Children's Perceptions Research Articles

Agreement between quality of life assessed using family proxy and child self-reports among children with hematologic malignancy.

Evidence-based literature recognizes that the different degrees of agreement between a child self-report and a proxy-report depend on the characteristics of the domains, the child's age and illness, the proxy's own perspective on QoL, and family attendance during the child's hospitalization. This study aims to determine the degree of agreement between proxy-reports and child self-reports on quality of life (QoL) for children with hematologic malignancy ranging in age from 5 to 18 years who are undergoing treatment.We retrieved clinical QoL data from a study titled "Dynamic change in QoL for Vietnamese children with hematologic malignancy" from April 2021 to December 2022. To evaluate the magnitude of agreement between self-reports and proxy-reports, intraclass correlation coefficients (ICCs) for 259 pairs of measurements were quantified. Using independent t tests, the mean differences between self-reports and proxy-reports were tested.Moderate agreement was consistent through all age groups for five subscales, including physical, psychosocial, pain, nausea, and procedural anxiety (ICCs ranged from 0.53 to 0.74). The weakest agreement appeared in two groups, subjects aged 5-7 years and 13-18 years on six domains (school, treatment anxiety, worry, cognitive problems, perceived physical appearance, and communication) (-0.01 to 0.49). Child self-rating was consistently higher than that of proxies for the physical, emotional, and nausea domains among children aged 5-7 years and for procedural anxiety, treatment anxiety, and cognitive problems among children aged 8-12 years. Conclusion: The agreement level of self-reports and proxy-reports was differently distributed by child age and the PedsQL domains. The proxy children agreement on QoL among children with hematologic malignancy was divergent according to the different age groups, which could potentially be explained by proxy-child bonding at different stages of childhood development. Our recommendation for future studies is to explore children's age as a potential factor influencing proxy agreement on QoL among children with cancer. What is Known: • Children and their proxies may think differently about quality of life (QoL). • Comparing two sources of data (i.e., child and proxy) on aspects of QoL can help identify the discrepancies between children's perceptions of their QoL and their parents' perceptions. This can be useful in terms of identifying potential areas for improvement or concern and may also be helpful in making decisions about treatment and care. What is New: • Our study results demonstrated that proxies who comprised children aged 5-7 years or 13-18 years reported differently among domains that cannot be expressed verbally or with body language, including cognitive problems, perceived physical appearance, and communication. • Children generally perceived their QoL to be better than their proxies. Therefore, a more comprehensive understanding of children's QoL may require the consideration of multiple sources of data from various perspectives.

Who holds the social power? The development of children's social power perceptions in China.

This study examined the development of social power perceptions among Chinese children aged 3-5 years (N = 105). After watching videos about various social power cues, such as resource possession, resource control, goal achievement, permission, giving orders, setting norms and popularity, the children were asked to identify the powerful agents (whom do you believe is the more powerful person?) in the videos and provide explanations (why do you think he (she) is a powerful person?). Three-year-olds can recognize powerful agents who can grant 'permission' to other agents. By the age of 4, children begin to associate 'popularity', 'resource possession' and 'goal achievement' with social power. Five-year olds demonstrated the ability to recognize agents who control resources as being more powerful. Analysis of the reasons the children provided for their judgements revealed that for almost every cue (except giving orders), more than 14% of the responses highlighted 'possession of material resources' as an indicator of power. For children aged 3-5 years, 'resource possession' cues may be their preferred basis for inferring and explaining power differences. These results would facilitate researchers to further unravel the mechanisms underlying the development of children's social power perceptions.

