SORRIA! Assessing Brazilian Immigrant Parents' Oral Health Knowledge, Attitudes, and Behaviors for their Young Children

索里亚！

• 批准号: 10648393
• 负责人: ANA CRISTINA TERRA DE SOUZA LINDSAY
• 金额: $ 24.28万
• 依托单位: UNIVERSITY OF MASSACHUSETTS BOSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10648393
• 关键词: 2 year old; 20 year old; 6 year old; Acculturation; Affect; American Indians; Back; Basic Science; Behavioral; Biological; Brazil; Caries prevention; Characteristics; Child; Childhood; Chronic; Chronic stress; Communicable Diseases; Communities; Control Locus; Data; Dental Care; Dental Hygiene; Dental Insurance; Dental caries; Dimensions; Disease; Environment; Ethnic Population; Face; Family; Fathers; Focus Groups; Foundations; Future; Health; Health Knowledge Attitudes Practice; Health Promotion; Health Status; Health behavior; Healthcare; Healthcare Systems; High Prevalence; Hispanic; Immigrant; Immigrant family; Immigration; Individual; Intervention; Intervention Trial; Language; Latin American; Latinx; Latinx population; Length; Low income; Minority; Modeling; Mothers; Native-Born; Oral health; Outcome; Outcomes Research; Parents; Patient Self-Report; Phase; Physical environment; Play; Population; Portuguese; Psychosocial Assessment and Care; Psychosocial Factor; Qualitative Research; Questionnaires; Research; Research Methodology; Residencies; Risk; Role; Science; Self Efficacy; Social Environment; Social support; Stress; Surveys; Time; Translating; Underrepresented Populations; United States; care systems; community based research; community engaged research; design; early childhood; early experience; ethnic minority; experience; health belief; health care availability; health care service utilization; health knowledge; health related quality of life; improved; information gathering; innovation; knowledge base; low socioeconomic status; pilot test; prevent; preventive intervention; racial minority; racial population; social capital; sociodemographics; socioeconomics

PROJECT SUMMARY Oral health (OH) is an essential component of overall health. Early childhood caries (ECC, tooth decay), a preventable and reversible bacterial infectious disease, is the single most prevalent chronic childhood disease in the United States (US).1-3 Poor OH and ECC disproportionally affect racial/ethnic minoritized and immigrant children4,5 from families with low socioeconomic position (SEP). Furthermore, evidence shows that individuals who immigrate when < 20 years of age are 2- 4 times more likely to have a child with ECC than parents who are native-born or who immigrated when younger.6-10 In the US, Hispanic/Latinx children are more likely than children of all other racial and ethnic groups to experience ECC, except American Indians.6-8 Children’s OH behaviors and risk of ECC are influenced by the child’s and parent's sociodemographic and acculturation level, biological, behavioral, and psychosocial variables.5-9 Parents play a central role in their children’s OH-related behaviors.6-13 Evidence suggests that less acculturated Hispanic/Latinx parents have lower OH knowledge, higher stress, and more barriers to accessing OH/dental care for their children than more acculturated counterparts.8,9 Brazilians are a fast-growing Latin American immigrant group in the US. Yet, little research has focused on health issues affecting them.14,15 The US has the largest Brazilian population outside of Brazil; ~1,750,000 Brazilians live in the US.19,20 Portuguese is the official language of Brazil and a very important cultural difference between Brazilians and other Spanish- speaking Hispanic/Latinx groups.17,18 There is a general lack of research focusing on the OH of Brazilian immigrant families and their children living in the US. Studies conducted in Brazil suggest that low-income children and parents in this population have low OH knowledge, poor OH status, higher prevalence of ECC, and low OH-related quality of life.17-21 Understanding Brazilian immigrant parents’ OH knowledge, attitudes, and behaviors (KAB) and their experience accessing and utilizing OH/dental care will allow for the design of salient interventions to improve OH behaviors, OH outcomes, and OH-related quality of life.22,23 Therefore, the specific aims for the proposed research are to: (1) use qualitative research methods to explore Brazilian immigrant parents’ OH KAB and access and utilization of OH/dental care for their children (Phase 1: Focus Groups); (2) translate/back translate the survey to Brazilian Portuguese and then use focus groups’ findings, expert review, and pilot-testing to adapt the Basic Research Factors Questionnaire (BRFQ) for Brazilians in the US; (3) use the adapted BRFQ to assess psychosocial and cultural factors associated with Brazilian immigrant parents’ OH KAB and access and utilization of OH/dental care for their young children (Phase 3: Survey Implementation). The proposed community-engaged research is innovative because it will be the first to focus on Brazilian immigrants, an understudied ethnic minority and immigrant population underrepresented in OH research. Consistent with the R21’s purpose, the expected research outcomes will provide a foundation for a larger-scale trial of an intervention to promote OH and prevent ECC among Brazilian children in the US.22,23 This research will have a positive impact by building the science of OH research in Brazilians in the US. Moreover, it will build additional research capacity to engage underserved, minoritized Brazilian parents to co-design future OH promotion and ECC prevention interventions relevant to Brazilians in the US.

