Relation between voice disorders and work in a group of Community Health Workers. 2013

Fabiana Gonçalves Cipriano, and Léslie Piccolotto Ferreira, and Emilse Aparecida Merlin Servilha, and Regina Maria Giffoni Marsiglia
Pontifícia Universidade Católica de São Paulo, São PauloSP, Brazil, Pontifícia Universidade Católica de São Paulo - PUC-SP - São Paulo (SP), Brazil.

OBJECTIVE To analyze the relationship between voice disorders and work in a group of Community Health Agents (CHA). METHODS The subjects of this study were 65 CHA working in the city of São Paulo. Thefiinstrument used for data collection was an adaptation of the questionnaire named Conditions of Vocal Production - Teachers (CPV-P). The results were keyed in twice and submitted to statistical analysis, in order to verify: the self-reported frequency of voice disorder frequency of present vocal symptoms, the association among the three most frequently reported present symptoms, and environmental and organizational aspects of work. RESULTS Of the 65 (100%) CHA in the study, 37 (56.9%) self-reported having present or past vocal disorders. The most frequently reported present symptoms were: dry throat, tiredness when speaking, and burning sensation in the throat. There was significant association between: taking work to home, having personal items stolen, police intervention, violence against employees and vocal symptom dry throat, not having enough time to complete all tasks, difficulty in leaving work, inadequate furniture, intense physical strain, objects stolen from the health unit, racism and vocal symptom tiredness when speaking, dust, job dissatisfaction, work stress, building destruction, drug issues, and vocal symptom burning in throat. CONCLUSIONS Based on the obtained results, the initial hypothesis of association between the development of vocal disorders among the subjects and the adversities present in their work environment and organization was confirmed.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009313 National Health Programs Components of a national health care system which administer specific services, e.g., national health insurance. National Health Insurance, Non-U.S.,Health Services, National,National Health Insurance,National Health Insurance, Non U.S.,National Health Services,Services, National Health,Health Insurance, National,Health Program, National,Health Programs, National,Health Service, National,Insurance, National Health,National Health Program,National Health Service,Program, National Health,Programs, National Health,Service, National Health
D009784 Occupational Diseases Diseases caused by factors involved in one's employment. Diseases, Occupational,Occupational Illnesses,Disease, Occupational,Illnesse, Occupational,Illnesses, Occupational,Occupational Disease,Occupational Illnesse
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D003150 Community Health Workers Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services. Barefoot Doctors,Community Health Aides,Village Health Worker,Family Planning Personnel,Family Planning Personnel Characteristics,Village Health Workers,Aide, Community Health,Aides, Community Health,Barefoot Doctor,Community Health Aide,Community Health Worker,Doctor, Barefoot,Doctors, Barefoot,Health Aide, Community,Health Aides, Community,Health Worker, Community,Health Worker, Village,Health Workers, Community,Health Workers, Village,Personnel, Family Planning,Planning Personnel, Family,Worker, Community Health,Worker, Village Health,Workers, Community Health,Workers, Village Health
D005260 Female Females
D006685 Hoarseness An unnaturally deep or rough quality of voice. Hoarseness of Voice,Neurogenic Hoarseness,Voice Hoarseness,Hoarseness, Neurogenic,Hoarseness, Voice,Hoarsenesses,Neurogenic Hoarsenesses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor

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