Unlocking the Voices of Children: The Evolution of Child Narrators in Anglophone Literature

ABSTRACT This research investigates the evolution of child narrators in adult Anglophone fiction, tracing their development from being marginalized figures in the pre-romantic era to significant voices in the subsequent Romantic, Victorian, and modern periods. It explores how evolving perceptions of childhood contributed to the inclusion and growth of child narrators over time, arguing that children’s capacity for providing unique insights and valuable perspectives was increasingly acknowledged and exploited by authors to delve deeper into the complexities of human nature. By examining key works and authors, including Charles Dickens, Mark Twain, J.D. Salinger, Emma Donoghue and Mark Haddon among others, and drawing upon interdisciplinary resources from fields such as literary criticism, childhood studies, and socio-cultural history, the paper establishes a thorough examination of the changing role and portrayal of child narrators, their cultural significance, and the ways in which they help drive social, emotional, and psychological exploration in literature.

Temperament and past behaviour can predict behaviour success for nitrous oxide sedation.

There is currently insufficient evidence on potential predictors of a child's behaviour with nitrous oxide (N2O) sedation. To examine the association between a child's temperament and behavioural outcomes during dental treatment with N2O sedation, and the child's perception to N2O sedation. At the first visit (dental treatment visit), temperament was assessed using the Child Behaviour Questionnaire-Short Form and behaviour was assessed by an independent rater using the Venham Behaviour Rating Scale. At the second visit, the child's experience with N2O sedation was elicited. Seventy-two healthy children aged between 36 and 95 months were recruited. Planned dental treatment was completed in 84.7% of the subjects. Venham behaviour success <3 and Venham behaviour success <1 were achieved in 73.6% and 33.3%, respectively. The temperament domain of effortful control was associated with Venham behaviour score (ρ = -0.266, p = .024) and Venham behaviour success <1 (OR = 3.506, 95% CI = 1.328-9.259, p = .011). Baseline Frankl behaviour score was significantly associated with all behavioural outcomes. Venham behaviour success <3 was significantly associated with a child reporting to have enjoyed the dental treatment visit (p = .026). Effortful control and baseline behaviour were associated with behavioural outcomes of N2O sedation and can be used to predict a child's behaviour.

The relationship between traumatic exposure and pain perception in children: the moderating role of posttraumatic symptoms.

Adverse childhood experiences (ACEs) affect approximately half of all children worldwide. These experiences have been linked to increased pain sensitivity in adulthood and a higher likelihood of developing severe chronic pain. However, most studies have assessed the effects of ACEs retrospectively, long after they occurred, leaving room for other factors to influence the observed outcomes. We investigated, for the first time, the association between ACEs and concurrent pain perception among young children who live in a conflict zone and are consistently exposed to potentially traumatic experiences. Participants were 60 elementary school children (ages 8-11 years) living in conflict regions (n = 39) or nonconflict regions (n = 21). Posttraumatic stress symptom (PTSS) severity, traumatic exposure, pressure pain threshold (PPT), and mechanical detection threshold (MDT) were measured. Trauma-exposed children had significantly lower PPT than did controls, but MDT was similar across groups. Pressure pain threshold correlated positively with proximity to the conflict zone and inversely with traumatic exposure magnitude and PTSS severity. In addition, PTSSs moderated the relationship between repeated traumatic exposure and PPT. Children with higher PTSS severity displayed pain hypersensitivity regardless of their traumatic exposure level, whereas in children with lower PTSS severity, greater traumatic exposure correlated with pain hypersensitivity. The results suggest that ACEs among children lead to concurrent pain hypersensitivity and distress and may put them at elevated risk of chronic pain early in life. In addition, our findings emphasize the need for identifying children with various PTSS levels to provide tailored interventions and mitigate the long-term negative effects of ACEs.

