MEASURING & DOCUMENTING DISPARITIES IN ORAL HEALTH: A PRACTICAL APPROACH

测量

• 批准号: 7303137
• 负责人: LUISA N BORRELL
• 金额: --
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7303137
• 关键词: Accounting; Adult; Age; Age-Years; Area; Clinical; Data; Dental caries; Depth; Development; Disease; Ethnic Origin; Gender; Goals; Grant; Guidelines; Health; Healthy People 2010; Measures; Methodology; Methods; Mouth Diseases; National Health and Nutrition Examination Survey; Odds Ratio; Oral health; Outcome; Periodontal Diseases; Periodontal Index; Population; Population Group; Population Study; Positioning Attribute; Prevalence; Principal Investigator; Race; Recommendation; Relative (related person); Reporting; Research; Standards of Weights and Measures; Statistical Data Interpretation; Strategic Planning; Surveys; Testing; Time; United States; Validity and Reliability; data acquisition; health disparity; programs; racial and ethnic; socioeconomics; tool; trend

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）：虽然随着时间的推移，美国人口的健康状况有所改善，但群体（即种族/族裔或社会经济群体）之间持续存在的差异表明，这种改善是不平衡的。尽管多年来这些差异已被记录下来，并且一些研究试图检验随时间推移的趋势，但由于缺乏衡量健康差异和健康差异的统一或标准方法，估计这些差异的大小和方向一直具有挑战性。他们随时间变化的趋势。口腔健康差异也不例外。该提案的目标是开发和测试一种方法来评估不同人群中龋齿和牙周病随时间变化的口腔健康差异。为了实现这一目标，我们提出以下两个具体目标： 目标 1：使用 NHANES III 的数据开发灵敏的方法来衡量美国人口中龋齿和牙周病的差异，从而解释不同研究中病例定义的差异。制定这些方法时将考虑和说明： a) 按年龄、性别、种族/族裔和社会经济地位 (SEP) 指标划分的疾病在人口中的分布； b) 选择最佳参考组； c) 使用相对与绝对疾病测量方法获得的结果的比较。目标 2：使用 NHANES 1999-2002 的数据来测试目标 1 中制定的措施，以评估龋齿和牙周病方面的口腔健康差异。使用 NHANES 1999-2002 数据测试目标 1 中开发的方法的有效性和可靠性将使我们能够提供使用统一和标准化措施的指南和建议，以记录地方和国家层面研究中现有的口腔健康差异随着时间的推移跨越人口群体。该提案的目标与 NIDCR 战略计划的交叉领域（健康差异和数据采集与分析）以及 2010 年健康人民消除部分美国人口之间健康差异的目标一致。具体来说，实现这项拟议研究的目标有可能有助于我们了解美国的口腔健康差异；提供工具，在地方和国家层面的研究中使用统一的措施来衡量口腔健康差异的程度和方向；并为不同研究和人群随时间推移的口腔健康差异比较推荐指南。最后，所制定的措施有可能用于衡量与年龄、性别、种族/民族和社会经济地位相关的健康差异对其他口腔健康结果和一般健康结果的影响。