Diffusion of Anticipatory Guidance to Prevent ECC Disease Transmission: Secondary

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--特别是少数族裔和服务不足的高龋齿风险人群--在12个月或第一颗牙齿萌出后6个月内第一次去看牙医。虽然这项建议是有价值的，但由于只关注儿童，它没有承认母亲的关键作用。如果母亲得到照顾，儿童将从生物学角度(预防或推迟儿童感染)受益，也因为前瞻性指导对于建立有关乳牙重要性和第一年就诊必要性的态度和信念很重要。现在不超过1%或2%的儿童接受第一年的访问。这项研究建议对俄勒冈州护理提供者研究的数据集进行二次分析，以便：1.确定在普通牙医中向孕妇提供关于ECC传播的预期指导的传播情况；2.比较通常在执业中向孕妇提供ECC预期指导的牙医的个人和执业特征；3.确定当地牙医的供应和社会人口特征是否与牙医向孕妇提供ECC预期指导有关。该数据集是根据2006-2007年的调查结果构建的，调查结果由人权事务高级专员办事处妇幼保健局资助，并与华盛顿州立大学社会科学和经济学研究中心合作进行。这项对俄勒冈州1604名普通牙医进行的邮寄调查的主要目的是研究牙医对孕妇牙科保健的态度、信念和做法。这项研究将在西北中心内进行，以减少口腔健康差距。该中心是华盛顿大学的一个多学科研究单位，研究母婴口腔健康和健康差距。 公共卫生相关性：研究人员建议对俄勒冈州关于孕妇及其子女牙科护理的牙医调查数据进行二次分析，以更好地了解初级预防和儿童早期龋病预期指导的传播情况。

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.