Impact of oral health literacy on self‐reported missing data in epidemiological research

Firmino, Ramon Targino; Fraiz, Fabián Calixto; Montes, Gisele Ristow; Paiva, Saul Martins; Granville‐Garcia, Ana Flávia; Ferreira, Fernanda Morais

doi:10.1111/cdoe.12415

Cited by 11 publications

(14 citation statements)

References 31 publications

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“…In turn, better performance from the educational intervention of parents with adequate OHL compared to parents with inadequate/marginal OHL is consistent with the results of other studies [16,17,[36][37][38][39][40][41][42], which found an association of lower OHL levels with the highest rates of missing dental appointments, worse oral health conditions in adults, worse perceived oral health of their children, poor oral health outcomes in their children, negative health attitudes, less adherence to recommendations for healthy habits, greater difficulty filling out questionnaires.…”

Section: Discussionsupporting

confidence: 90%

“…The average BREALD-30 score in this study was 21.6, similar to that found in other studies developed in the state of Paraná, of 21.9 [36] and 22.3 [17]. The first of these was also involving parents/caregivers of children, in this case, aged 4-5 years and enrolled in public schools in the city of Curitiba [36]. The second study examined a sample of 175 pregnant women and evaluated their acquisition and retention of information about nutrition and oral hygiene of children under 2 years old, with a follow-up of up to 4 weeks.…”

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

“…The second study examined a sample of 175 pregnant women and evaluated their acquisition and retention of information about nutrition and oral hygiene of children under 2 years old, with a follow-up of up to 4 weeks. Both studies found an association between inadequate OHL and unfavorable outcomes in completing questionnaires and acquiring/retaining information, respectively [17,36].…”

Section: Discussionmentioning

confidence: 99%

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Do Parents’ Oral Health Literacy Levels Influence Their Response to Interventions to Improve Their Knowledge of Traumatic Dental Injuries?

Lisboa

Assunção

Junkes

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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To measure the influence of oral health literacy (OHL) level in the improvement of knowledge about traumatic dental injuries (TDI) after an educational intervention. Material and Methods: A total of 257 parents of children aged 0-12 years had their OHL level evaluated (BREALD-30). A leaflet with information about how to respond to TDI Emergency was developed and delivered to the parents. A questionnaire about attitudes towards TDI was administered before (TDIQ1) and after (TDIQ2) parents read the educational leaflet. The hypotheses were evaluated by non-parametric tests, correlation analysis and logistic regression. Results: The mean OHL score was 21.6. The means of correct answers in TDIQ1 were 5.5 and 5.9 (p = 0.066) and in TDIQ2 were 6.6 and 7.7 (p=0.003) between the groups with inadequate and marginal/adequate OHL, respectively. In the logistic regression, the total score of BREALD-30 and the maximum number of correct answers in TDIQ2 maintained statistical association when adjusted for schooling, gender, age of the parents, family income and the number of correct answers in the first application of the questionnaire. Conclusion: The level of OHL influenced the improvement of parents' knowledge about emergency care in cases of TDI in children from an educational intervention using a leaflet, and this intervention was more effective for parents with adequate OHL.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Do Parents’ Oral Health Literacy Levels Influence Their Response to Interventions to Improve Their Knowledge of Traumatic Dental Injuries?

Lisboa

Assunção

Junkes

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

Self Cite

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“…Increasing evidence has indicated the OHL is associated with socioeconomic characteristics while our findings also revealed that individuals with older age, lower educational level, and lower monthly income performed inadequate OHL. These results were consistent with previous studies (Batista, Lawrence, & Sousa, 2017;Firmino et al, 2018;Vyas et al, 2016).…”

Section: Discussionsupporting

confidence: 94%

Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan

Montayre

Chang

et al. 2019

Public Health Nursing

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Objectives This study aimed to translate the Oral Health Literacy Adult Questionnaire into a Mandarin version (MOHL‐AQ) and to examine its psychometric properties. Methods A methodological research using psychometric testing and evaluation of a translated instrument. A convenience sample of 402 participants from northern Taiwan were recruited for the validation of the MOHL‐AQ. Internal consistency reliability, split‐half reliability, inter‐rater reliability, face validity, content validity, and construct validity were evaluated. Results The value of internal consistency and split‐half reliability of the MOHL‐AQ were 0.77 and 0.78, respectively. Content validity reported a high content validity index (CVI = 95%). Exploratory factor analysis (EFA) and parallel analysis (PA) were used to determine a unidimensional model and confirmatory factor analysis (CFA) was employed to confirm the model. The indices of good fit model were achieved at GFI = 0.93, AGFI = 0.92, RMSEA = 0.04, CFI = 0.90, PGFI = 0.73, χ2/df = 1.86 (p < .001). Most of the item‐total correlations indicated adequate and acceptable convergent validity (r > .30). Conclusion MOHL‐AQ demonstrates adequate psychometric properties for measuring the oral health literacy in Mandarin‐speaking population. Public health nurses can use MOHL‐AQ to assess oral health literacy in the community settings and further screen potential population with inadequate oral health literacy.

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Collider bias undermines our understanding of COVID-19 disease risk and severity

et al. 2020

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Numerous observational studies have attempted to identify risk factors for infection with SARS-CoV-2 and COVID-19 disease outcomes. Studies have used datasets sampled from patients admitted to hospital, people tested for active infection, or people who volunteered to participate. Here, we highlight the challenge of interpreting observational evidence from such non-representative samples. Collider bias can induce associations between two or more variables which affect the likelihood of an individual being sampled, distorting associations between these variables in the sample. Analysing UK Biobank data, compared to the wider cohort the participants tested for COVID-19 were highly selected for a range of genetic, behavioural, cardiovascular, demographic, and anthropometric traits. We discuss the mechanisms inducing these problems, and approaches that could help mitigate them. While collider bias should be explored in existing studies, the optimal way to mitigate the problem is to use appropriate sampling strategies at the study design stage.

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Impact of oral health literacy on self‐reported missing data in epidemiological research

Abstract: Participants with lower OHL were significantly more likely to fail to complete research questionnaires. The impact of OHL on missing data was greater with more complex types of items.

Cited by 11 publications

References 31 publications

Do Parents’ Oral Health Literacy Levels Influence Their Response to Interventions to Improve Their Knowledge of Traumatic Dental Injuries?

Do Parents’ Oral Health Literacy Levels Influence Their Response to Interventions to Improve Their Knowledge of Traumatic Dental Injuries?

Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan

Collider bias undermines our understanding of COVID-19 disease risk and severity

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