The prevalence of voice disorders among day care center teachers compared with nurses: a questionnaire and clinical study

J Voice. 2001 Sep;15(3):413-23. doi: 10.1016/S0892-1997(01)00042-X.


The acceptance of voice disorders by day care center teachers as an occupational disease is not an invariably established practice. This is due to the lack of reliable evidence of a higher risk for voice disorders in this profession. To find out the risk of voice disorders, an epidemiological study was conducted among day care center teachers (n = 262), using hospital nurses (n = 108) as a control group. Symptoms were charted by a questionnaire. In a clinical examination made by a laryngologist, the voice quality was assessed and the laryngeal status noted. Teachers at day care centers had significantly more voice disorders than did nurses. Vocal nodules and laryngitis findings appeared significantly more frequently among day care center teachers than among those in the control group. The results prove voice disorders to be more frequent among day care center teachers than among control group subjects, and also that the main cause for this may be a higher vocal loading among day care center teachers than among control group subjects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child Day Care Centers*
  • Child, Preschool
  • Female
  • Humans
  • Laryngitis / complications
  • Laryngitis / diagnosis
  • Male
  • Middle Aged
  • Nurses*
  • Occupational Diseases / diagnosis
  • Occupational Diseases / epidemiology*
  • Prevalence
  • Surveys and Questionnaires*
  • Teaching*
  • Voice Disorders / diagnosis
  • Voice Disorders / epidemiology*
  • Voice Disorders / etiology