CC BY 4.0 · Int Arch Otorhinolaryngol
DOI: 10.1055/s-0043-1777417
Original Research

Prevalence and Risk Factors for Occupational Voice Disorders in Nepalese Teachers: A Cross-Sectional Study

1   Department of ENT and Head and Neck Surgery, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal
Puspa Basnet
2   Department of Public Health, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal
Bibek Sharma
1   Department of ENT and Head and Neck Surgery, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal
Hari Prasad Upadhyay
3   Department of Community Medicine, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal
› Author Affiliations


Introduction Teachers are a high-risk group for the development of vocal dysfunction, as they use voice extensively in their profession.

Objective To know the prevalence and risk factors associated with voice strain in teachers.

Methods A cross-sectional study was conducted among schoolteachers in Chitwan, Nepal. The Voice Handicap Index questionnaire was used as a survey tool.

Result A total of 315 teachers were enrolled in the study. The mean age of the participants was of 36.7 years. Teachers from public schools, primary grade classes, > 50 pupils in the classroom, > 24 hours of classes per week, dust in class, and recurrent tonsil problems were associated with various degrees of vocal handicap.

Conclusion There is a high prevalence of voice disorder among teachers. A holistic approach, which includes teacher education regarding voice care during their work and management of their voice handicap by taking into consideration different risk factors, must be adopted.

Publication History

Received: 15 July 2022

Accepted: 12 March 2023

Article published online:
12 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (

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