MEASURING & DOCUMENTING DISPARITIES IN ORAL HEALTH: A PRACTICAL APPROACH

测量

• 批准号: 7303137
• 负责人: LUISA N BORRELL
• 金额: --
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7303137
• 关键词: Accounting; Adult; Age; Age-Years; Area; Clinical; Data; Dental caries; Depth; Development; Disease; Ethnic Origin; Gender; Goals; Grant; Guidelines; Health; Healthy People 2010; Measures; Methodology; Methods; Mouth Diseases; National Health and Nutrition Examination Survey; Odds Ratio; Oral health; Outcome; Periodontal Diseases; Periodontal Index; Population; Population Group; Population Study; Positioning Attribute; Prevalence; Principal Investigator; Race; Recommendation; Relative (related person); Reporting; Research; Standards of Weights and Measures; Statistical Data Interpretation; Strategic Planning; Surveys; Testing; Time; United States; Validity and Reliability; data acquisition; health disparity; programs; racial and ethnic; socioeconomics; tool; trend

DESCRIPTION (provided by applicant): While some improvements in the health of the United States (US) population have occurred over time, the persistence of disparities between groups, namely racial/ethnic or socioeconomic groups, indicates that such improvement has been uneven. Although these disparities have been documented over the years and some studies have attempted to examine trends over time, it has been challenging to estimate the magnitude and direction of these disparities across groups due to the lack of a uniform or standard methodology to measure health disparities and their trends across time. Oral health disparities are not an exception to this challenge. The goal of this proposal is to develop and test a methodology to assess oral health disparities in dental caries and periodontal diseases across populations over time. In order to accomplish this goal, we propose the following two specific aims: Aim 1: Use data from NHANES III to develop sensitive methods to measure disparities in dental caries and periodontal disease in the US population accounting for the difference in case definitions across studies. These methods will be developed considering and accounting for: a) the distribution of disease in the population by age, gender, race/ethnicity and socioeconomic position (SEP) indicators; b) the selection of the best reference group; and c) the comparison of results obtained using relative versus absolute measures of disease. Aim 2: Use data from NHANES 1999-2002 to test the measures developed in Aim 1 to assess oral health disparities in dental caries and periodontal disease. Testing the validity and reliability of the developed methodology in Aim 1 using the NHANES 1999-2002 data will allow us to provide guidelines and recommendations for the use of uniform and standardized measures to document the existing oral health disparities in studies at the local and national levels across groups of the population over time. This proposal's aims are consistent with the NIDCR Strategic Plan's Crosscutting Areas-Health Disparities and Data acquisition and Analysis-and the Healthy People 2010's goal of eliminating health disparities among segment of the US population. Specifically, accomplishing this proposed study's aims has the potential to contribute to our understanding of oral health disparities in the US; to provide the tools to gauge the magnitude and direction of oral health disparities using uniform measures in studies at the local and national levels; and to recommend guidelines for oral health disparity comparisons across studies and populations over time. Finally, the developed measures have the potential to be used to measure health disparities related to age, gender, race/ethnicity and socioeconomic position on other oral health outcomes and health outcomes in general.

描述（由申请人提供）：虽然随着时间的推移，美国（US）人口的健康状况有所改善，但各群体（即种族/民族或社会经济群体）之间的差异持续存在，表明这种改善是不均衡的。尽管多年来已经记录了这些差异，并且一些研究试图检查随着时间的推移的趋势，但由于缺乏统一或标准的方法来衡量健康差异及其趋势，因此估计不同群体之间这些差异的程度和方向具有挑战性。随着时间的推移。口腔健康差异也不例外。该提案的目标是开发和测试一种方法，以评估随着时间的推移，不同人群在龋齿和牙周病方面的口腔健康差异。为了实现这一目标，我们提出了以下两个具体目标：目标1：使用NHANES III的数据开发敏感的方法来衡量美国人口中龋齿和牙周病的差异，解释研究中病例定义的差异。开发这些方法时将考虑并说明：a）按年龄、性别、人种/种族和社会经济地位（SEP）指标列出的人群疾病分布; B）最佳参考组的选择;以及c）使用相对与绝对疾病指标获得的结果比较。目标二：使用NHANES 1999-2002年的数据来测试目标1中制定的措施，以评估龋齿和牙周病的口腔健康差异。使用NHANES 1999-2002年数据测试目标1中开发的方法的有效性和可靠性，将使我们能够提供使用统一和标准化措施的指导方针和建议，以记录随着时间的推移，在地方和国家层面的研究中，不同人群之间存在的口腔健康差异。该提案的目标与NIDCR战略计划的横向领域-健康差异和数据采集与分析-以及2010年健康人群消除美国人口部分健康差异的目标一致。具体来说，完成这项拟议的研究的目标有可能有助于我们了解口腔健康的差距在美国;提供工具，以衡量口腔健康的差距使用统一的措施，在地方和国家层面的研究的幅度和方向;并建议指导方针，口腔健康的差距比较研究和人群随着时间的推移。最后，所开发的措施有可能被用来衡量健康的差距，年龄，性别，种族/民族和社会经济地位的其他口腔健康结果和健康结果一般。