Examining Adolescent Social Networks and Dental Utilization in the National Longitudinal AddHealth Study

在国家纵向 AddHealth 研究中检查青少年社交网络和牙科使用情况

• 批准号: 10436023
• 负责人: Alison J. Culyba
• 金额: $ 15.7万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10436023
• 关键词: AIDS/HIV problem; Address; Adolescence; Adolescent; Adolescent Behavior; Adult; Affect; Age; American; Area; Characteristics; Child; Community Networks; Data; Data Analyses; Data Collection; Data Set; Dental; Dental Care; Dental caries; Dentists; Development; Drug Addiction; Evaluation; Family; Female; Friends; Friendships; Future; Health; Health Status; Health behavior; Healthcare; Home; Individual; Infection; Influentials; Interpersonal Relations; Intervention; Interview; Link; Literature; Longevity; Longitudinal Studies; Longitudinal Surveys; Longitudinal cohort study; Modeling; Mouth Diseases; National Institute of Dental and Craniofacial Research; Neighborhoods; Obesity; Oral health; Outcome; Pain; Participant; Pathway Analysis; Performance; Persons; Policies; Prevalence; Questionnaires; Reporting; Research; Resources; Schools; Smoking; Social Interaction; Social Network; Statistical Models; Strategic vision; Students; Techniques; Time; Visit; Work; adolescent health; aged; analytical method; cohort; disadvantaged background; health data; health disparity; health seeking behavior; improved; interdisciplinary approach; interest; junior high school; longitudinal dataset; male; novel strategies; nutrition; peer; peer influence; peer networks; permanent tooth; socioeconomics; support network; therapy development; AIDS/HIV problem; Address; Adolescence; Adolescent; Adolescent Behavior; Adult; Affect; Age; American; Area; Characteristics; Child; Community Networks; Data; Data Analyses; Data Collection; Data Set; Dental; Dental Care; Dental caries; Dentists; Development; Drug Addiction; Evaluation; Family; Female; Friends; Friendships; Future; Health; Health Status; Health behavior; Healthcare; Home; Individual; Infection; Influentials; Interpersonal Relations; Intervention; Interview; Link; Literature; Longevity; Longitudinal Studies; Longitudinal Surveys; Longitudinal cohort study; Modeling; Mouth Diseases; National Institute of Dental and Craniofacial Research; Neighborhoods; Obesity; Oral health; Outcome; Pain; Participant; Pathway Analysis; Performance; Persons; Policies; Prevalence; Questionnaires; Reporting; Research; Resources; Schools; Smoking; Social Interaction; Social Network; Statistical Models; Strategic vision; Students; Techniques; Time; Visit; Work; adolescent health; aged; analytical method; cohort; disadvantaged background; health data; health disparity; health seeking behavior; improved; interdisciplinary approach; interest; junior high school; longitudinal dataset; male; novel strategies; nutrition; peer; peer influence; peer networks; permanent tooth; socioeconomics; support network; therapy development

ABSTRACT Adolescence is a developmental period when oral diseases often arise and a time during which dental care is the most common unmet health care need. Approximately one-fifth of U.S. adolescents have untreated dental caries in their permanent teeth, and they use fewer dental services compared with younger children. Adolescence is also a developmental period during which they are strongly influenced by the peers in their social network, which is a person’s network of in-person social interactions and interpersonal relationships. Outside of oral health, research on social networks have been instrumental in advancing our understanding of obesity, smoking, HIV/AIDS and drug addiction. Far less is known about the effects of social networks on oral health; and there is no existing literature on the association between social networks and oral health outcomes in adolescents. This study will examine the extent to which adolescent social networks are predictive of dental utilization. We will use the largest, most comprehensive longitudinal survey of adolescents in the U.S., which is the National Longitudinal Study of Adolescent to Adult Health, 1994-2018 (Add Health). Add Health collected peer network data from 90,118 public school students aged 10 to 19 years from 145 schools in Wave I (1994-1995) and completed 4 additional Waves of data collection through 2018. A whole peer network can be constructed from this dataset, which allows us to study the relationship between social network characteristics and dental utilization cross-sectionally in the same year and longitudinally as the cohort transitioned to adulthood. We will use multiple regression controlling for individual, family, community, and social network characteristics with peer- and school-level random effects to examine the extent to which adolescent social networks are predictive of dental utilization. This proposal addresses the NIDCR’s strategic vision 2030 on Oral Health + Overall Health, which prioritizes longitudinal cohort studies of oral health across the lifespan. The overall impact of this research will increase our understanding of the relationship between social networks and oral health outcomes, apply rigorous social network analytic methods to dental health research, and inform novel approaches to interventions that improve dental utilization in an age range that has persistent untreated dental caries.

抽象的 青春期是一个发育时期，经常出现口腔疾病和牙齿 护理是最常见的未满足医疗保健需求。大约五分之一的美国青少年有 未经处理的牙齿牙齿中的牙齿牙齿，与他们使用的牙科服务更少 年幼的孩子。青少年也是一个发展时期 受其社交网络中同龄人的影响，这是一个人的面对面社交网络 互动和人际关系。在口腔健康之外，社交网络的研究有 有助于促进我们对肥胖，吸烟，艾滋病毒和吸毒成瘾的理解。 关于社交网络对口腔健康的影响知之甚少。而且没有现有文献 关于社交网络与青少年口腔健康成果之间的关联。这项研究会 检查青少年社交网络可预测牙齿利用的程度。我们将使用 美国青少年的最大，最全面的纵向调查，这是国家 青少年对成人健康的纵向研究，1994 - 2018年（增加健康）。添加健康收集的同伴 从一世的145所学校中的90,118名公立学校学生的网络数据从一波 （1994-1995），并在2018年完成了4个额外的数据收集浪潮。整个同行网络 可以从该数据集构建，这使我们能够研究社交网络之间的关系 特征和牙齿利用率在同一年横截面，并纵向与队列 过渡到成年。我们将对个人，家庭，社区使用多元回归控制， 以及具有同行和学校级随机效应的社交网络特征，以检查 哪些青少年社交网络可预测牙齿利用率。该提议解决了 NIDCR关于口服健康 +整体健康的战略愿景，优先于纵向队列 整个生命周期的口腔健康研究。这项研究的总体影响将增加我们的 了解社交网络与口腔健康成果之间的关系，应用严格 牙科健康研究的社交网络分析方法，并将新颖的方法告知 改善牙齿利用率的干预措施在持续未经治疗的牙科龋齿的年龄范围内。