PREDICTORS OF ORAL HEALTH IN AFRICAN AMERICANS

美国的口腔健康状况在2010年得到了显著改善。 几十年前，但有些群体，如非洲裔美国成年人，仍然存在， 有患牙科疾病的风险，更有可能经历口腔不良 健康 虽然这一问题已得到普遍承认，但目前 被研究的 这项研究的目的是了解Nu 这些成年人聚集在一起， 关于非洲人代表性样本的社会心理和健康数据 美国人 研究表明，健康行为和口腔健康模型 这将是规划干预措施的有用工具 对于这个高危人群来说。 该项目的具体目标是：（1）确定人口， 影响自我照顾的使能、文化和心理因素 非裔美国人的专业护理，2）评估和对比 牙科行为（自我护理和利用专业护理）之间 非裔美国人和白色美国人，并将行为与 人口统计学和心理社会因素，3）评估口腔健康结果 （龋齿、牙周状况、牙齿脱落、牙齿替换） 两组，并将结果与牙科行为联系起来，4）检查 受试者的口腔健康状况与牙科提供者因素的关系， 牙医的可用性，保险的接受程度和种族偏见，以及5） 为非洲人建立健康行为和口腔健康的概念模型 美国人 受试者将是800名成人（400 非裔美国人，400名白人）年龄18-74岁居住在底特律 三县地区。 数据将通过a）面对面访谈收集， B）牙科检查和自我护理行为的观察，和c）a 受试者牙医的邮寄调查。 定性试点研究将 用于制定和完善面对面和牙医的措施 调查。 多变量数据分析将用于确定 这些因素与自我护理、专业护理的利用、 口腔健康状况。 该项目将作出重大贡献， 一个非洲成年人的健康行为和口腔健康的模型 美国人 该模型将有助于规划干预措施， 增加自我照顾行为，鼓励适当使用牙科 护理，并提高个人的口腔健康风险更大 牙病

Oral health in the United States has dramatically improved during the preceding decades, yet some groups, like African American adults, remain at risk of dental disease and are more likely to experience poor oral health. While this problem is generally acknowledged, it is presently under-studied. The goal of the proposed research is to understand Nu these adults are at greater risk to disease by gathering contemporary psychosocial and health data on a representative sample of African Americans. From the research, a model of health behavior and oral health will be developed that will be a useful tool for planning interventions for this high risk population. The specific aims of the project are to 1) identify demographic, enabling, cultural, and psychological factors that influence self-care and professional care among African Americans, 2) assess and contrast dental behaviors (self-care and utilization of professional care) between African Americans and white Americans and relate the behaviors to the demographic and psychosocial factors, 3) assess oral health outcomes (dental caries, periodontal status, tooth loss, tooth replacement) in the two groups and relate the outcomes to dental behaviors, 4) examine the relation of subjects' oral health status to dental provider factors such as dentist availability, acceptance of insurance, and racial bias and 5) develop a conceptual model of health behavior and oral health for African Americans. Subjects will be a disproportionate probability sample of 800 adults (400 African Americans, 400 whites) age 18-74 years residing in the Detroit tri-county area. Data will be collected by a) face-to-face interviews, b) dental examinations and observations of self-care behaviors, and c) a mailed survey of subjects' dentists. Qualitative pilot studies will be used to develop and refine measures for the face-to-face and dentist surveys. Multivariate data analyses will be used to determine the relation of the factors to self-care, utilization of professional care, and oral health status. The project will make a significant contribution by beginning development of a model of health behavior and oral health for adult African Americans. The model will be useful when planning interventions to increase self-care behaviors, encourage appropriate utilization of dental care, and enhance the oral health of individuals at greater risk of dental disease.