Oral Health of Latino and Ethiopian Children and Their Mothers

拉丁裔和埃塞俄比亚儿童及其母亲的口腔健康

基本信息

批准号：
7425196
负责人：
Olivia Denise Carter-Pokras
金额：
$ 22.01万
依托单位：
UNIV OF MARYLAND, COLLEGE PARK
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：
2008-09-30 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7425196
关键词：
5 year old African American Age-Months Age-Years Area Attitude Belief Caregivers Caring Characteristics Child Child Care Clinical Trials Communicable Diseases Communities Community Health Community Health Centers Dental Dental Care Dental Health Surveys Dental caries District of Columbia Education Federally Qualified Health Center Focus Groups General Anesthesia Goals Grant Health Health Knowledge, Attitudes, Practice Health education Healthcare Healthy People 2010 Hispanics Human Resources Immigrant Institute of Medicine (U.S.)Institutes Interview Knowledge Latino Lesion Life Low income Methods Minority Minority Groups Monitor Mothers Operating Rooms Oral health Parents Preschool Child Process Public Health Rate Relative (related person)Reporting Research Research Project Grants Risk Marker Services South American Strategic Planning Toothache Trainers Training United States Dept. of Health and Human Services abstracting community based participatory research craniofacial deciduous tooth early childhood health disparity improved prevent service utilization tool tooth surface

项目摘要

DESCRIPTION (provided by applicant): Abstract With the launch of Healthy People 2010 and the Department of Health and Human Services (DHHS) strategic plan; goals to eliminate disparities in health and health care have been firmly placed on the national health agenda. To achieve these goals, the Institute of Medicine's Unequal Treatment report recommended that DHHS monitor progress toward the elimination of health care disparities. The report noted the relative paucity of research in health care disparities for non-African American minority groups. Dental caries and its complications are specifically targeted by the National Institute of Dental and Craniofacial Research's Plan to Eliminate Health Disparities. Despite significant advances in the understanding of the caries process and in the tools to prevent it, caries is still the most prevalent infectious disease among children, particularly minority and low-income children. Caries in preschool children, also known as Early Childhood Caries, is of particular concern given that its deleterious effects are seen later in life and its treatment requires specialized care even in the operating room under general anesthesia. Early Childhood Caries is the presence of 1 or more decayed (noncavitated or cavitated lesions), missing (due to caries), or filled tooth surfaces in any primary tooth in a child 71 months of age or younger. The overall goal of this mixed-method, community based participatory research project is to improve understanding of early childhood caries and barriers and facilitators for dental care services utilization among Latino and Ethiopian children and their mothers. There are four main aims of this project: 1) Identify knowledge, attitudes and behaviors relating to oral health among mothers who are main caregivers of 0-5 year old Latino and Ethiopian children attending an urban community health center, (2) Compare demographic and sociocultural characteristics of users and nonusers of dental services at an urban community health center, (3) Determine the rate of caries and risk markers (identified in Aims 1 and 2) for Latino, Ethiopian and other children 0-5 years of age and their main caregiver mothers who receive dental services, and (4) Provide train- the-trainer oral health education for personnel of an urban community health center. This project will provide needed information regarding oral health of Central/South American and Ethiopian immigrants, parents' attitudes and beliefs towards dental pain in young children, and maternal oral health knowledge, beliefs and attitudes. Information gained through this collaborative project will be used to plan oral health education efforts at a Federally Qualified Health Center (FQHC) in Washington DC (Mary's Center for Maternal and Child Care), and other Central/South American and Ethiopian communities outside the DC area and support ancillary oral health studies for the NHLBI Hispanic Community Health Study, and a clinical trial planning grant. PUBLIC HEALTH RELEVANCE: Information on dental caries (the most common infectious disease among children); the use of dental services; and oral health knowledge, attitudes and behaviors will be gathered through focus groups, health interview surveys and dental examinations for 0-5 year old Latino and Ethiopian children and their main caregiver mothers attending an urban community health center. This information will be used to provide education on oral health to personnel of an urban community health center.

描述（由申请人提供）：摘要随着“健康人民 2010”和卫生与公众服务部 (DHHS) 战略计划的启动；消除健康和保健方面差距的目标已被坚定地列入国家卫生议程。为了实现这些目标，医学研究所的不平等待遇报告建议 DHHS 监测消除医疗保健不平等的进展情况。该报告指出，关于非非裔美国少数群体医疗保健差异的研究相对较少。国家牙科和颅面研究所的消除健康差异计划专门针对龋齿及其并发症。尽管对龋齿过程的认识和预防龋齿的工具取得了重大进展，但龋齿仍然是儿童中最流行的传染病，特别是少数民族和低收入儿童。学龄前儿童的龋齿（也称为幼儿期龋齿）尤其值得关注，因为其有害影响会在以后的生活中显现出来，并且即使在手术室全身麻醉下进行治疗也需要专门护理。儿童早期龋齿是指 71 个月或以下儿童的任何乳牙中存在 1 个或多个腐烂（非空洞或空洞病变）、缺失（由于龋齿）或填充的牙齿表面。这个混合方法、基于社区的参与性研究项目的总体目标是提高对儿童早期龋齿以及拉丁裔和埃塞俄比亚儿童及其母亲利用牙科护理服务的障碍和促进因素的了解。该项目有四个主要目标：1) 确定在城市社区卫生中心就诊的 0-5 岁拉丁裔和埃塞俄比亚儿童的主要照顾者母亲中与口腔健康相关的知识、态度和行为，(2) 比较人口和性别城市社区卫生中心牙科服务使用者和非使用者的社会文化特征，(3) 确定拉丁裔、埃塞俄比亚人和其他 0-5 岁儿童的龋齿率和风险标记（在目标 1 和 2 中确定）（四）对城市社区卫生服务中心人员进行口腔健康教育。该项目将提供有关中/南美洲和埃塞俄比亚移民的口腔健康、父母对幼儿牙痛的态度和信念以及孕产妇口腔健康知识、信念和态度的所需信息。通过该合作项目获得的信息将用于规划华盛顿特区联邦合格健康中心（FQHC）（玛丽母婴护理中心）以及华盛顿特区以外的其他中/南美洲和埃塞俄比亚社区的口腔健康教育工作支持 NHLBI 西班牙裔社区健康研究的辅助口腔健康研究以及临床试验计划拨款。公共卫生相关性：有关龋齿（儿童中最常见的传染病）的信息；使用牙科服务；口腔健康知识、态度和行为将通过焦点小组、健康访谈调查和牙科检查，收集到城市社区卫生中心就诊的 0-5 岁拉丁裔和埃塞俄比亚儿童及其主要照顾者母亲的情况。该信息将用于向城市社区卫生中心的工作人员提供口腔健康教育。