BRIDGING SOCIO-CULTURAL BOUNDARIES IN ORAL HEALTH

这个项目广泛而长期的目标是提高各种牙科的文化能力 使用基于网络的工具(EthnoDent)的供应商。华盛顿州的人口，除了美国之外，还有 它的种族和种族构成越来越多样化。1995至2025年间，国际移民 将为华盛顿州带来额外的39.4万人(Campbell，1996)。美国文化正在变得更加 异质与许多少数民族文化的涌入，他们有自己的信仰和传统，可能只有 在同一个国家生活有一个共同点--口腔健康状况较差(Brookins，1993；Ahmann， (1994年)。与其他群体相比，美国的低收入和少数族裔人口受益较少，尽管 儿童龋齿等口腔健康疾病的知识进展(Seow，1998；Milnes，1996)。 随着人口多样性的增加，提供者将照顾不同文化的患者，他们可能不会将 对于健康和疾病有着相同的传统或含义。来自文化的潜在传统和价值观可能 管理群体对健康、疾病和治疗方法的感知意义。不能进行交流 跨文化可能会损害卫生专业人员向患者提供最适当护理的有效性， 可能会影响患者的依从性。目前的项目提议开发一个基于网络的工具(EthnoDent) 它将侧重于减少儿童保健领域提供者和多元文化患者之间的文化障碍 口腔健康。拟议研究的具体目的是：1)定性地描述美洲原住民/阿拉斯加 土著(NA/AN)、亚洲/太平洋岛民(A/PI)和拉丁裔/拉美裔(L/H)文化(即传统、信仰/价值观、 在儿童口腔健康方面)。2)开发基于网络的工具(EthnoDent) 收集的信息，其中将包含有关文化、语言、信仰、传统和 在儿童口腔健康方面的做法。3)描述ethnoDent的用户配置文件并管理 基于来自这些配置文件的反馈的系统更改的演变。4)确定牙科提供者的 (例如，牙科一年级学生、牙科助理和口腔卫生专业学生)知识和文化能力是 该项目的长期目标是减少儿童口腔方面的差异 通过提高提供者与多文化家庭沟通的态度和技能，促进其健康。

The broad, long-term objective of this project is to increase cultural competency in a wide array of dental providers using a web-based tool (EthnoDent). Washington state's population, in addition to the United States, is becoming increasingly diverse in its' ethnic and racial makeup. Between 1995 and 2025, international migration will bring to-Washington state an additional 394,000 people (Campbell, 1996). The U.S. culture is becoming more heterogeneous with the influx of many minority cultures who have their own beliefs and traditions and may only share one commonality of living in the same country - poorer oral health status (Brookins, 1993; Ahmann, 1994). Low-income and minority populations in the U.S. have benefited less than other groups in spite of advances in knowledge of oral health diseases such as childhood caries (Seow, 1998; Milnes, 1996). As the population's diversity increases, providers will care for multi-cultural patients who may not attribute the same traditions or meanings for health and illness. Underlying traditions and values arising from cultures may govern the group's perceived meaning of health, illness and approach to curing. An inability to communicate cross-culturally may impair health professionals' effectiveness at providing the most appropriate care to patients, potentially affecting patient adherence. The current project proposes to develop a web-based tool (EthnoDent) which will focus on reducing cultural barriers between providers and multi-cultural patients in the area of children's oral health. The specific aims of the proposed study are; 1) To qualitatively describe the Native American/Alaska Native (NA/AN), Asian/Pacific Islander (A/PI), and Latino/Hispanic (L/H) cultures (i.e., traditions, beliefs/values, practices) with respect to children's oral health. 2) To develop a web-based tool (EthnoDent) based on the collected information, which will contain information about the cultures, their languages, beliefs, traditions, and practices with respect to children's oral health. 3) To describe the user profiles of EthnoDent and manage the evolution of system changes based on feedback from these profiles. 4) To determine whether dental providers' (e.g., first-year dental students, dental assistant and dental hygiene students) knowledge and cultural competency is increased with the use of EthnoDent The long-term vision of this project is to reduce disparities in children's oral health through enhancing the providers' attitudes and skills in communicating with multi-cultural families.