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Linking Mother and Child Access to Dental Care

将母亲和儿童获得牙科护理联系起来

基本信息

批准号：
6891382
负责人：
David E Grembowski
金额：
$ 19.1万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-06-01 至 2007-05-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by investigator): Background. Healthy People 2010 and the U.S. Surgeon General's report, Oral Health in America, indicate that caries is a severe oral health problem among low-income, minority preschool children that is compounded by low access to dental care. Potential solutions to this problem may exist in the linkage between mother and child access to dental care. If low-income mothers have a regular source of dental care (RSDC), oral health benefits may accrue to both mother and child through biological and dental care mechanisms, but little is known about these associations. Aims. Among children aged three-to-six years old and enrolled in Medicaid dental insurance in Washington state (N=115,853), study aims are: 1) to measure the percentage of mothers with a RSDC and identify the determinants of mothers having a RSDC; 2) among mothers, to determine whether having a RSDC is associated with greater dental knowledge, oral health behaviors, dental satisfaction, better self-reported oral health, and less reparative treatment and work loss due to dental care; 3) among children, to determine whether having a mother with a RSDC is associated with greater utilization of dental care and better oral health; and 4) among children, to determine whether children with mothers losing dental coverage have less dental utilization than other children. Methods. Aims will be achieved through a prospective cohort study design composed of a baseline survey of mothers and one-year follow-up of children's dental utilization from Medicaid dental claims. Disproportionate stratified random sampling will select Medicaid households with children aged three-to-six years in four racial/ethnic strata (White non-Hispanic (n=3,050), Hispanic (n=4,511), African-American (n=6,100), and other race/ethnic groups (n=4,518). At least 780 sampled mothers will complete a baseline telephone or mail survey. One year later, Medicaid dental claims for one-year pre/post-survey will be extracted for sampled children. Separate regression analyses will be conducted for each racial/ethnic stratum. Aim 1 analyses will identify factors associated with mothers having a RSDC. Aim 2 analyses of mothers will determine the association between having a RSDC and knowledge and attitudes about dental care, oral health behaviors, and dental utilization. Aim 3 analyses of children will determine whether having a mother with a RSDC is associated with greater dental utilization in the prospective year. Aim 4 analyses of children will determine whether mothers' loss of dental insurance results in fewer children dental utilization.

描述（由研究者提供）：背景。《健康人 2010》和美国卫生局局长的报告《美国口腔健康》表明，龋齿是低收入、少数族裔学龄前儿童中一个严重的口腔健康问题，而且由于获得牙科护理的机会较少，这一问题更加严重。这个问题的潜在解决方案可能存在于母亲和儿童获得牙科护理之间的联系。如果低收入母亲有定期的牙科护理（RSDC），那么通过生物和牙科护理机制可能会给母亲和孩子带来口腔健康益处，但人们对这些关联知之甚少。目标。 Among children aged three-to-six years old and enrolled in Medicaid dental insurance in Washington state (N=115,853), study aims are: 1) to measure the percentage of mothers with a RSDC and identify the determinants of mothers having a RSDC; 2) among mothers, to determine whether having a RSDC is associated with greater dental knowledge, oral health behaviors, dental satisfaction, better self-reported oral health, and less reparative treatment and work loss due to dental care; 3) among children, to determine whether having a mother with a RSDC is associated with greater utilization of dental care and better oral health; and 4) among children, to determine whether children with mothers losing dental coverage have less dental utilization than other children. 方法。 Aims will be achieved through a prospective cohort study design composed of a baseline survey of mothers and one-year follow-up of children's dental utilization from Medicaid dental claims. 不成比例的分层随机抽样将选择有 3 至 6 岁儿童的医疗补助家庭，分为四个种族/族裔阶层（非西班牙裔白人 (n=3,050)、西班牙裔 (n=4,511)、非裔美国人 (n=6,100) 和其他种族/族裔群体 (n=4,518)。至少 780 名抽样母亲将完成基线电话或邮件调查。一年后，将为抽样儿童提取调查前/调查后一年的医疗补助牙科索赔。 Separate regression analyses will be conducted for each racial/ethnic stratum. Aim 1 analyses will identify factors associated with mothers having a RSDC. Aim 2 analyses of mothers will determine the association between having a RSDC and knowledge and attitudes about dental care, oral health behaviors, and dental utilization. 目标 3 分析孩子们将确定母亲患有 RSDC 是否与未来一年更高的牙科利用率相关。目标 4 对儿童的分析将确定母亲失去牙科保险是否会导致儿童牙科使用率下降。