Discrepancies in parents’ perceptions of adult children’s well-being: evidence from mother–father–child triads

ABSTRACT Most studies of discrepancies in parents’ reports about children’s psychological problems address younger children and psychological problems. The current contribution shifts the focus to adult children and to well-being. In adult intergenerational relationships, knowledge of children’s well-being is more uncertain and there is more room for disagreements to arise, especially in the context of divorce. We analyzed Dutch multi-actor survey data, using a sample of triads of adult children, fathers, and mothers (N = 1,440). Two hypotheses were tested about the origins of discrepancies using structural equation models in which child well-being reports were included of parents and self-reports of children. The analyses supported the notion of relational specificity: when parents have a closer and more harmonious relationship with the child, they evaluate the child more positively than the other parent, after controlling for adult children’s self-reports of well-being. Qualified support was obtained for the depression-distortion hypothesis, with mothers who have higher well-being themselves being more positive about the child. Discrepancies were larger among separated parents than among married parents and parent-stepparent combinations. The conclusion is that parents do not always have similar views of adult children’s well-being and that disagreements are systematic, with bias stemming from the informant and the relationship.

Adolescents' Perceptions of Household Chaos Predict Their Adult Mental Health: A Twin-Difference Longitudinal Cohort Study.

This study tested whether adolescents who perceived less household chaos in their family's home than their same-aged, same-sex sibling achieved more favorable developmental outcomes in young adulthood, independent of parent-reported household chaos and family-level confounding. Data came from 4,732 families from the Twins Early Development Study, a longitudinal, U.K.-population representative cohort study of families with twins born in 1994 through 1996 in England and Wales. Adolescents who reported experiencing greater household chaos than their sibling at the age of 16 years suffered significantly poorer mental-health outcomes at the age of 23 years, independent of family-level confounding. Mental-health predictions from perceived household chaos at earlier ages were not significant, and neither were predictions for other developmental outcomes in young adulthood, including socioeconomic status indicators, sexual risk taking, cannabis use, and conflict with the law. The findings suggest that altering children's subjective perceptions of their rearing environments may help improve their adult mental health.

“No, I Won't Do That.” Assertive Behavior of Robots and its Perception by Children

AbstractThis paper contributes to the understanding of child-robot interaction through the investigation of child interactions with and anthropomorphization of humanoid robots when manipulating robot-related variables such as behavior and gender. In this study, children observe a robot demonstration in a classroom setting, during which the robot showcases either assertive or submissive behavior and is attributed a gender, either robot-female or robot-male. Afterwards, participant anthropomorphization is measured using the Attributed Mental States Questionnaire (AMS-Q). Results suggest that when prompted to select a response directed at the robot, children used significantly more commanding phrases when addressing the assertively behaving robot when compared to the submissively behaving robot. Further, younger children ages 7–9 anthropomorphize robots at a higher degree than older children 10–12 and assertive behavior from the robot lead to higher rates of anthropomorphization. Results also suggest that children are more likely to respond to female robots in an imperative way than male robots. This widened understanding of child perception of and interaction with humanoid robots can contribute to the design of acceptable robot interaction patterns in various settings.

The Effect of Fundamental Frequency on Gender Perception in Prepubertal Children: Insights from the LoKiS Database

This study examines the impact of fundamental frequency on gender perception in prepubertal children in the LoKiS database – a longitudinal project collecting and analyzing recordings of approximately 60 German primary school children aged six to ten years. Spontaneous and content-controlled audio recordings were collected in two German primary schools. Three distinct listening experiments with over 100 listeners were conducted. In the first experiment, listeners judged the gender of the voices on a seven-point scale. The second experiment explored the relationships between perceptual attribute ratings and corresponding acoustic parameters associated with fundamental frequency. The third experiment utilized voice morphing techniques to investigate the influence of fundamental frequency on gender perception while controlling for other acoustic parameters.About one third of the children receive unambiguous gender attributions. The perceived gender difference between children assigned female at birth (AFAB) and assigned male at birth (AMAB) increases from first to third grade. The feminine-sounding children were perceived as significantly higher pitched and more melodious. A strong correlation between perceived pitch and measured fundamental frequency was found. While the acoustic analysis revealed only a few significant differences between AFAB and AMAB children in general, the feminine-sounding children exhibited markedly higher values than the masculine-sounding ones. Stronger differences of fundamental frequency and semitone range occur as AFAB and AMAB children get older. Linear mixed models confirm a significant influence of fundamental frequency and semitone range on gender perception. Other interacting factors include the speech material used, as well as the gender of the listener. The influence of fundamental frequency was even more pronounced when controlling for other acoustic parameters.

