Quality of Life Research

, Volume 24, Issue 11, pp 2739–2751 | Cite as

Child and adolescent perceptions of oral health over the life course

  • Carl A. Maida
  • Marvin Marcus
  • Ron D. Hays
  • Ian D. Coulter
  • Francisco Ramos-Gomez
  • Steve Y. Lee
  • Patricia S. McClory
  • Laura V. Van
  • Yan Wang
  • Jie Shen
  • Li Cai
  • Vladimir W. Spolsky
  • James J. Crall
  • Honghu Liu



To elicit perceptions of oral health in children and adolescents as an initial step in the development of oral health item banks for the Patient-Reported Oral Health Outcomes Measurement Information System project.


We conducted focus groups with ethnically, socioeconomically, and geographically diverse youth (8–12, 13–17 years) to identify perceptions of oral health status. We performed content analysis, including a thematic and narrative analysis, to identify important themes.


We identified three unique themes that the youth associated with their oral health status: (1) understanding the value of maintaining good oral health over the life course, with respect to longevity and quality of life in the adult years; (2) positive association between maintaining good oral health and interpersonal relationships at school, and dating, for older youth; and (3) knowledge of the benefits of orthodontic treatment to appearance and positive self-image, while holding a strong view as to the discomfort associated with braces.


The results provide valuable information about core domains for the oral health item banks to be developed and generated content for new items to be developed and evaluated with cognitive interviews and in a field test.


Oral health Children Focus groups Patient-reported outcomes Pediatric 



This research was supported by an NIDCR/NIH grant to the University of California, Los Angeles (U01DE022648). We would like to acknowledge Dr. Suzanne Berger and Ms. Audrey Simons for their assistance in both developing our sample and providing the space for the focus groups.


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Carl A. Maida
    • 1
    • 2
  • Marvin Marcus
    • 1
  • Ron D. Hays
    • 3
    • 4
    • 5
  • Ian D. Coulter
    • 1
    • 5
  • Francisco Ramos-Gomez
    • 6
  • Steve Y. Lee
    • 7
  • Patricia S. McClory
    • 6
  • Laura V. Van
    • 8
  • Yan Wang
    • 1
    • 9
  • Jie Shen
    • 1
  • Li Cai
    • 10
  • Vladimir W. Spolsky
    • 1
  • James J. Crall
    • 1
  • Honghu Liu
    • 1
    • 4
    • 9
  1. 1.Division of Public Health and Community Dentistry, School of DentistryUniversity of California, Los AngelesLos AngelesUSA
  2. 2.Division of Oral Biology and Medicine, School of DentistryUniversity of California, Los AngelesLos AngelesUSA
  3. 3.Department of Health Policy and Management, School of Public HealthUniversity of California, Los AngelesLos AngelesUSA
  4. 4.Division of General Internal Medicine and Health Services Research, Department of MedicineDavid Geffen School of Medicine, University of California, Los AngelesLos AngelesUSA
  5. 5.RAND CorporationSanta MonicaUSA
  6. 6.Section of Pediatric Dentistry, Division of Growth and Development, School of DentistryUniversity of California, Los AngelesLos AngelesUSA
  7. 7.Division of Constitutive and Regenerative Sciences, Section of Restorative Dentistry, School of DentistryUniversity of California, Los AngelesLos AngelesUSA
  8. 8.School of DentistryUniversity of California, Los AngelesLos AngelesUSA
  9. 9.Department of Biostatistics, School of Public HealthUniversity of California, Los AngelesLos AngelesUSA
  10. 10.Graduate School of Education and Information Studies, National Center for Research on Evaluation, Standards, and Student TestingUniversity of California, Los AngelesLos AngelesUSA

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