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