How mothers talk to their children about failure, mistakes and setbacks is related to their children's fear of failure.

Many people fear failure and making mistakes. This fear can be transmitted from parents to children, suggesting that parental communication regarding failures and setbacks may play a critical role in shaping a child's perception of mistakes. In this study, we investigated how everyday parent-child conversations about setbacks influence children's fear of making mistakes. Drawing on the large pre-birth Growing Up in New Zealand cohort, we focused on a sub-sample of 231 mother-child dyads who engaged in a recorded conversations about a "recent disappointment or setback" when the children were 8 years old. Conversations between mothers and children about the recent disappointments were coded to identify whether parents recognised or acknowledge their child's emotional response, if action plans were discussed, and the types of resources that the child could draw on. The children also completed a questionnaire about their global self-worth and their fear of making mistakes. The discussion of clear action plans, in the absence of a discussion about collaborative resources, was found to be associated with an increased fear of making mistakes among children. Conversely, when mothers clearly acknowledged their child's emotions and discussed ways to work collaboratively with their child on future problems, there was a notable decrease in the child's fear of mistakes. However, it is noteworthy that many mothers in our study either minimally acknowledged or dismissed their child's emotions(40%), rarely discussed action plans (55%), or collaborative resources (79%)when discussing the recent setback.

Assessment of auditory perception of children with single-sided deafness after cochlear implantation

Unilateral deafness will lead to the decline of children's speech recognition rate, language development retardation and spatial positioning ability, which will have many adverse effects on children's life and study. Cochlear implantation can help children rebuild binaural hearing, and systematic audiological evaluation after operation is particularly important for clinicians to evaluate the hearing recovery of children. In this study, a variety of commonly used audiological evaluation, testing processes and methods after cochlear implantation in children with unilateral deafness are described in detail, and the related research status and results are summarized.

A serious game for raising air pollution perception in children

AbstractConcerns about air pollution have increased recently. Currently, 94% of the world population face air pollution levels considered unsafe by the World Health Organization, which tells us that efforts are needed to raise people’s awareness about air pollution. The use of serious games and gamification of interactive applications have raised people’s perception. This work presents Problems in the Air, a game developed in Unity about air pollution, in which the player’s goal is to control a character that inhabits an imaginary city tasked to monitor indoor and outdoor air pollution with sensors deployed across several city zones. While playing, children are expected to learn the possible causes of pollution in each zone and, this way, the game attempts to promote pro-environmental behaviors. This game allows educators to configure the problems that the player has to solve. Customisation is a desired feature in existing serious games as teachers often need to tailor this type of tools to their students. Pre- and post-surveys about air pollution were elaborated to evaluate air pollution perception of twenty students of an elementary school before and after playing the game, with results showing some significant positive effects. A System Usability Scale questionnaire was also performed and we obtained an acceptable mean value of 75, out of 100.

Influence of malocclusion on OHRQoL in adolescents in initial orthodontic treatment phase.

