Detroit Center for Research on Oral Health Disparities

描述(由申请人提供)-底特律中心 口腔健康差距研究旨在促进口腔健康，减少 低收入非裔美国儿童(0-5岁)社区内的差距 年)和他们的主要照顾者(14岁以上)居住在底特律市。 该中心研究计划的主要主题是确定决定因素 并设计干预措施来回答以下问题：为什么有些 低收入非裔美国儿童和他们的主要照顾者有更好的口腔 比生活在同一社区的其他人更健康吗？拟建的中心将 重点研究口腔健康方面的组内差异。以社区为基础 合作伙伴、底特律市卫生部和底特律之声 底特律倡议(VODI)强烈支持这一主题。该中心将 包括3个支持核心、5个研究核心项目和1个试点研究。这个 中心的方法论核心将选择非洲的多阶段随机样本 居住在纽约市最贫穷的39个人口普查区域的美国家庭 底特律。共有1,529个家庭将在他们的 家。据估计，994个家庭将在社区中心接受检查 在第二年(2002年)获得资金。基于由 调查小组(R01 MH58299)在底特律，调查人员预测760 家庭将被保留到第六年(2006年)的第三阶段考试。这个 研究小组将调查父母的社会特征， 与口腔发育不一致有关的家庭和邻里 儿童和儿童的健康(龋齿和牙周病) 照顾者；儿童唾液、唾液和血液中的铅含量(手指 主要照顾者；饮食摄入量；遗传、行为、社会 成人牙周病的细菌学危险因素。vbl.使用 来自3个核心研究项目的信息，调查人员建议开发 量身定做的多媒体教育干预(项目#3)，基于 行为变化的跨理论模型，将使用 在资助的第四年，第二年之前的随机对照设计 考试阶段。此外，该中心将评估对接入的影响 对国家资助的牙科保健试验利用医疗补助的地方 对儿童的管理就像私人保险的病人一样(项目4)。中心 将支持来自DDH和Vodi以及加州大学的卫生专业人员 底特律慈悲接受研究培训。三个项目的博士生 在公共卫生和社会工作学校针对少数群体的目标将是 提供津贴以进行健康差距的研究。所有家庭都会 可以在DDH牙科诊所获得牙科护理(由DDH、HRSA、Delta提供资金 密歇根和沃迪的牙科)。

DESCRIPTION (Provided by the applicant) - The Detroit Center for Research on Oral Health Disparities aims to promote oral health and reduce disparities within the community of low-income African American children (0-5 years) and their main caregivers (14 + years) living in the City of Detroit. The driving theme of the center's research program is to identify determinants and design interventions to answer the following question: why do some low-income African American children and their main caregivers have better oral health than others who live in the same community? The proposed center will focus on studying intra-group disparities in oral health. The community based partners, the City of Detroit Department of Health (DDH) and the Voices of Detroit Initiative (VODI) have strongly supported this theme. The Center will include 3 support cores, 5 research core projects and 1 pilot study. The Center's Methodology Core will select a multistage random sample of African American families living in the poorest 39 Census Tracts in the City of Detroit. A total of 1,529 families will be sampled and interviewed in their homes. It is estimated that 994 families will be examined at community centers in year 2 (2002) funding. Based on extensive data collected by the investigative team (R01 MH58299) in Detroit, the investigators predict that 760 families will be retained by the third examination phase in year 6 (2006). The research teams will investigate the social characteristics of parents, families, and neighborhoods, that are associated with disparities in oral health (dental caries and periodontal diseases) of children and their caregivers; lead levels in saliva of children and saliva and blood (finger prick) of the main caregivers; dietary intake; and genetic, behavioral, social and bacteriologic risk factors of periodontal disease in adults. Using information from 3 core research projects, the investigators propose to develop a tailored multi-media educational intervention (Project #3), based on the transtheoretical model of behavioral change, which will be administered using a randomized controlled design in year 4 of funding, just prior to the second examination phase. Additionally, the center will evaluate the impact on access to dental care of the state-funded experiment on utilization where Medicaid children are managed like privately insured patients (Project #4). The center will support health professionals from the DDH and VODI and the University of Detroit Mercy to receive research training. Doctoral students in three programs targeting minorities in the Schools of Public health and Social Work will be offered stipends to conduct research on health disparities. All families will have access to dental care in a DDH dental clinic (funded by DDH, HRSA, Delta Dental of Michigan and VODI).