MEASURING & DOCUMENTING DISPARITIES IN ORAL HEALTH: A PRACTICAL APPROACH

测量

基本信息

批准号：
7436320
负责人：
LUISA N BORRELL
金额：
$ 16.12万
依托单位：
HERBERT H. LEHMAN COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-07-01 至 2010-12-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): While some improvements in the health of the United States (US) population have occurred over time, the persistence of disparities between groups, namely racial/ethnic or socioeconomic groups, indicates that such improvement has been uneven. Although these disparities have been documented over the years and some studies have attempted to examine trends over time, it has been challenging to estimate the magnitude and direction of these disparities across groups due to the lack of a uniform or standard methodology to measure health disparities and their trends across time. Oral health disparities are not an exception to this challenge. The goal of this proposal is to develop and test a methodology to assess oral health disparities in dental caries and periodontal diseases across populations over time. In order to accomplish this goal, we propose the following two specific aims: Aim 1: Use data from NHANES III to develop sensitive methods to measure disparities in dental caries and periodontal disease in the US population accounting for the difference in case definitions across studies. These methods will be developed considering and accounting for: a) the distribution of disease in the population by age, gender, race/ethnicity and socioeconomic position (SEP) indicators; b) the selection of the best reference group; and c) the comparison of results obtained using relative versus absolute measures of disease. Aim 2: Use data from NHANES 1999-2002 to test the measures developed in Aim 1 to assess oral health disparities in dental caries and periodontal disease. Testing the validity and reliability of the developed methodology in Aim 1 using the NHANES 1999-2002 data will allow us to provide guidelines and recommendations for the use of uniform and standardized measures to document the existing oral health disparities in studies at the local and national levels across groups of the population over time. This proposal's aims are consistent with the NIDCR Strategic Plan's Crosscutting Areas-Health Disparities and Data acquisition and Analysis-and the Healthy People 2010's goal of eliminating health disparities among segment of the US population. Specifically, accomplishing this proposed study's aims has the potential to contribute to our understanding of oral health disparities in the US; to provide the tools to gauge the magnitude and direction of oral health disparities using uniform measures in studies at the local and national levels; and to recommend guidelines for oral health disparity comparisons across studies and populations over time. Finally, the developed measures have the potential to be used to measure health disparities related to age, gender, race/ethnicity and socioeconomic position on other oral health outcomes and health outcomes in general.

描述（由申请人提供）：虽然随着时间的流逝，美国（美国）人口的健康有所改善，但群体之间的差异持续存在，即种族/种族或社会经济群体，表明这种改善是不均匀的。尽管多年来已经记录了这些差异，并且一些研究试图随着时间的流逝研究趋势，但由于缺乏统一或标准的方法来衡量整个时间的健康差异及其趋势，因此估计各组差异的大小和方向是一项挑战。口腔健康差异不是这一挑战的例外。该提案的目的是开发和测试一种方法，以评估随着时间的流逝，种群中龋齿和牙周疾病的口腔健康差异。为了实现这一目标，我们提出以下两个具体目的：目标1：使用NHANES III的数据开发敏感方法来衡量龋齿和牙周疾病的差异，在美国人群中，在研究案例定义方面占了差异。考虑和会计这些方法将开发出：a）按年龄，性别，种族/种族和社会经济地位（SEP）指标划分的人口中疾病分布； b）选择最佳参考组； c）使用相对与绝对疾病的绝对度量获得的结果比较。目标2：使用NHANES 1999-2002的数据测试目标1中开发的措施，以评估龋齿和牙周疾病的口腔健康差异。使用NHANES在AIM 1中测试开发方法的有效性和可靠性，使用NHANES 1999-2002数据将使我们能够为使用统一和标准化措施提供指南和建议，以记录随着时间的时间群体群体和国家级别的本地和国家研究中现有的口腔健康差异。该提案的目标与NIDCR战略计划的横切领域健康差异以及数据获取和分析以及2010年健康人民消除美国人口中的健康差异的目标是一致的。具体而言，完成这项拟议的研究的目标有可能为我们对美国口腔健康差异的理解做出贡献；提供工具，以在地方和国家一级的研究中使用统一的措施来评估口腔健康差异的规模和方向；并建议随着时间的推移研究和人群的口腔健康差异比较指南。最后，开发的措施有可能用于衡量与年龄，性别，种族/种族和社会经济地位有关的健康差异，从而在其他口腔健康状况和整个健康状况上。