A cross sectional study examining social desirability bias in caregiver reporting of children's oral health behaviors.
A cross sectional study examining social desirability bias in caregiver reporting of children's oral health behaviors.
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DOI：
10.1186/1472-6831-13-24
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发表时间：
2013-06-01
期刊：
影响因子：
2.9
通讯作者：
Vann, William F Jr
中科院分区：
文献类型：
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作者：
Sanzone, Lauren A;Lee, Jessica Y;Vann, William F Jr
背景：我们之前的研究（Pediatrics 2010:126）发现照顾者口腔健康素养（OHL）与儿童口腔健康状况有很强的相关性；然而，我们发现与口腔健康行为（OHBs）的关联较弱。我们假设这可能是由于社会可取性偏见（SDB）。我们的目的是比较护理人员对传统OHB项目和较新的sdb调节项目的反应，并检查护理人员素养与OHB的关系。方法：我们对102对照顾者-儿童进行了横断面研究，使用传统和新的sdb调节项目收集ohb数据。我们使用REALD-30（一种经过验证的单词识别测试）来测量OHL。我们依靠同意百分比和Cohen’s kappa (k)来量化照顾者反应的一致性，并使用多变量对数二项回归来估计职业健康对职业健康状况的影响。结果：护理人员平均REALD-30评分为20.7 (SD = 6.0)，范围为1-30。我们发现OHL与8个ohb中的4个存在关联。行为问题的子集比较了传统和调节sds的项目：奶瓶喂养的历史：一致性= 95%,k = 0.83 (95% CL:0.68,0.99)；每日刷牙：一致性= 78%,k = 0.25 (95% CL:0.04,0.46)；含氟牙膏使用：一致性= 88%,k = 0.67 （95% CL:0.49,0.85）。在控制了照顾者的种族、婚姻状况和研究地点之后，较高的读写能力分数仍然与父母报告“决定不给孩子刷牙，因为这会让人沮丧”的患病率降低有关。结论：在3个行为项目中，有2个回答的一致性较高。第3项（刷牙频率）显示不一致，可能是由于SDB。使用sdb调制项似乎可以更好地估计OHB。
BACKGROUND: Our previous research (Pediatrics 2010:126) found a strong association between caregiver oral health literacy (OHL) and children's oral health status; however, we found a weak association with oral health behaviors (OHBs). We hypothesize that this may be due to social desirability bias (SDB). Our objectives were to compare caregivers' responses to traditional OHB items and newer SDB-modulating items, and to examine the association of caregiver literacy with OHBs.METHODS: We performed a cross-sectional study of 102 caregiver-child dyads, collecting data for OHBs using both traditional and new SDB-modulating items. We measured OHL using REALD-30, a validated word recognition test. We relied upon percent agreement and Cohen's kappa (k) to quantify the concordance in caregivers' responses and multivariate log-binomial regression to estimate the impact of OHL on OHBs.RESULTS: Caregivers' mean REALD-30 score was 20.7 (SD = 6.0), range 1-30. We found an association between OHL and 4 of 8 OHBs examined. A subset of behavior questions compared traditional versus SDB-modulating items: history of bottle-feeding: agreement = 95%, k = 0.83 (95% CL:0.68,0.99); daily tooth brushing: agreement = 78%, k = 0.25 (95% CL:0.04,0.46); fluoridated toothpaste use: agreement = 88%, k = 0.67 (95% CL:0.49,0.85). After controlling for caregivers' race, marital status and study site, higher literacy scores remained associated with a decreased prevalence of parental report of "decided not brush the child's teeth because it would be frustrating".CONCLUSIONS: Agreement between responses was high for 2 of 3 behavior items. Item 3 (tooth brushing frequency) revealed discordance, likely due to SDB. Use of the SDB-modulating items appears to yield a better estimate of OHB.