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

索里亚！

• 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
• 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

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.

项目概要 口腔健康 (OH) 是整体健康的重要组成部分，幼儿龋齿（ECC，蛀牙）是一种可预防的疾病。 可逆性细菌感染性疾病，是美国 (US) 最流行的单一慢性儿童疾病。1-3 贫困的 OH 和 ECC 对来自贫困家庭的少数种族/族裔和移民儿童4,5 产生不成比例的影响。 此外，有证据表明，20 岁以下移民的人为 2- 生出患有 ECC 的孩子的可能性是本土出生或年轻时移民的父母的 4 倍。6-10 美国、西班牙裔/拉丁裔儿童比所有其他种族和族裔群体的儿童更有可能经历 ECC，除了 美洲印第安人.6-8 儿童的 OH 行为和 ECC 风险受到儿童和父母的社会人口统计的影响 和文化适应水平、生物、行为和社会心理变量。5-9 父母在孩子的成长过程中发挥着核心作用。 OH 相关行为。6-13 有证据表明，文化程度较低的西班牙裔/拉丁裔父母的 OH 知识较低， 与文化程度更高的捐赠者相比，他们的孩子压力更大，获得 OH/牙科护理的障碍也更多。8,9 巴西人是美国快速增长的拉丁美洲移民群体，但很少有研究关注健康问题。 14,15 美国是巴西以外巴西人口最多的国家；约有 1,750,000 名巴西人居住在美国。19,20 葡萄牙语是巴西的官方语言，也是巴西人和其他西班牙人之间非常重要的文化差异 - 讲西班牙裔/拉丁裔群体。17,18 普遍缺乏针对巴西移民家庭健康状况的研究 在巴西进行的研究表明，低收入儿童和父母居住在美国。 人群的 OH 知识较低，OH 状况较差，ECC 患病率较高，OH 相关生活质量较低。17-21 了解巴西移民父母的 OH 知识、态度和行为 (KAB) 及其获取经验 利用 OH/牙科护理将有助于设计显着的干预措施，以改善 OH 行为、OH 结果和 OH 相关的生活质量。22,23 因此，拟议研究的具体目标是：(1) 采用定性研究 探索巴西移民父母的 OH KAB 及其子女获得和利用 OH/牙科护理的方法 （第一阶段：焦点小组）；（2）将调查翻译/回译为巴西葡萄牙语，然后使用焦点小组的调查结果， 专家审查和试点测试，以适应在美国的巴西人 (3) 使用的基础研究因素问卷 (BRFQ)； 改编后的 BRFQ 用于评估与巴西移民父母的 OH KAB 相关的社会心理和文化因素 为幼儿提供和利用 OH/牙科护理（第 3 阶段：调查实施）。 社区参与的研究具有创新性，因为它将是第一个关注巴西移民的研究，而巴西移民是一个尚未得到充分研究的群体。 少数民族和移民人口在 OH 研究中的代表性不足，这与 R21 的目的、预期一致。 研究成果将为更大规模的促进 OH 和预防 ECC 的干预试验奠定基础 22,23 这项研究将通过在美国建立 OH 研究科学而产生积极影响。 此外，它将建立额外的研究能力，以吸引服务不足的少数民族巴西人。 父母共同设计与在美国的巴西人相关的未来 OH 推广和 ECC 预防干预措施。