SORRIA! Assessing Brazilian Immigrant Parents' Oral Health Knowledge, Attitudes, and Behaviors for their Young Children

索里亚！

基本信息

批准号：
10648393
负责人：
ANA CRISTINA TERRA DE SOUZA LINDSAY
金额：
$ 24.28万
依托单位：
UNIVERSITY OF MASSACHUSETTS BOSTON
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-07-15 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10648393
关键词：
2 year old 20 year old 6 year old Acculturation Affect American Indians Back Basic Science Behavioral Biological Brazil Caries prevention Characteristics Child Childhood Chronic Chronic stress Communicable Diseases Communities Control Locus Data Dental Care Dental Hygiene Dental Insurance Dental caries Dimensions Disease Environment Ethnic Population Face Family Fathers Focus Groups Foundations Future Health Health Knowledge Attitudes Practice Health Promotion Health Status Health behavior Healthcare Healthcare Systems High Prevalence Hispanic Immigrant Immigrant family Immigration Individual Intervention Intervention Trial Language Latin American Latinx Latinx population Length Low income Minority Modeling Mothers Native-Born Oral health Outcome Outcomes Research Parents Patient Self-Report Phase Physical environment Play Population Portuguese Psychosocial Assessment and Care Psychosocial Factor Qualitative Research Questionnaires Research Research Methodology Residencies Risk Role Science Self Efficacy Social Environment Social support Stress Surveys Time Translating Underrepresented Populations United States care systems community based research community engaged research design early childhood early experience ethnic minority experience health belief health care availability health care service utilization health knowledge health related quality of life improved information gathering innovation knowledge base low socioeconomic status pilot test prevent preventive intervention racial minority racial population social capital sociodemographics socioeconomics

项目摘要

PROJECT SUMMARY Oral health (OH) is an essential component of overall health. Early childhood caries (ECC, tooth decay), a preventable and reversible bacterial infectious disease, is the single most prevalent chronic childhood disease in the United States (US).1-3 Poor OH and ECC disproportionally affect racial/ethnic minoritized and immigrant children4,5 from families with low socioeconomic position (SEP). Furthermore, evidence shows that individuals who immigrate when < 20 years of age are 2- 4 times more likely to have a child with ECC than parents who are native-born or who immigrated when younger.6-10 In the US, Hispanic/Latinx children are more likely than children of all other racial and ethnic groups to experience ECC, except American Indians.6-8 Children’s OH behaviors and risk of ECC are influenced by the child’s and parent's sociodemographic and acculturation level, biological, behavioral, and psychosocial variables.5-9 Parents play a central role in their children’s OH-related behaviors.6-13 Evidence suggests that less acculturated Hispanic/Latinx parents have lower OH knowledge, higher stress, and more barriers to accessing OH/dental care for their children than more acculturated counterparts.8,9 Brazilians are a fast-growing Latin American immigrant group in the US. Yet, little research has focused on health issues affecting them.14,15 The US has the largest Brazilian population outside of Brazil; ~1,750,000 Brazilians live in the US.19,20 Portuguese is the official language of Brazil and a very important cultural difference between Brazilians and other Spanish- speaking Hispanic/Latinx groups.17,18 There is a general lack of research focusing on the OH of Brazilian immigrant families and their children living in the US. Studies conducted in Brazil suggest that low-income children and parents in this population have low OH knowledge, poor OH status, higher prevalence of ECC, and low OH-related quality of life.17-21 Understanding Brazilian immigrant parents’ OH knowledge, attitudes, and behaviors (KAB) and their experience accessing and utilizing OH/dental care will allow for the design of salient interventions to improve OH behaviors, OH outcomes, and OH-related quality of life.22,23 Therefore, the specific aims for the proposed research are to: (1) use qualitative research methods to explore Brazilian immigrant parents’ OH KAB and access and utilization of OH/dental care for their children (Phase 1: Focus Groups); (2) translate/back translate the survey to Brazilian Portuguese and then use focus groups’ findings, expert review, and pilot-testing to adapt the Basic Research Factors Questionnaire (BRFQ) for Brazilians in the US; (3) use the adapted BRFQ to assess psychosocial and cultural factors associated with Brazilian immigrant parents’ OH KAB and access and utilization of OH/dental care for their young children (Phase 3: Survey Implementation). The proposed community-engaged research is innovative because it will be the first to focus on Brazilian immigrants, an understudied ethnic minority and immigrant population underrepresented in OH research. Consistent with the R21’s purpose, the expected research outcomes will provide a foundation for a larger-scale trial of an intervention to promote OH and prevent ECC among Brazilian children in the US.22,23 This research will have a positive impact by building the science of OH research in Brazilians in the US. Moreover, it will build additional research capacity to engage underserved, minoritized Brazilian parents to co-design future OH promotion and ECC prevention interventions relevant to Brazilians in the US.

项目摘要口腔健康（OH）是整体健康的重要组成部分。幼儿汽车（ECC，蛀牙），可预防的和可逆细菌传染病是美国最普遍的慢性儿童疾病（美国）。1-3 可怜的OH和ECC不成比例地影响种族/种族少数和移民儿童4.5 社会经济地位（SEP）。此外，有证据表明，<20岁时移民的个体2- 生孩子的可能性是本性出生或年轻时移民的父母的可能性的4倍。6-10 美国，西班牙裔/拉丁裔孩子比其他所有种族和种族的孩子更有可能经历ECC，除了美洲印第安人。6-8儿童的OH行为和ECC的风险受孩子和父母的社会人口统计学的影响以及培养基，生物学，行为和社会心理变量。5-9父母在孩子的孩子中起着核心作用与OH相关的行为。6-13证据表明，较少的培养西班牙裔/拉丁裔父母的知识较低，与更多的培养物相比，压力更大，并为子女获得OH/牙科护理的障碍更多。8,9 巴西人是美国一个快速增长的拉丁美洲移民团体。但是，很少的研究重点是健康问题 14,15美国在巴西以外的巴西人口最多。〜1,750,000巴西人居住在美国。19,20 葡萄牙语是巴西的官方语言，巴西人与其他西班牙人之间存在非常重要的文化差异 - 说西班牙裔/拉丁裔小组。17,18普遍缺乏研究的重点是巴西移民家庭的OH 和他们的孩子居住在美国。在巴西进行的研究表明，低收入的孩子和父母人口知识较低，OH状态差，ECC的患病率更高，与OH相关的生活质量低。17-21 了解巴西移民父母的哦，知识，与会者和行为（KAB）以及他们访问的经验并且使用OH/牙科护理将允许设计明显的干预措施以改善OH行为，OH结果和 22,23因此，拟议研究的具体目的是：（1）使用定性研究探索巴西移民父母的OH KAB的方法，并使用和利用OH/dental Care为孩子（第1阶段：焦点小组）；（2）将调查转换为巴西葡萄牙语，然后使用焦点小组的发现，专家审查和试点测试以适应美国巴西人的基础研究因素问卷（BRFQ）；（3）使用改编的BRFQ评估了与巴西移民父母的OH KAB和访问和利用OH/牙科护理对其幼儿（第3阶段：调查实施）。提议社区参与的研究具有创新性，因为它将是第一个专注于巴西移民的人，这是一个了解 OH研究中少数民族和移民人口的人数不足。与R21的目的一致研究成果将为大规模试验提供干预措施的基础，以促进OH并防止ECC 在美国的巴西儿童中，22,23这项研究将通过建立OH研究的科学来产生积极的影响美国的巴西人。此外，它将建立额外的研究能力，以吸引服务不足的少数巴西人父母共同设计与美国巴西人有关的未来促销和ECC预防干预措施。