权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Coordinated Oral Health Promotion (CO-OP) Chicago Cohort Study

协调口腔健康促进 (CO-OP) 芝加哥队列研究

基本信息

批准号：
10447658
负责人：
MOLLY A MARTIN
金额：
$ 107.39万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-08 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10447658
关键词：
3 year old Absenteeism Address Adverse effects Affect Affordable Care Act Age Behavior Black Populations Black race COVID-19 Caregivers Chicago Child Child Behavior Child Rearing Childhood Clinical Cohort Studies Communities Data Data Collection Data Sources Dental Dental Care Dental Hygiene Dental Plaque Dental caries Diet Direct Costs Disadvantaged Disease Enrollment Ethnic Origin Family Fluorides Frequencies Funding Future General Anesthesia Genetic Grant Health Health Food Health Insurance Health Promotion Health Services Accessibility Health behavior Healthcare Hispanic Hispanic Populations Home Individual Intervention Longitudinal cohort Low income Mediating Medicaid Minority Groups Modeling Morbidity - disease rate National Institute of Dental and Craniofacial Research Nutritional Oral health Pain Participant Patient Self-Report Positioning Attribute Prevalence Preventive Provider Psychosocial Factor Randomized Controlled Trials Reporting Research Risk Risk Factors Schools Sedation procedure Subgroup Surveys Techniques Testing Time Toothbrushing Toothpaste United States Violence Water fluoridation Work aged arm cognitive development cohort community intervention community-level factor cost cost effective demographics effectiveness testing experience food security health belief health data health disparity health literacy health related quality of life healthcare community high risk improved lens lower income families primary outcome recruit research and development social theories therapy development

项目摘要

SUMMARY Caries prevalence, morbidity, and associated disparities in children have been well documented nationally and locally. Research now is trying to understand why these disparities persist. Caries risk for an individual is considered a combination of genetics and behaviors (diet, oral hygiene, and fluoride exposure). The Coordinated Oral Health Promotion (CO-OP) Chicago Cohort Study will use the social ecological theory lens to examine caries risk factors on multiple levels. CO-OP Chicago was previously funded by NIDCR to reduce oral health disparities in children. The original CO-OP Chicago study [UH2DE02583] established baseline estimates of tooth brushing behaviors and determined the feasibility of objective assessment of tooth brushing behaviors in the homes of high-risk children under the age of three years old. CO-OP Chicago [UH3DE025483] then recruited 420 child/caregiver dyads to participate in a two-arm, cluster-randomized controlled trial testing the effectiveness of a family-focused CHW oral health intervention to improve tooth brushing behaviors for young children. The primary outcome was caregiver-reported brushing frequency and observed plaque score at 12-months. At entry into the study, the mean child age was 21.5 months. Forty-two percent of participants described themselves as Black race, and 54% as Hispanic ethnicity. Most children (89%) had Medicaid health insurance. CO-OP Chicago collected a range of self-reported and observed oral health data as well as family psychosocial factors from these low-income families over one year. However, the study did NOT include a caries assessment. The proposed CO-OP Chicago Cohort Study will transition trial participants into a longitudinal cohort (minimum N=315) to determine multi-level predictors of oral health behaviors and caries risk in low-income, urban young children over time. The CO-OP Chicago Cohort Study uses the social ecologic model to organize oral health risk factors into individual (child), interpersonal (family), organizational (healthcare), and community domains. We will collect four additional years of data with data collection every six months that includes caregiver-reported and observed child oral health behaviors, dental plaque scores, diet, parenting styles, dental provider access, and social risk factors. We will also conduct two caries examinations on children at ages five and seven. Community-level data will be extracted from public data sources. Specific Aim 1 is to examine associations between child, family, healthcare, and community factors on young child home oral health behaviors (child brushing frequency and plaque score) over time. Specific Aim 2 is to examine associations between child, family, healthcare, and community factors on young child caries prevalence over time. Specific Aim 3 is to examine the mediating effects of child brushing frequency and plaque score on the prior identified risk factors associated with caries prevalence. An Exploratory Aim will determine the ability of plaque scores to predict risk of caries. These data will advance our understanding of caries risk factors and inform future research and intervention development.

总结