Influence of Community Networks on Oral Health/Behaviors among Hispanics

社区网络对西班牙裔口腔健康/行为的影响

基本信息

批准号：
8292313
负责人：
Gerardo Maupome
金额：
$ 23.4万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-07 至 2014-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8292313
关键词：
2 year old Acute Pain Address Adherence Adult Americas Behavior Behavioral Behavioral Research Belief Cardiovascular Diseases Caring Characteristics Child Clinical Common Cold Communication Communities Community Networks Complex Continuity of Patient Care Data Decision Making Dental Dental Care Dental Insurance Dental caries Food Foundations Future Gingivitis Goals Guidelines Health Health Services Accessibility Health Status Health behavior Healthcare Healthy People 2010 Hispanics Home environment Individual Influentials Insurance Coverage Intervention Investigation Knowledge Language Latino Life Life Style Mechanics Methods Mexican Mexican Americans Mexico Minority Modeling Mouth Diseases Nature Nutritional Obesity Oral health Outcome Patients Pattern Periodontitis Persons Population Predisposition Preventive Preventive screening Public Policy Religious Belief Reporting Research Methodology Risk Behaviors Science Scientist Self Care Social Network Socioeconomic Status Source Stroke Structure Work age group cultural values design experience feeding health disparity illness perceptions improved insight interest malignant mouth neoplasm meetings network models novel programs protective behavior research study socioeconomics sound

项目摘要

DESCRIPTION (provided by applicant): Latinos in the USA often suffer poor oral health. Their dental insurance coverage is the lowest of any minority, and their dental culture is often associated with behaviors that merely react to pain and acute conditions. Studies of oral health among Latinos have hitherto been limited to characterization of a few socio- economic and socio-cultural variables at the individual level. In this R21 application we propose a novel, exploratory study of a well-bounded community network of people of Mexican descent. Our short term objective is to explore the utility of applying network science research methods to improve our understanding of oral health behaviors. Our specific aims are to 1) describe the nature and distribution of social network ties, oral health risk and protective behaviors, and use of dental care within one existing community network of people of Mexican descent in the USA; and 2) examine the extent and nature of social network influence on the oral health risk and protective behavior, and the utilization of dental care of individuals within this community. Such basic structure will allow (in future projects) to contrast and refine the model with data relevant to other regions in the USA or Mexico, other Hispanic groups, other minorities, and/or generate new models. Having clearer knowledge about the factors contributing to better health behaviors will provide a foundation to craft better informed public policy, up-to-date clinical guidelines, culturally sensitive clinical and preventive care, and future research directions. Of particular interest would be to attain a superior understanding of the network structures and ties that may present key entry points to modify the relationships between actors in the community - with emphasis placed among those hubs that would be more influential to effectively disseminate actionable, accurate, and significant health and health care information. PUBLIC HEALTH RELEVANCE: Hispanic dental insurance coverage is the lowest of any minority in the USA, and their dental culture is often associated with behaviors that merely react to pain and acute conditions. There is a need to understand how such behaviors are modulated beyond individual characteristics, by looking into layers of decisions made at the group and community levels. We aim to assemble social networks models to support crafting better informed public policy, up-to-date clinical guidelines, and culturally sensitive clinical and preventive care.

描述（由申请人提供）：美国的拉丁裔经常患口腔健康状况不佳。他们的牙科保险覆盖范围是任何少数族裔中最低的，它们的牙科文化通常与仅对疼痛和急性状况做出反应的行为有关。迄今为止，对拉丁美洲人的口腔健康的研究仅限于个人层面上一些社会经济和社会文化变量的表征。在此R21应用中，我们提出了一项针对墨西哥血统的人社区网络的小说，探索性研究。我们的短期目标是探索应用网络科学研究方法以提高我们对口腔健康行为的理解的实用性。我们的具体目的是1）描述社交网络联系，口腔健康风险和保护行为的性质和分布，以及在美国墨西哥血统的一个现有社区网络中使用牙科护理； 2）检查社交网络对口腔健康风险和保护行为的影响的程度和性质，以及该社区中个人的牙科护理的利用。这种基本结构将允许（在未来的项目中）对比和完善模型与数据相关的模型到美国或墨西哥的其他地区，其他西班牙裔群体，其他少数民族和/或生成新模式。对有助于改善健康行为的因素有更清晰的知识将为制定更好的知情公共政策，最新的临床准则，文化敏感的临床和预防性护理以及未来的研究指示提供基础。特别感兴趣的是，对网络结构和联系有更高的理解，这些结构和联系可能提出关键的入口点，以修改社区中的参与者之间的关系 - 在这些枢纽中重点放在有效地传播可行，准确且重要的健康和医疗保健信息方面更有影响力。公共卫生相关性：西班牙裔牙科保险覆盖范围是美国任何少数群体中最低的，他们的牙科文化通常与仅对疼痛和急性状况做出反应的行为有关。有必要通过研究在小组和社区层面做出的决策层次来了解这种行为如何在个人特征之外调节。我们旨在组装社交网络模型，以支持制定更好的知情公共政策，最新的临床准则以及对文化敏感的临床和预防保健。