项目总结 口腔健康是整体健康的重要组成部分。儿童早期龋齿(ECC，龋齿)，一种可预防和 可逆性细菌传染病，是美国最常见的慢性儿童疾病。1-3 贫穷的OH和ECC不成比例地影响种族/族裔小型化和移民儿童4，5来自低收入家庭 社会经济地位(SEP)。此外，有证据表明，在20岁时移民的个人年龄为2岁- 与土生土长的父母或年轻时移民的父母相比，生下患有ECC的孩子的可能性高出4倍。 美国、西班牙裔/拉丁裔儿童比其他所有种族和民族的儿童更有可能经历ECC，除了 美国印第安人6-8儿童的OH行为和患ECC的风险受到儿童和父母的社会人口统计的影响 以及文化适应水平、生物、行为和心理社会变量。5-9父母在他们的孩子的 6-13证据表明，文化适应程度较低的西班牙裔/拉丁裔父母对羟基磷灰石的了解较低， 更高的压力，与适应更多文化的孩子相比，他们获得牙科护理的障碍更多。8，9 在美国，巴西人是一个快速增长的拉美移民群体。然而，很少有研究关注健康问题。 影响他们。14，15美国是除巴西之外巴西人口最多的国家；约1,750,000巴西人生活在美国 葡萄牙语是巴西的官方语言，也是巴西人与其他西班牙语人之间非常重要的文化差异-- 讲西班牙裔/拉丁裔群体17，18普遍缺乏对巴西移民家庭的OH的研究 以及他们生活在美国的孩子。在巴西进行的研究表明，这个地区的低收入儿童和父母 人群的羟基磷灰石知识水平较低，羟基磷灰石状况较差，ECC患病率较高，与羟基磷灰石相关的生活质量较低。 了解巴西移民父母的卫生知识、态度和行为(KAB)及其获取经验 利用OH/牙科护理将允许设计显著的干预措施，以改善OH行为、OH结果和 22、23因此，拟议研究的具体目的是：(1)使用定性研究 方法调查巴西移民父母的口腔卫生知识、行为及子女口腔卫生保健的获取和利用情况 (阶段1：焦点小组)；(2)将调查翻译/回译成巴西葡萄牙语，然后使用焦点小组的调查结果， 为在美国的巴西人调整基本研究因素问卷(BRFQ)的专家审查和试点测试；(3)使用 修改后的BRFQ用于评估与巴西移民父母的OHKAB和 其幼儿获得和利用卫生保健/牙科护理(第三阶段：调查实施)。建议数 社区参与的研究是创新的，因为它将是第一个关注巴西移民的研究，巴西移民是一名未被研究的人 少数民族和移民人口在俄亥俄州的研究中代表性不足。与R21的目的一致的S，预期 研究结果将为更大规模的干预试验提供基础，以促进OH和预防ECC 在美国的巴西儿童中。22，23这项研究将产生积极的影响，因为它将在 在美国的巴西人。此外，它还将建立更多的研究能力，以吸引服务不足、小型化的巴西人 家长们共同设计未来与美国巴西人相关的OH推广和ECC预防干预措施。