Besides correcting malocclusions, another main objective of orthodontic treatment is to improve patients' oral health-related quality of life (OHRQoL). This study aimed to assess changes in OHRQoL of children within the first six months of orthodontic therapy with fixed orthodontic appliances. 85 patients aged 11 to 14 years requiring fixed orthodontic appliance therapy were included. The children completed the German version of the Child Perceptions Questionnaire (CPQ-G-11-14) before (T0), 1 month (T1) and 6 months (T2) after the start of orthodontic treatment. The type of malocclusion was categorized according to the Index of Orthodontic Treatment Need (IOTN). The initial type of malocclusion affected the children's OHRQoL, whereas gender and age did not. The IOTN dental health component (DHC) had a significant impact on the CPQ score (median CPQ of 15.00 for the group DHC 4 vs. 22.50 for DHC 5, p = 0.032). The onset of orthodontic treatment initially affected the CPQ domains "Oral symptoms" and "Functional limitations, with a change versus baseline of 2.00 (p = 0.001), but improved again after 6 months. Regression analysis demonstrated that children with an IOTN DHC 5 malocclusion experienced a greater impact on their ORHQoL, as indicated by a CPQ score 7.35 points higher than that of children with an IOTN DHC 4 malocclusion (p = 0.015). At the beginning of orthodontic treatment, the OHRQoL slightly worsens, probably due to the discomfort and appearance of the appliances. However, 6 months after the start of orthodontic treatment, OHRQoL improved again in patients with severe malocclusion (IOTN 4 and 5), and approached baseline values. The results help the clinician to better understand specific aspects of oral health that may be affected by different malocclusions, thereby improving the child's satisfaction and overall quality of life.

Investigation of Early Childhood and Primary School Education Teacher Candidates' Attitudes to Gender Roles in Terms of Gender, Grade, Mother’s and Father’s Education Levels

Gender inequality indeed persists as a pervasive issue worldwide, infiltrating numerous facets of society and impeding progress toward a more equitable and just world. Schools play a crucial role as essential institutions where children embark on their initial journey into social life, contributing to the formation of values, norms, and social relationships. During these early years, children observe, imitate, and internalize the words, behaviors, and attitudes of teachers, shaping their understanding of the world around them. Therefore, children's perceptions of gender and attitudes toward gender can be significantly influenced by the attitudes and behaviors of their teachers. This research aims to examine whether there are differences in the gender-role attitudes among pre-service early childhood and primary school teachers based on gender, grade level, mother's and father's education level. The study was designed as a cross-sectional survey model, and data were collected from 1st and 4th-grade students enrolled in Early Childhood and Primary School Education Programs at a university in Turkey. The data were collected using a Personal Information Form and the Gender Role Attitude Scale (GRAS). The data were analyzed using Kruskal-Wallis and Mann-Whitney U tests in SPSS 22.0, and effect sizes were calculated. Analysis indicated that there were statistically significant differences in gender role attitudes between genders, grade level, and mother’s education level. However, there was no statistically significant difference in the scores based on the father's education level. Female teacher candidates were found to have more egalitarian gender role attitudes compared to male teacher candidates, and 4th-grade students exhibited more egalitarian attitudes than 1st-grade students. Additionally, it was observed that teacher candidates whose mothers were illiterate tended to have more traditional gender role attitudes compared to those whose mothers had primary school, middle school, high school, or college degrees.

Family Perceptions on Linear Growth in Stunted Children in Wonorejo Village, Malang District

Introduction Indonesia is ranked fifth among countries with the highest burden of stunting children. The role of families becomes very important in understanding and responding the nutritional status of children from the various risks of nutritional problems. This study was aimed to understand caregiver perceptions of child’s stunting.Methods: A qualitative phenomenological approach was conducted. Eleven primary caregivers of stunting children aged 24-60 months were interviewed individually. The recorded interviews were transcribed verbatim and were analyzed using thematic analysis.Results: Two major themes were identified: (i) family perceptions of children’s linear growth; and (ii) family responses in dealing with the growth statusConclusion: Families perceive stunting as a condition of failure to thrive which is characterized by short stature compared to other children of the same age. Families also reported emotional and attitude response upon learning the growth status of toddlers identified as experiencing stunting. The role of health workers is needed to provide emotional and informational supports to families in trying to fulfill nutrition in stunting childrenKeywords: Caregiver Perceptions, Linear Growth Faltering, Nutrition Fullfillment, Stunting

