Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi Arabia

Abstract Background Voice disorders are a significant occupational concern for teachers, whose work relies heavily on vocal communication. These disorders, which include symptoms such as hoarseness, vocal fatigue, and discomfort, can affect both professional performance and quality of life. Teachers...

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Main Authors: Hayfa Alhefdhi, Mona Aldukain, Ali Aldukain, Norah Saad Jadaan, Roaa Al Murayyi, Seham Marei Alqahtani, Ruba Al Murayyi, Abdusalam Saad Alqhtani, Khalid Abdulaziz Alshahrani, Bander Mahfouz Alaamri
Format: Article
Language:English
Published: SpringerOpen 2025-05-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-025-00834-2
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author Hayfa Alhefdhi
Mona Aldukain
Ali Aldukain
Norah Saad Jadaan
Roaa Al Murayyi
Seham Marei Alqahtani
Ruba Al Murayyi
Abdusalam Saad Alqhtani
Khalid Abdulaziz Alshahrani
Bander Mahfouz Alaamri
author_facet Hayfa Alhefdhi
Mona Aldukain
Ali Aldukain
Norah Saad Jadaan
Roaa Al Murayyi
Seham Marei Alqahtani
Ruba Al Murayyi
Abdusalam Saad Alqhtani
Khalid Abdulaziz Alshahrani
Bander Mahfouz Alaamri
author_sort Hayfa Alhefdhi
collection DOAJ
description Abstract Background Voice disorders are a significant occupational concern for teachers, whose work relies heavily on vocal communication. These disorders, which include symptoms such as hoarseness, vocal fatigue, and discomfort, can affect both professional performance and quality of life. Teachers are particularly vulnerable due to the demanding nature of their profession, including prolonged speaking hours, large class sizes, and noisy classroom environments. While the prevalence of voice disorders among teachers is well-documented globally, limited data is available from regions like the Aseer region of Saudi Arabia. This study aims to assess the prevalence, identify risk factors, and evaluate the impact of voice disorders among teachers in Aseer, providing a basis for targeted interventions. Methods A cross-sectional survey of 370 teachers was conducted using the validated Arabic Voice Handicap Index-10 (VHI-10). Data on demographics, vocal symptoms, risk factors, and impacts were collected via an online questionnaire. Statistical analysis included descriptive statistics and Fisher’s exact tests to evaluate associations. Results Over 60% of participants reported voice-related symptoms, primarily hoarseness and vocal fatigue. Classroom noise levels, prolonged vocal use, and large class sizes were significant risk factors. Few teachers (5.1%) had a formal diagnosis, and most (75.4%) did not seek treatment. Voice disorders adversely affected teaching performance and student interactions, with a subset reporting work absenteeism and emotional distress. Conclusions Voice disorders are common among teachers in the Aseer region and have considerable effects on both teaching performance and teachers' overall well-being. Effective preventive strategies, such as vocal hygiene education, noise reduction, and workload adjustments, are essential. Future interventions should be culturally tailored and consider gender-specific needs. Further research is required to explore the underlying health conditions and psychosocial impacts to refine preventive strategies and improve teachers' vocal health and job satisfaction.
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series The Egyptian Journal of Otolaryngology
spelling doaj-art-61c1673d2e0842989e7a059baa7f6f0e2025-08-20T03:10:16ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392025-05-0141111210.1186/s43163-025-00834-2Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi ArabiaHayfa Alhefdhi0Mona Aldukain1Ali Aldukain2Norah Saad Jadaan3Roaa Al Murayyi4Seham Marei Alqahtani5Ruba Al Murayyi6Abdusalam Saad Alqhtani7Khalid Abdulaziz Alshahrani8Bander Mahfouz Alaamri9King Khalid UniversityKing Khalid UniversityKing Khalid UniversityKing Khalid UniversityKing Khalid UniversityKing Khalid UniversityKing Khalid UniversityArmed Forces Hospital Southern regionAseer Central HospitalAseer Central HospitalAbstract Background Voice disorders are a significant occupational concern for teachers, whose work relies heavily on vocal communication. These disorders, which include symptoms such as hoarseness, vocal fatigue, and discomfort, can affect both professional performance and quality of life. Teachers are particularly vulnerable due to the demanding nature of their profession, including prolonged speaking hours, large class sizes, and noisy classroom environments. While the prevalence of voice disorders among teachers is well-documented globally, limited data is available from regions like the Aseer region of Saudi Arabia. This study aims to assess the prevalence, identify risk factors, and evaluate the impact of voice disorders among teachers in Aseer, providing a basis for targeted interventions. Methods A cross-sectional survey of 370 teachers was conducted using the validated Arabic Voice Handicap Index-10 (VHI-10). Data on demographics, vocal symptoms, risk factors, and impacts were collected via an online questionnaire. Statistical analysis included descriptive statistics and Fisher’s exact tests to evaluate associations. Results Over 60% of participants reported voice-related symptoms, primarily hoarseness and vocal fatigue. Classroom noise levels, prolonged vocal use, and large class sizes were significant risk factors. Few teachers (5.1%) had a formal diagnosis, and most (75.4%) did not seek treatment. Voice disorders adversely affected teaching performance and student interactions, with a subset reporting work absenteeism and emotional distress. Conclusions Voice disorders are common among teachers in the Aseer region and have considerable effects on both teaching performance and teachers' overall well-being. Effective preventive strategies, such as vocal hygiene education, noise reduction, and workload adjustments, are essential. Future interventions should be culturally tailored and consider gender-specific needs. Further research is required to explore the underlying health conditions and psychosocial impacts to refine preventive strategies and improve teachers' vocal health and job satisfaction.https://doi.org/10.1186/s43163-025-00834-2Voice disordersTeachersPrevalenceRisk factorsClassroom noiseOccupational health
spellingShingle Hayfa Alhefdhi
Mona Aldukain
Ali Aldukain
Norah Saad Jadaan
Roaa Al Murayyi
Seham Marei Alqahtani
Ruba Al Murayyi
Abdusalam Saad Alqhtani
Khalid Abdulaziz Alshahrani
Bander Mahfouz Alaamri
Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi Arabia
The Egyptian Journal of Otolaryngology
Voice disorders
Teachers
Prevalence
Risk factors
Classroom noise
Occupational health
title Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi Arabia
title_full Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi Arabia
title_fullStr Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi Arabia
title_full_unstemmed Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi Arabia
title_short Assessing Prevalence, Risk Factors, and Occupational Impact of Voice Disorders Among Teachers: A Population-Based Survey in Aseer Region, Saudi Arabia
title_sort assessing prevalence risk factors and occupational impact of voice disorders among teachers a population based survey in aseer region saudi arabia
topic Voice disorders
Teachers
Prevalence
Risk factors
Classroom noise
Occupational health
url https://doi.org/10.1186/s43163-025-00834-2
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