Understanding Sources of Children's Oral Health Disparities

了解儿童口腔健康差异的根源

• 批准号: 7470323
• 负责人: Paul Newacheck
• 金额: $ 23.18万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-15 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7470323
• 关键词: Accounting; Advocate; Age; Caring; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Child health care; Communities; Complex; Condition; Data; Data Set; Databases; Dental; Dental Care; Dental Health Services; Development; Disease; District of Columbia; Ensure; Epidemiologic Studies; Ethnic Origin; Etiology; Family; Funding; Goals; Grant; Health; Health Planning; Health Policy; Health Professional; Health Status; Healthcare; Hispanics; Home environment; Household; Individual; Internet; Journals; Lead; Measures; Methods; Modeling; Monitor; Not Hispanic or Latino; Online Systems; Oral; Oral health; Paper; Parents; Perception; Policies; Policy Maker; Population; Population Group; Positioning Attribute; Poverty; Preventive; Public Health; Publications; Purpose; Race; Relative (related person); Research; Research Infrastructure; Research Personnel; Resources; Risk; Risk Factors; Sampling; Source; Strategic Planning; Support of Research; Surveys; System; Time; Tooth Diseases; Underserved Population; United States; Variant; Visit; Water fluoridation; Work; base; craniofacial; design; disorder risk; health disparity; multilevel analysis; novel strategies; programs; prototype; racial and ethnic; socioeconomics

DESCRIPTION (provided by applicant): The purpose of this application is to empirically examine the influence of individual, family, community and state level characteristics on racial/ethnic and socioeconomic disparities in children's oral health and health care. The data will come primarily from the 2003 National Survey of Children's Health (NSCH), conducted by the Centers for Disease Control and Prevention. This is a population-based survey of approximately 102,000 children ages 0-17 years nationwide, including independent, representative samples of approximately 2,000 children from each state and the District of Columbia (DC). It will be augmented with state-level contextual variables derived from other sources. Multilevel modeling methods will be used in the empirical analysis. The three specific aims of this project are to: 1) Identify and quantify the relative contributions of individual, family, community, and state-level factors that explain disparities in children's oral health status and oral health care using the NSCH, thus furthering our understanding of oral health disparities, their sources and potential remedies; 2) Identify differences across states in children's oral health status and oral health care and the factors that contribute to those differences. Our goal under this specific aim is to identify mutable state-level factors (e.g., water fluoridation policies, state dental public health infrastructure, and availability of dental health professionals) that can lead to improvements in children's oral health and reduce disparities in oral health status and oral health care, and; 3) Establish a web based system using the NSCH database that augments existing systems and can be used by policy makers, researchers and advocates to compare and track children's oral health and oral health care disparities, including baseline data for each state and DC from 2003 and comparison data from the 2007 NSCH when it becomes available. We have established a working relationship with the federal MCH Bureau-CDC supported Data Resource Center to include our results on their website devoted to the 2003 NSCH (www.nschdata.org). This frequently used web resource will provide an excellent home for the data developed under this study. Accomplishing these specific aims will provide helpful information for dental care practitioners, families, federal and state health policymakers, and dental health services researchers concerning child, family and community level influences on oral health and oral health disparities. Our overarching goal in this project is to identify significant and modifiable factors that influence children's oral health disparities nationally and across states. This information can then be used to help guide federal and state policies to reduce disparities in oral health status and oral health care. Project Narrative: An overarching goal for HP 2010 is the elimination or reduction of health disparities in the US population. This proposal is responsive to that priority. It is also responsive to several components of the NIDCR Strategic Plan, including Goal 6 (eliminating health disparities in oral, dental and craniofacial diseases and conditions among underserved populations and groups) and Goal 7 (ensuring the adequacy of systems to document and monitor the extent and impact of oral, dental and craniofacial diseases, disorders and conditions). The diverse and cross-disciplinary study team proposed for this project is responsive to Goal 4 (supporting research infrastructure and enhancing the development of new approaches for conducting inter- and cross-disciplinary research).

描述（由申请人提供）：本申请的目的是凭经验研究儿童口腔健康和卫生保健中个人，家庭，社区和州一级特征对种族/种族和社会经济差异的影响。数据将主要来自疾病控制与预防中心进行的2003年全国儿童健康调查（NSCH）。这是一项基于人群的调查，对全国大约102,000名儿童在全国范围内约102,000名儿童，其中包括来自每个州和哥伦比亚特区（DC）的大约2,000名儿童的独立代表样本。它将通过从其他来源得出的状态级别上下文变量进行增强。多级建模方法将用于经验分析。该项目的三个具体目的是：1）确定和量化个人，家庭，社区和州级因素的相对贡献，这些因素解释了使用NSCH来解释儿童口腔健康状况和口腔卫生保健的差异，从而进一步发展了我们对口腔健康差异，其来源和潜在补救措施的理解； 2）确定各州口腔健康状况和口腔卫生保健的差异以及导致这些差异的因素。我们在这个具体目的下的目标是确定可变的州级因素（例如，水氟化政策，州牙科公共卫生基础设施以及牙科健康专业人员的可用性），这些因素可以改善儿童口腔健康，并降低口腔健康状况和口腔健康状况和口腔健康保健的差异以及； 3）使用NSCH数据库建立基于Web的系统，该数据库可以扩大现有系统，并且可以由政策制定者，研究人员和拥护者使用，以比较和跟踪儿童的口腔健康和口腔保健差异，包括2003年的每个州和DC的基线数据以及2007年NSCH的比较数据。我们已经与联邦MCH局CDC支持数据资源中心建立了工作关系，以在其专门介绍2003 NSCH（www.nschdata.org）的网站上包括我们的结果。这种经常使用的Web资源将为本研究开发的数据提供一个绝佳的住所。完成这些具体目标将为牙科护理从业人员，家庭，联邦和州卫生决策者以及牙科健康服务研究人员提供有关儿童，家庭和社区层面对口腔健康和口腔健康差异的影响的有用信息。我们在该项目中的总体目标是确定影响儿童口腔健康差异的重大和可修改的因素。然后，这些信息可用于指导联邦和州政策，以减少口腔健康状况和口腔保健的差异。项目叙述：HP 2010的总体目标是消除或减少美国人口的健康差异。该提议对此优先级有回应。它对NIDCR战略计划的几个组成部分也有反应，包括目标6（消除了口腔，牙齿和颅面疾病的健康差异以及在服务不足的人群和组中的状况）和目标7（确保系统足以记录和监测口服，牙齿和颅面，牙齿疾病的程度和影响，牙齿和颅面，疾病，疾病，疾病，疾病和条件）。为该项目提出的多样化和跨学科研究团队对目标4（支持研究基础设施并增强了进行新方法进行研究基础和跨学科研究）的响应。