Seeds of Change: Negotiating Hierarchies in Seed Picturebook Stories

How tiny seeds are represented in children’s literature has long eluded critical attention, although they are frequently foregrounded in the words and images of children’s picturebooks. Drawing upon critical plant studies, new materialism, and Kathryn Parsley’s notion of “plant awareness disparity”, this article analyzes three contemporary seed picturebook stories, namely Jory John and Pete Oswald’s The Bad Seed (2017), Cristiana Valentini and Philip Giordano’s Stay, Little Seed (2020), and Jen Cullerton Johnson and Sonia Lynn Sadler’s Seeds Of Change: Planting a Path to Peace (2011). With a focus on the verbal and visual representations of seeds and their poetic relationship with children, the analysis of the three seed stories reveals the empowering nature of seed narratives which represent seeds as anthropomorphized characters or symbolic motifs, but most essentially, as agentic beings with vibrancy. These stories exhibit the poetic entanglement of seeds and children in an agentic assemblage of collective vulnerability, which not only blurs the line between the human and vegetal, but also negotiates power hierarchies embedded in the world ruled by adults. Thus, I argue that seed stories reveal the agentic power of seeds by crafting various forms of poetic entanglements between seeds and children. Although the child-seed entanglement may not entirely deconstruct an asymmetry between adults and innocent children as well as between matured plants and tiny seeds, this study offers an alternative perspective that counters the perception of seeds and children as vulnerable and controlled.

Assessing children's outdoor thermal comfort with facial expression recognition: An efficient approach using machine learning

In this study, children's physiological indices and facial expressions during activities with distinct intensities in outdoor open spaces were real-timely measured. Correspondingly, meteorological measurements and questionnaire surveys were conducted to explore change laws of children's physiological feedback, facial expressions, and subjective perception. Then, a predictive model of children's outdoor thermal sensations was built with the coupling relations of physiological indices and facial expressions. Results showed that the skin temperature on the face tended to increase as thermal stress increased but gradually declined with increasing activity intensity. Mean ear skin temperature (Tear) was the most sensitive, followed by mean cheek temperature (Tcheek). When conducting moderate and vigorous intensity activities, the heart rate (HR) increased significantly within 5 min of exercise and then stabilized. The HR increase in vigorous intensity activities was greater than that during moderate intensity activities. With an increase in thermal stress and activity intensity, the proportion of negative emotions (NegEmo) in facial expressions gradually increased. Sadness and disgust expressions both increased significantly, followed by fear and anger. Thus, Tear and NegEmo expressed facially were important indices to predict children's outdoor thermal sensation. Finally, the predictive model for children's outdoor thermal sensation based on facial expressions, Tear, and HR allowed for non-invasive data collection was built integrating machine learning, and its accuracy reached as high as 97.1 %. Our results propose a faster feedback method for children's thermal perception based on facial expression recognition, which can real-timely monitor thermal comfort for children, ensuring their outdoor thermal health and safety.

Differences in maternal and paternal pressure to eat and perception of household responsibilities.

Controlling feeding practices, such as pressure to eat, are associated with a child's disinhibited eating and extremes in bodyweight. We aimed to explore which factors are associated with parent dyads' pressuring feeding practices, including how mothers and fathers perceive the sharing of household tasks such as mealtime and child feeding responsibilities. In this cross-sectional study, parent dyads (mother and father) of healthy preschool-aged children completed an identical questionnaire consisting of measures of picky eating (food fussiness subscale of Child Eating Behavior Questionnaire), parental concern for undereating, and pressure to eat (Child Feeding Questionnaire). We used separate multivariable linear regression models for mothers and fathers to assess correlates associated with pressure to eat subscale score, including slowness of eating and enjoyment of food, child BMI z-score and race/ethnicity, and household income. Separate unadjusted linear regression models for mothers and fathers were used to report the association of pressure to eat with household responsibilities. Parents (N = 88) had similar mean picky eating, concern for undereating, and pressure to eat scores; more fathers had high pressure to eat scores (36% vs 27%). Higher pressure to eat was significantly associated with lower income, non-Hispanic Black or Black race/ethnicity, slow eating, and lower enjoyment of food. Pressure was not associated with household responsibilities. While there were similar maternal and paternal perceptions of child eating behaviors, more fathers reported pressuring their child to eat. Identifying differences in parental feeding practices may assist in intervention development to improve feeding practices.

