Neighborhood Characteristics and Adolescence Dental Visits: A Multilevel Approach

社区特征和青少年牙科就诊：多层次方法

• 批准号: 8270463
• 负责人: Christopher Okunseri
• 金额: $ 11.32万
• 依托单位: MARQUETTE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-06-01 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8270463
• 关键词: Address; Adolescence; Adolescent; Adult; Advocate; Age; Applications Grants; Area; Behavior; Behavioral Model; Censuses; Characteristics; Communities; Community Developments; Cross-Sectional Studies; Data; Data Set; Databases; Dental; Dental Care; Dental Research; Development; Development Plans; Educational Background; Ethnic Origin; Event; Foundations; Gender; Goals; Health; Health Policy; Health Professional; Health Services; Health Status; Individual; Intervention; Investigation; Knowledge; Life; Life Cycle Stages; Life Style; Longevity; Longitudinal Studies; Marital Status; Modeling; Neighborhoods; Oral health; Outcome; Persons; Policies; Policy Developments; Poverty; Provider; Public Health; Questionnaires; Race; Reporting; Research; Research Personnel; Respondent; Sampling; Science; Shapes; Solutions; Staging; Time; United States; Visit; Work; base; critical period; density; design; emerging adult; ethnic minority population; health care service utilization; improved; income insurance; intervention program; knowledge base; low socioeconomic status; oral habits; programs; racial and ethnic; racial and ethnic disparities; racial/ethnic difference; response; service utilization; social; young adult

DESCRIPTION (provided by applicant): This proposed project builds upon cross-sectional studies that have investigated the relationship of dental visits to person level factors, such as age, gender, and marital status among adults in the United States. However, person level factors alone are insufficient to explain differences in dental visits, especially when seeking solutions to address racial and ethnic disparities in dental visits. Neighborhood characteristics like poverty, racial/ethnic composition, and educational attainment, available from census information, have not been investigated as potential predictors or correlates of dental visits. The overall goal of this project is to acquire preliminary data in order to submit an RO1 grant proposal to fully investigate the relationship of neighborhood intervention strategies over time on adolescents' dental service utilization. Therefore, the long-term goal of our research is to extend the science on dental visits by including neighborhood characteristics. The short-term goal of this project is to examine the influence of neighborhood characteristics on dental visits over time among adolescents progressing to young adulthood. The periods of adolescence and early adulthood represent stages in life for developing oral habits conducive for promoting positive oral health lifestyles and behavior over the full life span. This project is national in scope and could be significant to the development of appropriate programs and oral health policies that will include community grounded strategies. It will be executed using data from the National Longitudinal Study of Adolescent Health (Add Health) - a dataset specifically designed to collect information on adolescents progressing to young adulthood. This project will investigate three specific aims: 1) to examine the temporal profile of dental visits among adolescents progressing to young adulthood; 2) to investigate in the same sample the extent to which neighborhood characteristics explain racial/ethnic differences seen in dental visits after adjustment for person level factors; 3) to assess the association of person level factors and neighborhood characteristics on dental visits among adolescents progressing to adulthood. Add Health data proposed for use in this study was collected in four waves: Wave I (1994- 95), Wave II (1996), Wave III (2001-2002), Wave IV (2007-2008), and contains both questionnaire responses and contextual information. Add Health is the only comprehensive database that will allow for a wide range of analyses beyond cross-sectional analysis of contemporaneous associations of contextual characteristics with respondent outcomes, and allow for longitudinal and dynamic analyses of contextual influences. Multilevel hierarchical modeling will be used to estimate the influence of neighborhood characteristics on dental visits. Findings from this project will improve our knowledge and understanding of dental visits during the critical period from adolescence to young adulthood.

描述（由申请人提供）：该拟议项目建立在横断面研究的基础上，这些研究调查了牙科就诊与个人因素的关系，如美国成年人的年龄，性别和婚姻状况。然而，人的水平因素本身是不足以解释牙科就诊的差异，特别是在寻求解决方案，以解决牙科就诊的种族和民族差异。社区的特点，如贫困，种族/民族组成，教育程度，从人口普查信息，还没有被调查作为潜在的预测因素或牙科就诊的相关因素。本研究的主要目的是获得初步的资料，以提交一个RO 1补助金提案，充分调查随着时间的推移，青少年的牙科服务利用的邻里干预策略的关系。因此，我们研究的长期目标是通过包括邻居特征来扩展牙科访问的科学。该项目的短期目标是研究社区特征对青少年牙科就诊的影响。青春期和成年早期是发展口腔习惯的生命阶段，有助于在整个生命周期内促进积极的口腔健康生活方式和行为。该项目是国家范围内，可能是重要的适当的程序和口腔健康政策，将包括社区为基础的战略的发展。它将使用国家青少年健康纵向研究（Add Health）的数据执行-这是一个专门用于收集青少年成长为年轻成年人的信息的数据集。本研究将探讨三个特定的目的：1）检查青少年进入青年期的牙科就诊时间分布; 2）在同一样本中，在调整个人水平因素后，调查邻里特征在多大程度上解释了牙科就诊中的种族/民族差异; 3）评估个人水平因素和社区特征对青少年成年后牙科就诊的影响。建议用于本研究的健康数据分四波收集：第一波（1994- 95），第二波（1996），第三波（2001-2002），第四波（2007-2008），并包含问卷答复和上下文信息。Add Health是唯一一个综合性数据库，它允许进行广泛的分析，超越对背景特征与受访者结果的同期关联进行的横截面分析，并允许对背景影响进行纵向和动态分析。将使用多级分层建模来估计邻居特征对牙科访问的影响。从这个项目的结果将提高我们的知识和理解牙科访问的关键时期，从青春期到年轻的成年。