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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：
8029192
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 2013-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8029192
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 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-特别是少数民族和服务不足的人群，蛀牙风险高-在第一颗牙齿萌出后12个月或6个月内首次访问牙医。虽然这项建议是有道理的，但由于只注重儿童，它没有承认母亲的关键作用。如果母亲接受护理，儿童从生物学角度（预防或推迟儿童感染）受益，因为预期指导对于建立关于乳牙重要性和第一年检查必要性的态度和信念很重要。现在只有不到百分之一或百分之二的儿童接受一年一次的访问。本研究建议对来自俄勒冈州护理提供者研究的数据集进行二次分析，以便：1。确定一般牙医对孕妇ECC传播的预期指导的扩散; 2.比较经常为孕妇提供ECC预期指导的牙医和不提供ECC预期指导的牙医的个人和执业特征;确定当地牙医供应和社会人口特征是否与牙医向孕妇提供ECC预期指导相关。该数据集是根据2006-2007年的一项调查结果构建的，该调查是在妇幼卫生局HRSA的资助下进行的，并与华盛顿州立大学的社会和经济科学研究中心合作进行的。对俄勒冈州所有1,604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齿护理的态度、信念和做法。这项研究将在西北中心进行，以减少口腔健康差异。该中心是华盛顿大学的一个多学科研究单位，致力于解决孕产妇和儿童口腔健康和健康差异问题。公共卫生关系：研究人员建议对来自俄勒冈州的关于孕妇及其后代牙齿护理的牙医调查数据进行二次分析，以更好地了解早期儿童龋齿的一级预防和预期指导的扩散。