{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T12:15:56Z","timestamp":1770898556163,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T00:00:00Z","timestamp":1535068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007375","name":"Pr\u00f3-Reitoria de Pesquisa, Universidade Federal de Minas Gerais","doi-asserted-by":"publisher","award":["05\/2016"],"award-info":[{"award-number":["05\/2016"]}],"id":[{"id":"10.13039\/501100007375","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate whether oral health literacy (<jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content>) impacts missing data obtained through self\u2010reporting in oral health epidemiological research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted with parents (n\u00a0=\u00a0344) of 4\u2010 to 5\u2010year\u2010old children randomly selected from public schools within the city of Curitiba, Brazil. Parental <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> was measured using the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (<jats:styled-content style=\"fixed-case\">BREALD<\/jats:styled-content>\u201030). Parents answered a set of questionnaires comprising 88 items concerning sociodemographic and economic data, children's access to dental services, oral hygiene behaviour, diet and mealtime behaviour. The total number of unanswered items (<jats:styled-content style=\"fixed-case\">TUI<\/jats:styled-content>) and the number of unanswered items in each type of question (open\u2010ended, dichotomous, multiple choice with up to 4 options and with 5\u20109 options) for each participant was compared across different levels of <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> (chi\u2010squared, Mann\u2010Whitney, Kruskal\u2010Wallis and Spearman's correlation test). Multiple Poisson regression was used to estimate rate ratios (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>) of <jats:styled-content style=\"fixed-case\">TUI<\/jats:styled-content> between <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> scores and their respective 95% confidence interval (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately one\u2010third of studied parents (37%) exhibited low <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">BREALD<\/jats:styled-content>\u201030\u00a0\u2264\u00a021). The prevalence of missing data in at least one item was 85.5%. Low <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> was associated with failing to respond open\u2010ended items (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.003) and multiple\u2010choice items with up to 4 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.003) and between 5 and 9 options (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.030). There was a negative correlation between <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> scores and <jats:styled-content style=\"fixed-case\">TUI<\/jats:styled-content> (<jats:italic>r\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>\u22120.195; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), as well as with the number of unanswered items in all types of questions (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01), except dichotomous questions. Parents with lower <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> were more likely to show higher values of <jats:styled-content style=\"fixed-case\">TUI<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 0.95: 0.93\u20100.98), when adjusted by income and education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Participants with lower <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> were significantly more likely to fail to complete research questionnaires. The impact of <jats:styled-content style=\"fixed-case\">OHL<\/jats:styled-content> on missing data was greater with more complex types of items.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12415","type":"journal-article","created":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T08:44:27Z","timestamp":1535100267000},"page":"624-630","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Impact of oral health literacy on self\u2010reported missing data in epidemiological research"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5581-0658","authenticated-orcid":false,"given":"Ramon Targino","family":"Firmino","sequence":"first","affiliation":[{"name":"Department of Paediatric Dentistry and Orthodontics School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian Calixto","family":"Fraiz","sequence":"additional","affiliation":[{"name":"Department of Stomatology Universidade Federal do Paran\u00e1 Curitiba Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gisele Ristow","family":"Montes","sequence":"additional","affiliation":[{"name":"Department of Stomatology Universidade Federal do Paran\u00e1 Curitiba Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saul Martins","family":"Paiva","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry and Orthodontics School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Fl\u00e1via","family":"Granville\u2010Garcia","sequence":"additional","affiliation":[{"name":"Department of Dentistry Universidade Estadual da Para\u00edba Campina Grande Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Morais","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry and Orthodontics School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-10-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12359"},{"key":"e_1_2_6_4_1","first-page":"80","article-title":"Collecting psychosocial self\u2010report data in oral health research: impact of literacy level and computerised administration","volume":"2","author":"Randall CL","year":"2013","journal-title":"Soc Sci Dent"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2016.1275038"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20100"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-016-2284-z"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1740774514537136"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0962280213476378"},{"key":"e_1_2_6_10_1","first-page":"534p","volume-title":"Principles and practice of structural equation\u00a0modeling","author":"Kline R","year":"1998"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"408p","DOI":"10.1002\/9781119013563","volume-title":"Statistical analysis with missing data","author":"Little RJ","year":"2002"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1448"},{"key":"e_1_2_6_13_1","unstructured":"US Department of Health and Human Services.Healthy People 2010.Washington:US Government Printing Office2000.www.healthypeople.gov. Accessed October 21 2016."},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.10.018"},{"key":"e_1_2_6_15_1","first-page":"148","article-title":"Association of oral health literacy with oral health behaviour and oral health status in Belarus","volume":"32","author":"Blizniuk A","year":"2015","journal-title":"Community Dent Health"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-13-24"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034510379601"},{"key":"e_1_2_6_18_1","first-page":"1","article-title":"Health Literacy Interventions and Outcomes: an Update of the Literacy and Health Outcomes Systematic Review of the Literature","volume":"199","author":"Berkman ND","year":"2011","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1080\/19424396.2012.12220912","article-title":"Parental functional health literacy relates to skip pattern error and to child oral health","volume":"40","author":"Garrett GM","year":"2012","journal-title":"J Calif Dent Assoc"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0131600"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107BOR-2016.vol30.0090"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2012.11.024"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0057532"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465814000629"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2012.00375.x"},{"key":"e_1_2_6_26_1","first-page":"688p","volume-title":"Exploratory data analysis","author":"Tukey JW","year":"1977"},{"key":"e_1_2_6_27_1","unstructured":"CrawfordIM.Marketing research and information systems.Rome:Food and Agriculture Organization of the United Nations;1997.http:\/\/www.fao.org\/docrep\/w3241e\/w3241e00.htm#Contents. Accessed November 21 2017"},{"key":"e_1_2_6_28_1","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1093\/acprof:oso\/9780199231881.001.0001","volume-title":"Health measurement scales. A practical guide to their development and use","author":"Streiner DL","year":"2008"},{"key":"e_1_2_6_29_1","doi-asserted-by":"crossref","first-page":"632p","DOI":"10.1891\/9780826170620","volume-title":"Measurement in nursing and health research","author":"Waltz CF","year":"2016"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590400013495"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12199"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2015.79.5.tb05912.x"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2007.00063.x"},{"key":"e_1_2_6_34_1","first-page":"72","article-title":"Parental health literacy and children's dental health: implications for the future","volume":"28","author":"Jackson R","year":"2006","journal-title":"Pediatr Dent"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40510-016-0128-y"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12285"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2014.04.013"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138017"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0176-1"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcdoe.12415","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12415","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T04:26:13Z","timestamp":1694751973000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.12415"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,24]]},"references-count":38,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1111\/cdoe.12415"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.12415","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,24]]},"assertion":[{"value":"2018-03-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}