TY  - JOUR
PY  - 2023//
TI  - Social vulnerability of Brazilian metropolitan schools and teachers' absence from work due to vocal and psychological symptoms: a multilevel analysis
JO  - International journal of environmental research and public health
A1  - Medeiros, Adriane Mesquita de
A1  - Lobo, Mariana Fernandes
A1  - Vieira, Marcel de Toledo
A1  - Duarte, Lia
A1  - Carvalho, João Paulo Monteiro
A1  - Teodoro, Ana Cláudia
A1  - Claro, Rafael Moreira
A1  - Gomes, Nayara Ribeiro
A1  - Freitas, Alberto
SP  - e2972
EP  - e2972
VL  - 20
IS  - 4
N2  - Teachers' voices and psychological symptoms are the main reasons for absence from work. The objectives of this study were: (i) to spatially represent, through a webGIS, the standardized rates of teachers' absences due to voice (outcome 1) and psychological symptoms (outcome 2) in each Brazilian Federative Unit (FU = 26 states plus Federal District) and (ii) to analyze the relationship between each national outcome rate and the Social Vulnerability Index (SVI) of the municipality where urban schools are located, adjusted for sex, age, and working conditions. This cross-sectional study comprised 4979 randomly sampled teachers working in basic education urban schools, of which 83.3% are women. The national absence rates were 17.25% for voice symptoms and 14.93% for psychological symptoms. The rates, SVI, and school locations in the 27 FUs are dynamically visualized in webGIS. The multilevel multivariate logistic regression model showed a positive association between voice outcome and high/very high SVI (OR = 1.05 [1.03; 1.07]), whereas psychological symptoms were negatively associated with high/very high SVI (OR = 0.86 [0.85 0.88]) and positively associated with intermediate SVI (OR = 1.15 [1.13; 1.16]), in contrast with low/very low SVI. Being a woman (voice: OR = 1.36 [1.35; 1.38]; psychological: 1.22 [1.21; 1.24]) and working in schools with various precarious conditions (17 variables) increased the odds of being absent due to voice and psychological symptoms. The results confirm the need for investments to improve working conditions in schools.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph20042972
ID  - ref1
ER  -