title: Relation between voice disorders and work in a group of Community Health Workers.
abstract: 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.
authors.affiliation: Pontifícia Universidade Católica de São Paulo, São PauloSP, Brazil, Pontifícia Universidade Católica de São Paulo - PUC-SP - São Paulo (SP), Brazil.
authors.forename: Fabiana Gonçalves
authors.initials: FG
authors.lastname: Cipriano
authors.affiliation: Pontifícia Universidade Católica de São Paulo, São PauloSP, Brazil, Pontifícia Universidade Católica de São Paulo - PUC-SP - São Paulo (SP), Brazil.
authors.forename: Léslie Piccolotto
authors.initials: LP
authors.lastname: Ferreira
authors.affiliation: Pontifícia Universidade Católica de Campinas, Department of Speech-Language Therapy, CampinasSP, Brazil, Department of Speech-Language Therapy, Pontifícia Universidade Católica de Campinas - PUC-Campinas - Campinas (SP), Brazil.
authors.forename: Emilse Aparecida Merlin
authors.initials: EA
authors.lastname: Servilha
authors.affiliation: Pontifícia Universidade Católica de São Paulo, São PauloSP, Brazil, Pontifícia Universidade Católica de São Paulo - PUC-SP; Department of Health Sciences, Irmandade da Santa Casa de Misericórdia de São Paulo - ISCMSP - São Paulo (SP), Brazil.
authors.forename: Regina Maria Giffoni
authors.initials: RM
authors.lastname: Marsiglia
mesh_terms: D000328:Adult; D003150:Community Health Workers; D005260:Female; D006685:Hoarseness; D006801:Humans; D008875:Middle Aged; D009313:National Health Programs; D009784:Occupational Diseases / Q000150:complications / Q000175:diagnosis*; D016272:Occupational Health; D012307:Risk Factors; D057566:Self Report; D011795:Surveys and Questionnaires; D014832:Voice Disorders / Q000175:diagnosis / Q000209:etiology*; D055815:Young Adult