title: Parental influence on children's answers to an oral-health-related quality of life questionnaire.
abstract: The aim of the study was to evaluate parental influence on children's answers to an oral health-related quality of life (OHRQoL) questionnaire. A cross-sectional study was conducted with a non-probabilistic sample of 84 pairs of 5-year-olds and parents/guardians. The participants were selected from a primary family healthcare center in Campina Grande, Brazil. First, the children and parents answered respective versions of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5). Seven days later, the children answered their version of the SOHO-5, without the presence of their parents/guardians, and underwent a clinical exam of dental caries, traumatic dental injury and malocclusion, by a previously calibrated researcher. Statistical analysis involved a comparison of mean scores and the calculation of the intraclass correlation coefficient (ICC). Poisson regression models were used to associate the variables (α = 5%). No significant differences were found between the mean SOHO-5 scores of the children when alone or accompanied by parents/guardians (p > 0.05). The ICC between the answers of the children alone or accompanied was 0.84. White spot (PR = 6.32; 95%CI: 1.36 - 29.40) and cavitated lesions (PR = 9.81; 95%CI: 3.22 - 29.85) had an impact on OHRQoL, according to the children's self-report, whereas cavitated lesions (PR = 90.52; 95%CI: 13.26 - 617.74) and anterior open bite (PR = 1.95; 95%IC: 1.07 - 3.53) remained on the final model, according to the parents' version of the SOHO-5. In conclusion, parents did not influence the children's responses, and dental caries are the oral health problem exerting the greatest impact on the children's OHRQoL.
authors.affiliation: Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Ana Flávia
authors.initials: AF
authors.lastname: Granville-Garcia
authors.affiliation: Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Monalisa Cesarino
authors.initials: MC
authors.lastname: Gomes
authors.affiliation: Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Laíza Rocha
authors.initials: LR
authors.lastname: Dantas
authors.affiliation: Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Lívia Rocha
authors.initials: LR
authors.lastname: Dantas
authors.affiliation: Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Bruno Rafael Cruz
authors.initials: BR
authors.lastname: da Silva
authors.affiliation: Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Matheus de França
authors.initials: Mde F
authors.lastname: Perazzo
authors.affiliation: Department of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Maria Betânia Lins Dantas
authors.initials: MB
authors.lastname: Siqueira
mesh_terms: D001938:Brazil; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000523:psychology; D003753:Dental Health Surveys / Q000379:methods*; D005260:Female; D006801:Humans; D007872:Legal Guardians / Q000523:psychology; D008297:Male; D008310:Malocclusion / Q000523:psychology; D009909:Oral Health; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D057566:Self Report; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires