Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2025.0002
Iberoamerican Journal of Medicine
Review

Working conditions, vocal health and work ability in teachers: an integrative review

Condiciones de trabajo, salud vocal y capacidad laboral en profesores: una revision integradora

Harold Zamir Taborda-Osorio , Luis Miguel Cárdenas-Castellanos

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Abstract

Introduction: Work Ability (WA) is the balance between job demands and a worker's individual resources to satisfy those demands. Teachers who have health problems related to
musculoskeletal disorders (MSD) and respiratory diseases (RD) have their WA affected.
Objective: To understand the relationship between working conditions, vocal health, and WA in teaching work according to literature.
Methods: An integrative review was carried out with a search of the scientific literature in 7 databases: Medline Complete, Proquest, Pubmed, Sciencedirect, Scopus, Virtual Health Library (VHL) and Web of Science (WOS). Original studies in Spanish, English and Portuguese related to the topic were included.
Results: 7 studies were analyzed in this review. Results show Giannini and Vertanen-Greis as the main authors who have published about the topic. 100% of the studies of this review have investigated the topic in primary and secondary teachers. Teachers with voice problems are almost three times more likely to lose their WA than those without voice problems, and there is a stronger association between loss of WA and voice problems.
Conclusions: Studies related to working conditions, vocal health and WA in teaching work are recent and the evidence is scarce. To date, greater decreases in WA have been found in teachers who report high levels of stress, poor air quality, and have a diagnosed voice problem.

Keywords

Working conditions; Vocal health; Work ability; Teachers

Resumen

Introducción: La Capacidad Laboral (CL) es el equilibrio entre las demandas laborales y los recursos individuales de un trabajador para satisfacer esas demandas. Los profesores que tienen problemas de salud relacionados con trastornos musculoesqueléticos (TME) y enfermedades respiratorias (ER) tienen afectada su CL.
Objetivo: Comprender la relación entre las condiciones de trabajo, la salud vocal y la CL en la labor docente según la literatura.
Métodos: Se realizó una revisión integrativa con búsqueda de la literatura científica en 7 bases de datos: Medline Complete, Proquest, Pubmed, Sciencedirect, Scopus, Biblioteca Virtual en Salud (BVS) y Web of Science (WOS). Se incluyeron estudios originales en español, inglés y portugués relacionados con el tema.
Resultados: En esta revisión se analizaron 7 estudios. Los resultados muestran a Giannini y Vertanen-Greis como los principales autores que han publicado sobre el tema. El 100% de los estudios de esta revisión han investigado el tema en profesores de primaria y secundaria. Los profesores con problemas de voz tienen casi tres veces más probabilidades de perder su CL que aquellos sin problemas de voz, y existe una asociación más fuerte entre la pérdida de la CL y los problemas de voz.
Conclusiones: Los estudios relacionados con las condiciones laborales, la salud vocal y la CL en la labor docente son recientes y la evidencia es escasa. Hasta la fecha, se han encontrado mayor disminución en la CL en profesores que reportan altos niveles de estrés, mala calidad del aire y tienen un problema de voz diagnosticado.

