Mixed methods analysis of perceived social status and its influence on oral health

项目概要/摘要 背景和候选人：在美国，口腔健康的差异是显着的，尽管相当大的 美国口腔疾病预防、诊断和治疗的进展，各部门仍然存在差距 的人口。受影响最大的人口是社会经济地位低、种族和族裔 少数民族和农村人口。SES的差异对口腔和整体健康状况有显着影响。 研究中经常使用的传统SES指标是教育，收入和职业地位。然而，在这方面， 传统的SES指标对所有群体采用固定的标准，没有考虑到 生命体验的意义和价值。然而，感知社会地位（PSS）衡量的是一个人的 在社会经济地位、社会阶层和分层的多个维度上的“社会阶梯”上的地位。已经 假设PSS通过利用心理社会影响更准确地捕捉社会地位的各个方面 并已被证明可以显著预测以下领域的几种健康结果： 自测健康、糖尿病和心理健康。然而，有限的研究已经做了探索的影响， 有关口腔健康及牙科服务使用的资料。Jennifer Sukalski是一位博士。大学的候选人 爱荷华州牙科学院和牙科诊所。她的主要研究重点是健康差距，获得护理， 口腔卫生工作者职业目标：詹妮弗的短期目标是加深她对社会和 与卫生保健利用、定性和混合方法的概念模型相关的心理社会因素 分析，并扩大我的健康差距研究的知识。她的长期目标是成为一个受资助的 独立研究员和领先的临床医生和教育家在牙科公共卫生作为一个终身教职的教师在 美国爱荷华州大学。她的研究计划是创新的，因为它利用混合方法分析，探索 PSS在爱荷华州低收入成年人口腔健康状况和牙科服务利用中的作用。工作环境： UI在研究和临床研究生的成功培训方面享有盛誉 地区它提供学习和发展研讨会，重点是职业发展和进步， 从UI公共政策中心的培训机会特别受益。职业发展计划： 詹妮弗致力于参加课程，教程，研讨会和相关会议以及会议 定期与她的导师和研究团队，以实现她的培训目标，并获得必要的知识， 实现她未来的研究目标，成为一名独立的研究人员。研究目的：本研究旨在 探讨PSS对口腔健康状况及牙科服务利用的影响。这些知识将成为 在我们对低收入人群的PSS的理解中，建立在团队长期健康的基础上， 爱荷华州低收入成年人的差异研究。

PROJECT SUMMARY/ABSTRACT Background and Candidate: Oral health disparities are significant in the United States and despite considerable advances in prevention, diagnosis, and treatment of oral diseases in the U.S., disparities still persist in segments of the population. Populations most impacted are those with low socioeconomic status (SES), race and ethnic minorities, and rural populations. Differences in SES have a significant impact on oral and overall health status. Traditional SES indicators often used in research are education, income, and occupational status. However, traditional SES indicators employ a fixed standard to all groups and do not take into account variability in the significance and value of life experiences. Perceived social status (PSS), however, measures an individuals' position on the “social ladder” across multiple dimensions of SES, social class, and stratification. It has been hypothesized that PSS more accurately captures aspects of social status by tapping into psychosocial influences by social context and has been demonstrated to significantly predict several health outcomes in the areas of self-rated health, diabetes, and mental health. However, limited research has been done to explore the influence of PSS on oral health and dental services utilization. Jennifer Sukalski is a Ph.D. Candidate at the University of Iowa College of Dentistry and Dental Clinics. Her primary research focus is on health disparities, access to care, and oral health workforce. Career Goals: Jennifer’s short-term goals are to deepen her knowledge of social and psychosocial factors associated with conceptual models of health care utilization, qualitative and mixed-methods analyses, and expand my knowledge of health disparity research. Her long-term goals are to become a funded independent researcher and a leading clinician and educator in Dental Public Health as a tenure-track faculty at the University of Iowa (UI). Her research plan is innovative in that it utilizes mixed-methods analysis, exploring the role PSS on oral health status and dental services utilization among low-income adults in Iowa. Environment: The UI has an established reputation for the successful training of graduate students in research and clinical areas. It offers learning and development seminars focused on career development and advancement with particular benefits from training opportunities from the UI Public Policy Center. Career Development Plan: Jennifer is committed to attending courses, tutorials, seminars, and relevant conferences as well as meeting regularly with her mentors and research team to fulfill her training aims and gain the knowledge necessary to achieve her future research goal of becoming an independent researcher. Research Study: This research aims to identify the influence of PSS on oral health status and dental services utilization. This knowledge will have key implications in our understanding of PSS in a low-income population, building on the team’s long-standing health disparity research among low-income adults in the state of Iowa.