Abstract
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.
Keywords
school teachers - voice disorder - voice fatigue
