David Naimark, Sharmistha Mishra, Kali Barrett, Yasin A Khan, Stephen Mac, Raphael Ximenes, Beate Sander
Simulation-Based Estimation of SARS-CoV-2 Infections Associated With School Closures and Community-Based Nonpharmaceutical Interventions in Ontario, Canada
JAMA network open
voice disorder cause limitations work affects communication performance teaching function analyze limitation work voice examine possible associations sociodemographic characteristics life health habits work conditions among basic education teachers brazil crosssectional epidemiological study representative sample carried october 2015 march 2016 6324 teachers working basic education brazil data collection carried application questionnaire via telephone questions regarding health working conditions limitation work voice considered dependent variable whose response options scale four likert items varied frequently never independent variables grouped blocks ordinal logistic regression analysis hierarchical entry magnitude association assessed odds ratio respective confidence intervals 95 ci one third brazilian teachers 327 reported frequency limitation work sometimes rarely frequently voice moment month survey 5 declared high frequency factors increased chance greater frequency limitation work voice female 132 95 ci 115151 teaching elementary school 135 95 ci 102178 use anxiolytic antidepressant medications 146 95 ci 120178 losing sleep due concerns 169 ci 95 146195 high noise school 209 95 ci 178246 agitated environment students indiscipline 137 95 ci 115163 high demands work 118 95 ci 102136 social support 119 95 ci 104138 suffered verbal violence students 143 95 ci 123167 hand practice regular physical activity 086 95 ci 075100 fact enough time complete work tasks 071 95 ci 062082 decreased chance higher frequency limitation work due vocal problems perception work limits teaching performance voice frequent among teachers north or141 95 ci 117171 northeast or146 95 ci 122176 compared southeast region factors associated increase chance higher frequency reporting work limitations due voice female lack physical activity losing sleep due concern using anxiolytic antidepressant medication school location north northeast teaching elementary school stage high noise school psychosocial aspects work organization brazilian educational sector needs public policies take account regional inequalities health work conditions teachers