Northwest/Alaska/Hawaii Center to Reduce Oral Health Disparities

西北/阿拉斯加/夏威夷中心致力于减少口腔健康差异

基本信息

批准号：
7929079
负责人：
Peter M Milgrom
金额：
$ 15.88万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-19 至 2013-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7929079
关键词：
4 year old Address Alaska Americas Area Arts Attention Award Awareness Budgets Caregivers Caries prevention Child Clinic Clinical Research Clinical Trials Collaborations Communication Communities Community Health Centers Community Workers Country County Critiques Data Coordinating Center Dedications Dental Dental Care Dental Schools Dental caries Dentistry Dentists Development Direct Costs Disadvantaged Discipline Disease Economically Deprived Population Education Educational Curriculum Effectiveness Electronics Environment Evaluation Exhibits Face Faculty Failure Fluoride Varnishes Fluorides Funding Funding Applicant Goals Government Grant Hawaii Hawaiian population Health Health Promotion Health Sciences Health Services Accessibility Health system Healthy People 2010 Human Improve Access Individual Injury Institution Interdisciplinary Study Intervention Intervention Studies Intervention Trial Interview Interviewer Knowledge Latino Lead Leadership Letters Low income Maternal and Child Health Medicaid Medical Medical center Medicine Mentors Methods Minority Modeling Monitor Mothers National Institute of Dental and Craniofacial Research Native Americans Nature Operative Surgical Procedures Oral Oral health Oregon Outcome Outcome Measure Pacific Island Americans Parents Policies Population Population Research Povidone-Iodine Preschool Child Prevention Preventive Process Productivity Public Health Publications Qualifying Randomized Clinical Trials Recommendation Recording of previous events Reporting Research Research Design Research Methodology Research Personnel Research Project Grants Research Training Resources Role Rural Rural Population Schools Scientist Self-Administered Services Site Societies Specific qualifier value Stress Students Summary Reports Technology Testing Tooth structure Toothbrushing Toothpaste Topical Fluorides Training Translating Treatment Efficacy Universities Washington Work Writing aged base community based participatory research community organizations cost effective craniofacial design dissemination research expectation experience flexibility health disparity innovation intergenerational investigator training meetings nutrition outreach pre-doctoral prevent programs research study social sound statistics strength training success successful intervention theories therapy design toothbrush

项目摘要

DESCRIPTION (provided by applicant): The Northwest/Alaska/Hawaii Center to Reduce Oral Health Disparities at the University of Washington in Seattle focuses on tooth decay in children, because it is the major oral health challenge U.S. society faces. Tooth decay in preschool children is worsening. The Healthy People 2010 Midcourse Review found the country moving away from national targets for young children: 22% of children 2-4 years of age have tooth decay while the target is 11%. The research plan addresses disparities and inequities in access to dental care and to healthy teeth (tooth decay or caries prevention) for low-income and vulnerable mothers and children within a conceptual framework that specifies the ecological nature of disparity problems. The specific aims of the community-based multidisciplinary research plan are to: 1) Conduct human trials to evaluate the efficacy of interventions to prevent and treat dental caries in children and their caretakers; 2) Develop community-based research that translates existing knowledge and new information into technologies and interventions that will reduce disparities; and 3) Encourage and support developmental research that has the potential to lead to independent studies to address and reduce caries inequity in children. The Center includes the Research Program Administrative Center (RPAC), two major community based intervention trials focused on dental caries- Community-Based Intergenerational Oral Health Promotion In Rural America and Parent-Child Toothbrushing with 1000 ppm Fluoride Toothpaste to Prevent ECC-and a Statistics and Data Coordinating Center (S&DCC). Primary research program sites include 12 rural county health departments in the State of Oregon serving whites and Latinos, a training center in Klamath County Oregon, and large Community Health Centers serving minority communities in Woodburn, Oregon (Salud Medical Center, Latinos) and Waianae Coast, Hawaii (Waianae Coast Comprehensive Health Center, Native Hawaiians and Pacific Islanders). Further dissemination sites are in the Alaska bush, rural Hawaii and Washington State. Developmental research projects involve communities in rural Eastern and Southwestern Washington State and focus on school nutrition and the use of topical PVP-iodine and fluoride varnish in caries prevention. The Center also includes a training core to increase the cadre of oral health disparities researchers through clinical research training and mentoring for junior scientists, efforts to enhance the awareness of health disparities research in the predoctoral curriculum in dentistry and medicine, and increases the numbers of minority and rural students entering dentistry and health sciences disciplines.

描述（由申请人提供）：西雅图华盛顿大学西北/阿拉斯加/夏威夷减少口腔健康差异中心重点关注儿童蛀牙，因为这是美国社会面临的主要口腔健康挑战。学龄前儿童的蛀牙情况正在恶化。《健康人民 2010 年中期审查》发现，该国偏离了针对幼儿的国家目标：22% 的 2-4 岁儿童患有蛀牙，而目标是 11%。该研究计划在一个明确了差异问题的生态性质的概念框架内，解决了低收入和弱势母亲和儿童在获得牙科护理和健康牙齿（蛀牙或龋齿预防）方面的差异和不平等问题。以社区为基础的多学科研究计划的具体目标是： 1）进行人体试验，评估预防和治疗儿童及其看护者龋齿的干预措施的有效性； 2) 开展基于社区的研究，将现有知识和新信息转化为减少差距的技术和干预措施； 3) 鼓励和支持有潜力开展独立研究的发展研究，以解决和减少儿童龋齿不平等问题。该中心包括研究计划管理中心 (RPAC)、两项以社区为基础的主要针对龋齿的干预试验——美国农村地区基于社区的代际口腔健康促进和亲子刷牙用 1000 ppm 含氟牙膏预防 ECC——以及统计数据和数据协调中心（S&DCC）。主要研究项目地点包括俄勒冈州 12 个为白人和拉丁裔提供服务的乡村县卫生部门、俄勒冈州克拉马斯县的一个培训中心以及为俄勒冈州伍德伯恩（拉丁裔萨鲁德医疗中心）和怀厄奈海岸的少数族裔社区提供服务的大型社区卫生中心，夏威夷（怀亚奈海岸综合健康中心，夏威夷原住民和太平洋岛民）。其他传播地点位于阿拉斯加丛林、夏威夷乡村和华盛顿州。发展研究项目涉及华盛顿州东部和西南部的农村社区，重点关注学校营养以及使用局部 PVP 碘和氟化物清漆预防龋齿。该中心还包括一个培训核心，旨在通过临床研究培训和对初级科学家的指导来增加口腔健康差异研究人员的骨干队伍，努力提高牙科和医学博士前课程中对健康差异研究的认识，并增加少数族裔的数量以及进入牙科和健康科学学科的农村学生。