Palabras clave

Condiciones de trabajo; Salud vocal; Capacidad laboral; Profesores

References

1.Ilmarinen J, Tuomi K, Klockars M. Changes in the work ability of active employees over an 11-year period. Scand J Work Environ Health. 1997;23 Suppl 1:49-57.
2.Vänni K, Virtanen P, Luukkaala T, Nygård CH. Relationship between perceived work ability and productivity loss. Int J Occup Saf Ergon. 2012;18(3):299-309. doi: 10.1080/10803548.2012.11076946.
3.Punakallio A, Lusa S, Ala-Mursula L, Ek E, Nevanperä N, Remes J, et al. Personal meaning of work and perceived work ability among middle-aged workers with physically strenuous work: a Northern Finland Birth Cohort 1966 Study. Int Arch Occup Environ Health. 2019;92(3):371-381. doi: 10.1007/s00420-019-01412-9.
4.Lee SA, Ju YJ, Han KT, Choi JW, Yoon HJ, Park EC. The association between loss of work ability and depression: a focus on employment status. Int Arch Occup Environ Health. 2017;90(1):109-16. doi: 10.1007/s00420-016-1178-7.
5.Hallman DM, Holtermann A, Dencker-Larsen S, Birk Jørgensen M, Nørregaard Rasmussen CD. Are trajectories of neck-shoulder pain associated with sick leave and work ability in workers? A 1-year prospective study. BMJ Open. 2019;9(3):e022006. doi: 10.1136/bmjopen-2018-022006.
6.Mokarami H, Kalteh HO, Marioryad H. The effect of work-related and socio-demographic factors on Work Ability Index (WAI) among Iranian workers. Work. 2020;65(1):137-43. doi: 10.3233/WOR-193066.
7.Neto LB, Christofoletti G, de Alencar GP, Burke TN. Burnout syndrome, work ability, quality of life and physical activity in teachers during the COVID-19 pandemic in Campo Grande, Brazil. Work. 2024;78(1):45-53. doi: 10.3233/WOR-220187.
8.Vertanen-Greis H, Löyttyniemi E, Uitti J, Putus T. The interaction between voice disorders and stress for work ability of teachers. Logoped Phoniatr Vocol. 2024;49(1):11-6. doi: 10.1080/14015439.2022.2085787.
9.Hlaďo P, Dosedlová J, Harvánková K, Novotný P, Gottfried J, Rečka K, et al. Work Ability among Upper-Secondary School Teachers: Examining the Role of Burnout, Sense of Coherence, and Work-Related and Lifestyle Factors. Int J Environ Res Public Health. 2020;17(24):9185. doi: 10.3390/ijerph17249185.
10.Ünlü H, Filiz B. Work Ability of the Turkish Physical Education Teachers. Res Q Exerc Sport. 2019;90(4):666-77. doi: 10.1080/02701367.2019.1642995.
11.Alajmi DM, Abdulaziz MSB, Saeed NSB, Almutairi AS. Musculoskeletal disorders associated with depression and psychosocial risk factors among female teachers in riyadh region, Saudi Arabia. J Family Med Prim Care. 2022;11(7):3754-60. doi: 10.4103/jfmpc.jfmpc_188_22.
12.Vertanen-Greis H, Loyttyniemi E, Uitti J, Putus T. Work ability of teachers associated with voice disorders, stress, and the indoor environment: A questionnaire study in Finland. J Voice. 2022;36(6):879.e5-879.e11. doi: 10.1016/j.jvoice.2020.09.022.
13.Martinez MC, Dias de Oliveira Latorre MR, Fischer FM. [Validity and reliability of the Brazilian version of the Work Ability Index questionnaire]. Rev Saúde Pública. 2009;43(3):525-32. doi: 10.1590/S0034-89102009005000017.
14.van den Berg TI, Elders LA, de Zwart BC, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med. 2009;66(4):211-20. doi: 10.1136/oem.2008.039883.
15.Botelho LLR, Cunha CCdA, Macedo M. [The integrative review method in organizational studies]. Gestão E Sociedade. 2011;5(11):121-36. doi: 10.21171/ges.v5i11.1220.
16.Ferreira LP, Giannini SPP, Alves NLL, Brito AF de, Andrade BMR de, Latorre M do RD de O Distúrbio de voz e trabalho docente. Rev CEFAC. 2016;18(4):932-40. doi: 10.1590/1982-0216201618423915.
17.Giannini SP, Latorre Mdo R, Ferreira LP. Factors associated with voice disorders among teachers: a case-control study. Codas. 2013;25(6):566-76. doi: 10.1590/S2317-17822014000100009.
18.Giannini SP, Latorre Mdo R, Fischer FM, Ghirardi AC, Ferreira LP. Teachers' voice disorders and loss of work ability: a case-control study. J Voice. 2015;29(2):209-17. doi: 10.1016/j.jvoice.2014.06.004.
19.Biserra MP, Giannini SPP, Paparelli R, Ferreira LP. [Voice and work: a study of determinants of changes through teachers’ discourse]. Saúde Soc. 2014;23(3):966-78. doi: 10.1590/S0104-12902014000300019.
20.Patjas M, Vertanen-Greis H, Pietarinen P, Geneid A. Voice symptoms in teachers during distance teaching: a survey during the COVID-19 pandemic in Finland. Eur Arch Otorhinolaryngol. 2021;278(11):4383-90. doi: 10.1007/s00405-021-06960-w.
21.Sataloff RT, Hawkshaw MJ, Divi V, Heman-Ackah YD. Physical examination of voice professionals. Otolaryngol Clin North Am. 2007;40(5):953-69, v-vi. doi: 10.1016/j.otc.2007.05.004.
22.Ferreira LP, Giannini SPP, Latorre MRDO, Simões-Zenari M. Distúrbio de voz relacionado ao trabalho: proposta de um instrumento para avaliação de docentes. Dist. Comum.2007;9(1):127-136.
23.Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004;114(9):1549-56. doi: 10.1097/00005537-200409000-00009.