Association between dental clinical measures and oral health-related quality of life among Iraqi schoolchildren: A cross-sectional study.

The aim of this study was to assess the association between dental clinical measures and oral health-related quality of life (OHRQoL) together with the potential mediating role of sociodemographic factors and oral health behaviours on this association in a group of Iraqi children. The target population for this cross-sectional study consisted of 372 primary school children aged 8-10 years in the city of Kut, Iraq, during the year 2022. The participants were selected using a multi-stage random sampling technique. Detailed information about the children was collected through a comprehensive questionnaire that included demographic characteristics, oral health-related behaviors, the Arabic version of the Child Perceptions Questionnaire for 8-10-year-olds (CPQ8-10), and parental knowledge regarding oral health. Additionally, clinical dental evaluations were conducted, which included assessments of decayed, missing, and filled surfaces (DMFS, dmfs) as well as teeth (DMFT, dmft). Simplified oral hygiene index (OHI-S), bleeding on probing (BOP), and the community periodontal index (CPI) were also recorded for each participant using the recommended methodology by the World Health Organization (WHO). The statistical analysis included the Chi-square test, independent t-test, and simple and multiple linear regressions. The mean age of the children was 9.0 (± 0.82) years. About one-third of children reported brushing at least two times per day and consuming a sweet snack once a day. Visiting a dentist during the past year was reported by 21% of children. Oral health behaviours demonstrated a significant association with the total CPQ8-10 scores (p < 0.001). Based on adjusted effects (β and 95% CI) from the multiple linear regressions, untreated dental caries (dt > 0, DT > 0) had a negative impact on the total CPQ8-10 score (adjusted β = 2.3 (95% CI: 0.67 to 3.91) and 3.4 (95% CI: 2.14 to 4.56), respectively). Decayed surfaces (DS), and teeth (DT) were associated with the total score of the CPQ8-10 and all its subscales (adjusted β range = 0.1 (95% C.I.: 0.03 to 0.19)-1.0 (95% CI: 0.72 to 1.26) and 0.2 (95% CI: 0.004 to 0.40)-1.2 (95% CI: 0.91 to 1.67), respectively). There was an association between oral hygiene index and total CPQ8-10 scores (adjusted β = 1.8 (95% CI: 0.62 to 3.02)), especially the functional limitations and emotional well-being subscales. Findings of this study emphasizes the negative impact of dental caries and poor oral hygiene on children's OHRQoL. This association is highlighted more when considering that over two-thirds of these children do not comply with favourable levels of oral health behaviour. Enhancing the level of OHRQoL among these children, therefore, necessitates comprehensive programs for decreasing the volume of unmet oral health needs and improving children's adherence to recommended oral health behaviours.

"They sure aren't from around here": Children's perception of accent distance in L1 and L2 varieties of English.

Children exhibit preferences for familiar accents early in life. However, they frequently have more difficulty distinguishing between first language (L1) accents than second language (L2) accents in categorization tasks. Few studies have addressed children's perception of accent strength, or the relation between accent strength and objective measures of pronunciation distance. To address these gaps, 6- and 12-year-olds and adults ranked talkers' perceived distance from the local accent (i.e., Midland American English). Rankings were compared with objective distance measures. Acoustic and phonetic distance measures were significant predictors of ladder rankings, but there was no evidence that children and adults significantly differed in their sensitivity to accent strength. Levenshtein Distance, a phonetic distance metric, was the strongest predictor of perceptual rankings for both children and adults. As a percept, accent strength has critical implications for social judgments, which determine real world social outcomes for talkers with non-local accents.