{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T19:57:29Z","timestamp":1784663849954,"version":"3.55.0"},"reference-count":59,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,10,4]],"date-time":"2019-10-04T00:00:00Z","timestamp":1570147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To characterise the burden of voice disorders in teachers in a UK population, compare it with non\u2010teachers and identify groups of teachers who may be particularly at risk of developing a voice problem.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Questionnaire\u2010based survey of primary and secondary school teachers and non\u2010teachers. Questions consisted of general demographics, VHI\u201010 and questions relating to voice problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Distribution of questionnaires to teachers and non\u2010teachers and statistical analysis of the responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Teachers and non\u2010teachers in a region of North West England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Identification of risk factors for voice problems in teachers, compared to non\u2010teachers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 210 primary and 244 secondary school teachers and 304 non\u2010teachers participated in the questionnaire survey. Response rates were 67.9% from primary schools, 41.2% from secondary schools and 40.0% from the non\u2010teachers. 30.0% of teachers and 9.0% of non\u2010teachers had reported problems with their voice. 12.8% of teachers and 2.0% of non\u2010teachers had missed work due to voice problems. 14.1% of teachers and 5.3% non\u2010teachers had seen a general practitioner for voice\u2010related problems, whilst 7.1% of teachers and 6.3% of non\u2010teachers had been referred to an otolaryngologist or speech therapist for voice problems. Factors related to VHI\u201010 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05) were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Voice disorders are an occupational health problem for teachers, with a significant burden of these disorders in this group of teachers in the UK. We have identified risk factors that could be exploited to identify groups of teachers who would benefit from early intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13437","type":"journal-article","created":{"date-parts":[[2019,9,23]],"date-time":"2019-09-23T06:28:23Z","timestamp":1569220103000},"page":"1045-1058","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Voice burden in teachers and non\u2010teachers in a UK population: A questionnaire\u2010based survey"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9495-7764","authenticated-orcid":false,"given":"Chaitanya","family":"Gadepalli","sequence":"first","affiliation":[{"name":"University Department of Otolaryngology, Head and Neck surgery Manchester Royal Infirmary Manchester University NHS Foundation Trust Manchester UK"},{"name":"Manchester Academic Health Science Centre Manchester University NHS Foundation Trust Manchester UK"},{"name":"NIHR Manchester Biomedical Research Centre The University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Fullwood","sequence":"additional","affiliation":[{"name":"Faculty of Biology, Medicine and Health Division of Population Health Health Services Research and Primary Care The University of Manchester Manchester UK"},{"name":"Research &amp; Innovation Manchester University NHS Foundation Trust Manchester UK"},{"name":"Manchester Academic Health Science Centre Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances","family":"Ascott","sequence":"additional","affiliation":[{"name":"University Department of Otolaryngology, Head and Neck surgery Manchester Royal Infirmary Manchester University NHS Foundation Trust Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod James","family":"Homer","sequence":"additional","affiliation":[{"name":"University Department of Otolaryngology, Head and Neck surgery Manchester Royal Infirmary Manchester University NHS Foundation Trust Manchester UK"},{"name":"Manchester Academic Health Science Centre Manchester University NHS Foundation Trust Manchester UK"},{"name":"NIHR Manchester Biomedical Research Centre The University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2004\/023)"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14015430119969"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqm104"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000179174.32345.41"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(98)80057-X"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2004\/042)"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"26","article-title":"Prevalence of occupational voice disorders in teachers","volume":"50","author":"Angelillo M","year":"2009","journal-title":"J Prev Med Hyg"},{"issue":"2","key":"e_1_2_9_9_1","first-page":"273","article-title":"An analysis of occupational dysphonia diagnosed in the North\u2010East of Poland","volume":"17","author":"Kosztyla\u2010Hojna B","year":"2004","journal-title":"Int J Occup Med Environ Health"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(98)80022-2"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2005.12.007"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.07.002"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(05)80300-5"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200409000-00009"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0603.66"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109005398"},{"key":"e_1_2_9_17_1","unstructured":"FrankEHJr.with contributions from Charles Dupont and many others. 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