Lauren A. Sanzone|Jessica Y. Lee|Kimon Divaris|Darren A. DeWalt|A. Diane Baker|William F. Vann
A cross sectional study examining social desirability bias in caregiver reporting of children’s oral health behaviors
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
previous research pediatrics 2010126 found strong association caregiver oral health literacy ohl childrens oral health status however found weak association oral health behaviors ohbs hypothesize may due social desirability bias sdb objectives compare caregivers responses traditional ohb items newer sdbmodulating items examine association caregiver literacy ohbswe performed crosssectional study 102 caregiverchild dyads collecting data ohbs using traditional new sdbmodulating items measured ohl using reald30 validated word recognition test relied upon percent agreement cohens kappa k quantify concordance caregivers responses multivariate logbinomial regression estimate impact ohl ohbscaregivers mean reald30 score 207 sd 60 range 130 found association ohl 4 8 ohbs examined subset behavior questions compared traditional versus sdbmodulating items history bottlefeeding agreement 95 k 083 95 cl068099 daily tooth brushing agreement 78 k 025 95 cl004046 fluoridated toothpaste use agreement 88 k 067 95 cl049085 controlling caregivers race marital status study site higher literacy scores remained associated decreased prevalence parental report decided brush childs teeth would frustratingagreement responses high 2 3 behavior items item 3 tooth brushing frequency revealed discordance likely due sdb use sdbmodulating items appears yield better estimate ohb