EPIDEMIOLOGY OF ORAL HEALTH OF MINORITY ADULTS

本建议的目的是提供一个全面的描述口头 生活在纽约市的主要少数群体的健康状况 (NYC)并将其疾病水平与假定的解释因素联系起来。 龋病和牙周病的患病率在很大程度上是未知的 对许多种族和少数民族来说， 在国家调查中没有或代表性不足。1990年纽约市人口普查 表明其居民中有43.2%是白色; 在这十年中，总人口略有增长。这种人口 向少数民族城市的转移主要是由于 20世纪70年代和80年代来自亚洲、加勒比海和拉丁美洲的移民 美洲国家。沿着的是已经确立的非裔美国人 和波多黎各人口，这些新的群体正在改变 纽约市的人口概况，其他东海岸城市，以及不同的 度，美国的城市。 重点将放在纽约市最大的少数群体， 三个少数民族。居住在社区的成年志愿者（18-65岁） 将从中国人、印度人、非洲裔美国人、加勒比人中招募 纽约市的非西班牙裔、多米尼加裔和波多黎各裔黑人社区。一 分层抽样设计将确保性别的公平分配， 三个年龄段。沿着临床资料从全面的口腔 我们将收集详细的营养，人口统计， 文化/行为，牙科意识和使用数据。结合 与本中心的其他研究一样，生物学因素将通过以下方式进行评估： 每例受试者的微生物、唾液和菌斑样本的平均值， 与临床疾病指标相关。假设，来自 我们正在进行的研究是，少数群体的口腔健康状况 在不同程度上，与大多数白色人不同。这 这项研究将研究这些观察到的差异在多大程度上可以被 与疾病的假定解释因素的测量有关。 在 此外，继续培训和暴露的NYUCD教师和 在流行病学研究领域的学生将继续和扩大 进入营养、行为和生物样本收集领域。

The aim of this proposal is to provide a comprehensive description of oral health status of the principle minority groups living in New York City (NYC), and to relate their disease levels to putative explanatory factors. The prevalence of dental caries and periodontal disease is largely unknown for many racial and ethnic minority sub-groups, because they are either absent or under-represented in national surveys. The 1990 census for NYC indicated that 43.2% of its residents are white; a 14.6% decline in a decade that saw a modest growth in overall population. This demographic shift to a city of minorities is largely due to increased levels of immigration throughout the 1970's and 80's from Asian, Caribbean and Latin American countries. Along with the already established African-American and Puerto Rican populations, these newer groups are changing the population profile of NYC, other eastern seaboard cities and, to varying degrees, the cities of the United States. Emphasis will be placed on the largest minority groups in NYC from each of three racial minorities. Community-dwelling adult volunteers (ages 18-65) will be recruited from the Chinese, Indian, African-American, Caribbean Black Non-Hispanic, Dominican, and Puerto Rican neighborhoods in NYC. A stratified sample design will ensure equitable distribution of gender and three age groupings. Along with clinical data from comprehensive oral exams, we will collect detailed nutritional, demographic, cultural/behavioral, dental awareness and utilization data. In conjunction with other studies in this Center, biological factors will be assessed by means of microbial, salivary and plaque samples from each subject and correlated with clinical disease measures. The hypothesis, derived from our ongoing study, is that the oral health status of minority groups differs, in varying degrees, from that of the mostly white majority. This study will examine the extent to which these observed differences can be related to measures of putative explanatory factors of disease. In addition, continued training and exposure of the NYUCD faculty arid students in the area of epidemiological research will continue and expand into areas of nutrition, behavior, and collection of biological samples.