade e homens com ensino superior. Cad Saude Publica. 2007;23(3):565-74.
18 Rezende BA, Medeiros AM, Silva AM, Assunção AA. Fatores associados à percepção de ruído ocupacional intenso pelos professores da educação básica no Brasil. Rev Bras Epidemiol. 2019;22:e190063.
19 Limoeiro FMH, Ferreira AEM, Zambon F, Behlau M. Comparação da ocorrência de sinais e sintomas de alteração vocal e de desconforto no trato vocal em professores de diferentes níveis de ensino. CoDAS. 2019;31(2):e20180115.
20 Silva NK, Bandeira MPA, Sousa KYB. Perfil vocal dos professores de uma escola filantrópica da Cidade de Teresina. Res Soc Dev. 2021;10(8):e57510817581.
21 Schiller IS, Morsomme D, Kob M, Remacle A. Listening to a dysphonic speaker in noise may impede children’s spoken language processing in a realistic classroom setting. Lang Speech Hear Serv Sch. 2021;52(1):396-408.
22 Costa MA, Santos MPG, Marguti B, Pirani N, Pinto CVS, Curi RLC, Ribeiro CC, Albuquerque CG. Vulnerabilidade social no Brasil: conceitos, métodos e primeiros resultados para municípios e regiões metropolitanas brasileiras. Rio de Janeiro: IPEA; 2018. 84 p. (Texto para Discussão; no. 2364).
Submetido em:
23/01/2024
Aceito em:
27/04/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email