Voice disorders and mental health in teachers: a cross-sectional nationwide study - Université d'Angers Accéder directement au contenu
Article Dans Une Revue BMC Public Health Année : 2009

Voice disorders and mental health in teachers: a cross-sectional nationwide study


BACKGROUND: Teachers, as professional voice users, are at particular risk of voice disorders. Among contributing factors, stress and psychological tension could play a role but epidemiological data on this problem are scarce. The aim of this study was to evaluate prevalence and cofactors of voice disorders among teachers in the French National Education system, with particular attention paid to the association between voice complaint and psychological status. METHODS: The source data come from an epidemiological postal survey on physical and mental health conducted in a sample of 20,099 adults (in activity or retired) selected at random from the health plan records of the national education system. Overall response rate was 53%. Of the 10,288 respondents, 3,940 were teachers in activity currently giving classes to students. In the sample of those with complete data (n = 3,646), variables associated with voice disorders were investigated using logistic regression models. Studied variables referred to demographic characteristics, socio-professional environment, psychological distress, mental health disorders (DSM-IV), and sick leave. RESULTS: One in two female teachers reported voice disorders (50.0%) compared to one in four males (26.0%). Those who reported voice disorders presented higher level of psychological distress. Sex- and age-adjusted odds ratios [95% confidence interval] were respectively 1.8 [1.5-2.2] for major depressive episode, 1.7 [1.3-2.2] for general anxiety disorder, and 1.6 [1.2-2.2] for phobia. A significant association between voice disorders and sick leave was also demonstrated (1.5 [1.3-1.7]). CONCLUSION: Voice disorders were frequent among French teachers. Associations with psychiatric disorders suggest that a situation may exist which is more complex than simple mechanical failure. Further longitudinal research is needed to clarify the comorbidity between voice and psychological disorders.
Fichier principal
Vignette du fichier
1471-2458-9-370.pdf (315.45 Ko) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-02462895 , version 1 (31-05-2021)





Eléna Nerriere, Marie-Noël Vercambre, Fabien Gilbert, Viviane Kovess-Masféty. Voice disorders and mental health in teachers: a cross-sectional nationwide study. BMC Public Health, 2009, 9 (1), ⟨10.1186/1471-2458-9-370⟩. ⟨hal-02462895⟩
41 Consultations
61 Téléchargements



Gmail Facebook Twitter LinkedIn More