Race/Ethnicity, Socioeconomic Status and Oral Health

种族/民族、社会经济地位和口腔健康

• 批准号: 7129714
• 负责人: David E Grembowski
• 金额: $ 15.5万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7129714
• 关键词: children; clinical research; oral health; parents

DESCRIPTION (provided by applicant): Several studies report that that race/ethnicity, socioeconomic status (SES), and neighborhood socioeconomic disadvantage are related to self-reports of general health, but very few studies have examined these relationships for self-rated oral health and other measures of perceived oral health, particularly among low-income and racially and ethnically diverse U.S. populations. The purpose of this study is to estimate composition (differences in people) and context (differences in places where people live) effects on low-income mothers' perceptions of oral health and their children's oral health. Aim 1 will estimate composition effects in a population of children aged 3-6 covered by Medicaid and their low-income mothers by: (a) describing the disparities in perceived oral health by racial/ethnic group and SES among mothers and their children, including the association between mother's perceptions of her oral health and her child's oral health in each group; (b) estimating whether a gradient relationship exists between mother's SES (income, education, and employment status) and her perceived oral health and perceptions of her child's oral health; and (c) estimating the interaction effects of SES and race/ethnicity on perceived oral health. Aim 2 addresses contextual effects: controlling for individual-level characteristics, we will estimate the independent effects of neighborhood socioeconomic disadvantage on the perceived oral health of mothers and their children aged 3-6. We also will test whether our findings are consistent with the general health literature by repeating Aims 1 and 2 for mother ratings of her and her child's general health. Data for this study come from our NIDCR study, Linking Mother and Child Access to Dental Care (NIDCR Grant No. R01 DE014400), a prospective cohorts udy of children aged 3-6 covered by Medicaid and their mothers in Washington state. Building on the biological connection between mother and child oral health, its main purpose is to determine whether having a me ther with a regular source of dental care at baseline is associated with greater dental care for the child af ter 1 year. Baseline survey data exist for 4,373 children and mothers in the following racial/ethnic groups: ,311 Hispanic mothers, 1,385 White mothers, 818 Black mothers, and 719 mothers from other racial/ethnic groups. Measures of perceived oral health include self- rating of oral health, fair/poor oral health, rating of condition of teeth, and number and type of dental problems. Guided by the study's conceptual model, regression equations will be estimated to test hypotheses. In Aim 1 binary and ordinal logistic regression will be used to estimate the effects of race/ethnicity and SES on mothers' perceptions of their and their children's health, controlling for other individual characteristics and risk factors. In Aim 2 mixed-effect multilevel models will be used to estimate the effects of neighborhood socioeconomic disadvantage on perceived oral health controlling for individual-level characteristics.

描述（由申请人提供）：几项研究报告说，种族/民族，社会经济地位（SES）和社区社会经济劣势与自我报告的一般健康状况有关，但很少有研究检查这些关系的自我评价的口腔健康和其他措施的口腔健康，特别是在低收入和种族和民族多样化的美国人口。本研究的目的是估计组成（人的差异）和背景（人居住的地方的差异）对低收入母亲的口腔健康和他们的孩子的口腔健康的看法的影响。目标1将估计医疗补助覆盖的3-6岁儿童及其低收入母亲的人口组成效应：（a）描述母亲及其子女之间种族/族裔群体和SES的口腔健康感知差异，包括各组中母亲对其口腔健康的感知与其子女口腔健康之间的关联;（B）估计母亲的SES（收入、教育和就业状况）与她的口腔健康感知和她对孩子的口腔健康感知之间是否存在梯度关系;以及（c）估计SES和种族/民族对口腔健康感知的交互作用。目标2解决背景效应：控制个人层面的特征，我们将估计社区社会经济劣势对母亲及其3-6岁儿童口腔健康的独立影响。我们还将通过重复目标1和目标2来测试我们的发现是否与一般健康文献一致，即母亲对她和她的孩子的一般健康状况的评分。本研究的数据来自我们的NIDCR研究，链接母亲和儿童获得牙科保健（NIDCR批准号R 01 DE 014400），一个前瞻性队列研究的3-6岁的儿童覆盖的医疗补助和他们的母亲在华盛顿州。基于母亲和儿童口腔健康之间的生物学联系，其主要目的是确定在基线时具有定期牙科护理来源的母亲是否与1年后儿童的更多牙科护理相关。基线调查数据涉及以下种族/族裔群体的4，373名儿童和母亲：311名西班牙裔母亲，1，385名白色母亲，818名黑人母亲和719名其他种族/族裔群体的母亲。感知口腔健康的测量包括口腔健康的自我评级、一般/差的口腔健康、牙齿状况的评级以及牙齿问题的数量和类型。在研究概念模型的指导下，将估计回归方程以检验假设。在目标1中，将使用二元和有序逻辑回归来估计种族/民族和SES对母亲对其及其子女健康的看法的影响，控制其他个体特征和风险因素。在目标2中，将使用混合效应多水平模型来估计社区社会经济劣势对个人水平特征控制的口腔健康感知的影响。