Detroit Center for Research on Oral Health Disparities

描述（由申请人提供）-底特律中心 口腔健康差异研究旨在促进口腔健康， 低收入非洲裔美国儿童社区内的差距（0-5岁） 14岁以上）和他们的主要照顾者（14岁以上）居住在底特律市。 该中心研究计划的驱动主题是确定决定因素 并设计干预措施来回答以下问题： 低收入的非洲裔美国儿童及其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？拟建中心将 重点研究口腔健康的组内差异。基于社区 合作伙伴，底特律市卫生局（DDH）和 底特律倡议（VODI）强烈支持这一主题。该中心将 包括3项支援核心研究、5项核心研究计划及1项先导研究。的 中心的方法核心将选择一个多阶段的非洲随机样本， 生活在纽约市最贫穷的39个人口普查区的美国家庭 底特律共有1，529个家庭将被抽样调查， 木屋.预计将有994个家庭在社区中心接受检查 第二年（2002年）融资。根据该组织收集的大量数据， 调查小组（R 01 MH 58299）在底特律，调查人员预测， 在六年级（2006年）第三阶段考试之前，家庭将被保留。的 研究小组将调查父母的社会特征， 家庭和社区，这与口头上的差异有关 儿童的健康（龋齿和牙周病）及其 儿童唾液、唾液和血液（手指）中的铅含量 刺痛）的主要照顾者;饮食摄入量;和遗传，行为，社会 和牙周病的细菌学危险因素。使用 从3个核心研究项目的信息，研究人员建议开发 一个量身定制的多媒体教育干预（项目#3），基于 行为改变的跨理论模型，这将是管理使用 随机对照设计在第4年的资金，就在第二个 考试阶段。此外，该中心将评估对访问的影响 牙科保健的国家资助的实验，利用医疗补助， 儿童的管理方式与私人保险患者相同（项目4）。中心 将支持来自DDH和VODI和大学的卫生专业人员， 底特律慈善接受研究培训。三个项目的博士生 针对公共卫生和社会工作学校的少数民族， 提供了研究健康差异的津贴。所有的家庭都会 在DDH牙科诊所（由DDH、HRSA、Delta 密歇根州和VODI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).