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Diffusion of Anticipatory Guidance to Prevent ECC Disease Transmission: Secondary

预防 ECC 疾病传播的预期指导的传播：次要

基本信息

批准号：
8242677
负责人：
David E Grembowski
金额：
$ 15.6万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-04-01 至 2014-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8242677
关键词：
Academy Address Adoption American Attitude Behavioral Belief Biological Caring Characteristics Child Child Care Collaborations Data Data Set Dental Dental Care Dental caries Dentists Development Diffusion Economic Conditions Economics Family Goals Grant Health Professional Infection Interdisciplinary Study Knowledge Lead Low income Mails Maternal and Child Health Methodology Minority Minority Groups Modeling Mothers Mouth Diseases National Institute of Dental and Craniofacial Research Oral health Oregon Pediatric Dentistry Pediatrics Pregnant Women Prenatal care Prevention Primary Prevention Process Provider Recommendation Research Research Personnel Research Project Grants Role Science Staging Statistical Data Interpretation Strategic Planning Surveys Time Tooth structure Underserved Population United States United States Health Resources and Services Administration Universities Visit Washington clinical practice disease transmission early childhood health disparity high risk offspring prevent public health relevance response social success theories transmission process

项目摘要

DESCRIPTION (provided by applicant): Both the American Academy of Pediatrics and the American Academy of Pediatric Dentistry officially recommend that children--especially minority and underserved populations at high risk for tooth decay-have their first visit to the dentist at 12 months or within 6 months after the eruption of the their first tooth. While the recommendation is meritorious, in focusing solely on the child it fails to acknowledge the critical role of the mother. If the mother receives care, the child benefits both from a biological perspective (preventing or postponing infection of the child) and because anticipatory guidance is important for establishing attitudes and beliefs regarding the importance of baby teeth and the need for year one visit. Not more than one or two percent of children now receive a year one visit. This research proposes to conduct secondary analyses of a dataset from the Oregon Care Provider Study in order to: 1. Determine the diffusion of anticipatory guidance to pregnant women on ECC transmission among general dentists; 2. Compare the personal and practice characteristics of dentists who usually provide anticipatory guidance on ECC to pregnant women in their practices and those who do not; 3. Determine whether local dentist supply and sociodemographic characteristics are associated with dentist provision of anticipatory guidance on ECC to pregnant women. The dataset was constructed from the results of a 2006-2007 survey under a grant from the Maternal and Child Health Bureau, HRSA, and carried out in collaboration with the Social and Economic Sciences Research Center at Washington State University. The mail survey of all 1,604 general dentists in Oregon was done with a primary purpose to study dentists' attitudes, beliefs and practices regarding dental care for pregnant women. The research will be conducted within the Northwest Center to Reduce Oral Health Disparities. The Center is a multidisciplinary research unit at the University of Washington addressing the maternal and child oral health and health disparities. PUBLIC HEALTH RELEVANCE: The investigators propose a secondary analysis of dentist survey data from the State of Oregon regarding dental care for pregnant women and their offspring in order to better understand diffusion of primary prevention and anticipatory guidance for Early Childhood Caries.

描述（由申请人提供）：美国儿科学会和美国儿科牙科学会都正式建议儿童-特别是少数民族和缺医少药的高蛀牙风险人群-在第一颗牙出牙后12个月或6个月内首次去看牙医。虽然这项建议是值得赞扬的，但它只关注儿童，没有承认母亲的关键作用。如果母亲得到护理，从生物学角度（预防或延缓儿童感染）和因为预期指导对于树立关于乳牙的重要性和第一年就诊的必要性的态度和信念是重要的，因此儿童受益。现在只有不到百分之一到百分之二的孩子接受一年一次的探视。本研究建议对俄勒冈州护理提供者研究的数据集进行二次分析，以便：1。确定在普通牙医中向孕妇提供关于ECC传播的预期指导；2. 比较在执业过程中经常为孕妇提供预诊治疗指引的牙医与不提供预诊治疗指引的牙医的个人及执业特点；3. 确定当地牙医的供应和社会人口特征是否与牙医向孕妇提供有关ECC的预期指导有关。该数据集是根据2006-2007年的一项调查的结果构建而成的，该调查得到了妇幼卫生局（HRSA）的资助，并与华盛顿州立大学社会和经济科学研究中心合作开展。对俄勒冈州1604名普通牙医进行的邮件调查的主要目的是研究牙医对孕妇牙科护理的态度、信念和做法。这项研究将在西北减少口腔健康差距中心进行。该中心是华盛顿大学的一个多学科研究单位，致力于孕产妇和儿童口腔健康和健康差距。