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The objectives of this study were: (i) to spatially represent, through a webGIS, the standardized rates of teachers\u2019 absences due to voice (outcome 1) and psychological symptoms (outcome 2) in each Brazilian Federative Unit (FU = 26 states plus Federal District) and (ii) to analyze the relationship between each national outcome rate and the Social Vulnerability Index (SVI) of the municipality where urban schools are located, adjusted for sex, age, and working conditions. This cross-sectional study comprised 4979 randomly sampled teachers working in basic education urban schools, of which 83.3% are women. The national absence rates were 17.25% for voice symptoms and 14.93% for psychological symptoms. The rates, SVI, and school locations in the 27 FUs are dynamically visualized in webGIS. The multilevel multivariate logistic regression model showed a positive association between voice outcome and high\/very high SVI (OR = 1.05 [1.03; 1.07]), whereas psychological symptoms were negatively associated with high\/very high SVI (OR = 0.86 [0.85 0.88]) and positively associated with intermediate SVI (OR = 1.15 [1.13; 1.16]), in contrast with low\/very low SVI. Being a woman (voice: OR = 1.36 [1.35; 1.38]; psychological: 1.22 [1.21; 1.24]) and working in schools with various precarious conditions (17 variables) increased the odds of being absent due to voice and psychological symptoms. The results confirm the need for investments to improve working conditions in schools.<\/jats:p>","DOI":"10.3390\/ijerph20042972","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T05:37:31Z","timestamp":1675834651000},"page":"2972","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Social Vulnerability of Brazilian Metropolitan Schools and Teachers\u2019 Absence from Work Due to Vocal and Psychological Symptoms: A Multilevel Analysis"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2817-2555","authenticated-orcid":false,"given":"Adriane Mesquita de","family":"Medeiros","sequence":"first","affiliation":[{"name":"Postgraduate Program in Speech-Language Sciences, Federal University of Minas Gerais, Belo Horizonte 30130-100, Brazil"},{"name":"Postgraduate Program in Public Health, Federal University of Minas Gerais, Belo Horizonte 30130-100, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3890-7735","authenticated-orcid":false,"given":"Mariana Fernandes","family":"Lobo","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, MEDCIDS, Faculty of Medicine of the University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0456-380X","authenticated-orcid":false,"given":"Marcel de Toledo","family":"Vieira","sequence":"additional","affiliation":[{"name":"Department of Statistics and Graduate Program in Economics, Federal University of Juiz de Fora, Juiz de Fora 36036-900, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7537-6606","authenticated-orcid":false,"given":"Lia","family":"Duarte","sequence":"additional","affiliation":[{"name":"Institute of Earth Sciences, FCUP Pole, Rua do Campo Alegre, 4169-007 Porto, Portugal"},{"name":"Department of Geosciences, Environment and Spatial Planning, Faculty of Sciences of the University of Porto (FCUP), Rua do Campo Alegre, 4169-007 Porto, Portugal"}]},{"given":"Jo\u00e3o Paulo Monteiro","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Geosciences, Environment and Spatial Planning, Faculty of Sciences of the University of Porto (FCUP), Rua do Campo Alegre, 4169-007 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8043-6431","authenticated-orcid":false,"given":"Ana Cl\u00e1udia","family":"Teodoro","sequence":"additional","affiliation":[{"name":"Institute of Earth Sciences, FCUP Pole, Rua do Campo Alegre, 4169-007 Porto, Portugal"},{"name":"Department of Geosciences, Environment and Spatial Planning, Faculty of Sciences of the University of Porto (FCUP), Rua do Campo Alegre, 4169-007 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9690-575X","authenticated-orcid":false,"given":"Rafael Moreira","family":"Claro","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Public Health, Federal University of Minas Gerais, Belo Horizonte 30130-100, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1519-252X","authenticated-orcid":false,"given":"Nayara Ribeiro","family":"Gomes","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Speech-Language Sciences, Federal University of Minas Gerais, Belo Horizonte 30130-100, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2113-9653","authenticated-orcid":false,"given":"Alberto","family":"Freitas","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, MEDCIDS, Faculty of Medicine of the University of Porto, 4200-450 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/s00420-018-1384-6","article-title":"Predicting long-term sickness absence among employees with frequent sickness absence","volume":"92","author":"Notenbomer","year":"2019","journal-title":"Int. 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