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.

项目摘要 口腔健康（OH）是整体健康的重要组成部分。幼儿龋齿（ECC，蛀牙），一种可预防的， 可逆性细菌感染性疾病，是美国（US）最流行的单一慢性儿童疾病。1 -3 贫穷的OH和ECC会对种族/民族少数民族和移民儿童产生不利影响4，5来自低 社会经济地位（SEP）。此外，有证据表明，20岁以下移民的人， 与出生在本国或出生时移民的父母相比，孩子患ECC的可能性高出4倍。 美国、西班牙裔/拉丁裔儿童比所有其他种族和族裔群体的儿童更有可能经历ECC， 美国印第安人。6 -8儿童的OH行为和ECC风险受儿童和父母的社会人口统计学影响 和文化适应水平，生物，行为和心理社会变量。5 -9父母在孩子的成长中起着核心作用。 OH相关行为。6 -13证据表明，文化适应程度较低的西班牙裔/拉丁裔父母的OH知识较低， 更高的压力，和更多的障碍，以获得OH/牙科保健为他们的孩子比更多的文化适应的同行。 巴西人是美国快速增长的拉丁美洲移民群体。然而，很少有研究关注健康问题， 14，15美国拥有除巴西以外最多的巴西人口;约1，750，000巴西人生活在美国。19，20 葡萄牙语是巴西的官方语言，也是巴西人与其他西班牙人之间非常重要的文化差异- 讲西班牙语/拉丁语的群体。17，18普遍缺乏对巴西移民家庭的OH的研究 和他们的孩子生活在美国。在巴西进行的研究表明，低收入儿童和父母在这方面 人群的OH知识低，OH状况差，ECC患病率较高，OH相关生活质量低。17 -21 了解巴西移民父母的OH知识，态度和行为（KAB）及其访问经验 利用OH/牙科护理将允许设计突出的干预措施，以改善OH行为，OH结果， OH相关的生活质量。22，23因此，拟议研究的具体目标是：（1）使用定性研究 方法探讨巴西移民父母的OH KAB和访问和利用OH/牙科保健为他们的孩子 （第1阶段：焦点小组）;（2）将调查翻译/回译为巴西葡萄牙语，然后使用焦点小组的调查结果， 专家评审和试点测试，以适应巴西人在美国的基础研究因素问卷（BRFQ）;（3）使用 调整后的BRFQ评估与巴西移民父母的OH KAB相关的社会心理和文化因素， 获得和利用OH/牙科护理的幼儿（第3阶段：调查实施）。拟议 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， 少数民族和移民人口在OH研究中代表不足。与R21的目的一致，预期 研究结果将为更大规模的促进OH和预防ECC的干预试验提供基础 22，23这项研究将通过建立OH研究的科学产生积极的影响， 巴西人在美国此外，它还将建立更多的研究能力，以吸引服务不足，少数民族化的巴西人， 父母共同设计未来的OH促进和ECC预防干预相关的巴西人在美国。