24.Oakman J, Neupane S, Proper KI, Kinsman N, Nygård CH. Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness. Scand J Work Environ Health. 2018;44(2):134-46. doi: 10.5271/sjweh.3685.
25.van Schaaijk A, Nieuwenhuijsen K, Frings-Dresen MHW. Work ability and percentage of hours worked related to limitations in patients with upper extremity musculoskeletal disorders: a cross-sectional cohort study. BMC Musculoskelet Disord. 2020;21(1):389. doi: 10.1186/s12891-020-03387-y.
26.Parker DF, DeCotiis TA. Organizational determinants of job stress. Organ Behav Hum Perform. 1983;32(2):160-77. doi: 10.1016/0030-5073(83)90145-9.
27.Fellman D, Simberg S. Prevalence and Risk Factors for Voice Problems Among Soccer Coaches. J Voice. 2017;31(1):121.e9-121.e15. doi: 10.1016/j.jvoice.2016.02.003.
28.Nemr K, Simões-Zenari M, Cologis VCA, Martins GA, Saito IT, Gonçalves RDS. COVID-19 and Remote Learning: Predictive Factors of Perceived Improvement or Worsening of the Voice in Brazilian Teachers. J Voice. 2024;38(1):246.e27-246.e38. doi: 10.1016/j.jvoice.2021.08.010.
29.Faham M, Jalilevand N, Torabinezhad F, Silverman EP, Ahmadi A, Anaraki ZG, et al. Relationship between Voice Complaints and Subjective and Objective Measures of Vocal Function in Iranian Female Teachers. J Voice. 2017;31(4):507.e1-507.e6. doi: 10.1016/j.jvoice.2016.10.011.
30.Tao Y, Lee CT, Hu YJ, Liu Q. Relevant Work Factors Associated with Voice Disorders in Early Childhood Teachers: A Comparison between Kindergarten and Elementary School Teachers in Yancheng, China. Int J Environ Res Public Health. 2020;17(9):3081. doi: 10.3390/ijerph17093081.
31.Menon UK, Raj M, Antony L, Soman S, Bhaskaran R. Prevalence of Voice Disorders in School Teachers in a District in South India. J Voice. 2021;35(1):1-8. doi: 10.1016/j.jvoice.2019.07.005.
32.Van Houtte E, Claeys S, Wuyts F, Van Lierde K. The impact of voice disorders among teachers: vocal complaints, treatment-seeking behavior, knowledge of vocal care, and voice-related absenteeism. J Voice. 2011;25(5):570-5. doi: 10.1016/j.jvoice.2010.04.008.
33.Nusseck M, Spahn C, Echternach M, Immerz A, Richter B. Vocal Health, Voice Self-concept and Quality of Life in German School Teachers. J Voice. 2020;34(3):488.e29-488.e39. doi: 10.1016/j.jvoice.2018.11.008.
34.Rinsky-Halivni L, Klebanov M, Lerman Y, Paltiel O. Adherence to Voice Therapy Recommendations Is Associated With Preserved Employment Fitness Among Teachers With Work-Related Dysphonia. J Voice. 2017;31(3):386.e19-386.e26. doi: 10.1016/j.jvoice.2016.09.011.
35.Malebrán Bezerra de Mello MC, Contreras Zamora I. [Characteristics of teachers who consults for vocal complaints at IST Viña del Mar between 2012 and 2017]. RIICS. 2020;2(2):31-43. doi: 10.46634/riics.37.
36.Lia L, De Francesco S, Mannocci A, Di Nucci V, La Torre G. A cross sectional study on the vocal handicap index applied to a sample of teachers in nurseries and primary school. Ann Ig. 2019 May-;31(3):230-5. doi: 10.7416/ai.2019.2285.
37.Natour YS, Sartawi AM, Al Muhairy O, Efthymiou E, Marie BS. Emirati Teachers' Perceptions of Voice Handicap. J Voice. 2016;30(3):378.e13-20. doi: 10.1016/j.jvoice.2015.04.001.
38.Feng S, Weng C, Cai S, Yang Z, Wu M, Kang N. The prevalence and risk factors for perceived voice disorders in public school teachers. Laryngoscope Investig Otolaryngol. 2022;7(3):790-8. doi: 10.1002/lio2.803.
39.Azari S, Aghaz A, Maarefvand M, Ghelichi L, Pashazadeh F, Shavaki YA. The Prevalence of Voice Disorders and the Related Factors in University Professors: A Systematic Review and Meta-Analysis. J Voice. 2024;38(5):1103-14. doi: 10.1016/j.jvoice.2022.02.017.
40.de Ceballos AGC, Carvalho FM. Violence Against Teachers and Work Ability: A Cross-Sectional Study in Northeast Brazil. J Interpers Violence. 2021;36(19-20):NP11218-NP11237. doi: 10.1177/0886260519881002.
41.Vangelova K, Dimitrova I, Tzenova B. Work ability of aging teachers in Bulgaria. Int J Occup Med Environ Health. 2018;31(5):593-602. doi: 10.13075/ijomeh.1896.01132.
42.Vedovato TG, Monteiro I. Health conditions and factors related to the work ability of teachers. Ind Health. 2014;52(2):121-8. doi: 10.2486/indhealth.2013-0096.
43.Vertanen-Greis H, Löyttyniemi E, Uitti J, Putus T. Self-reported voice disorders of teachers and indoor air quality in schools: a cross-sectional study in Finland. Logoped Phoniatr Vocol. 2023;48(1):1-11. doi: 10.1080/14015439.2021.1953132.
44.Carrillo-Gonzalez A, Camargo-Mendoza M, Cantor-Cutiva LC. Relationship Between Sleep Quality and Stress with Voice Functioning among College Professors: A Systematic Review and Meta-analysis. J Voice. 2021;35(3):499.e13-499.e21. doi: 10.1016/j.jvoice.2019.11.001.
45.de Alvear RM, Martínez-Arquero G, Barón FJ, Hernández-Mendo A. An interdisciplinary approach to teachers' voice disorders and psychosocial working conditions. Folia Phoniatr Logop. 2010;62(1-2):24-34. doi: 10.1159/000239060.


Submitted date:
08/10/2024

Reviewed date:
11/07/2024

Accepted date:
11/18/2024

Publication date:
11/18/2024

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