Learning about Early Childhood Caries Prevention in a Latino Population

 描述（由申请人提供）：这个拟议的K99/R 00职业发展奖申请将支持学术准备和独立研究生涯的开始，重点是与口腔健康相关的多层次因素，使用基于优势的方法来减少儿科口腔健康差异。儿童的口腔健康离不开家庭、社区和环境;因此，在任何儿童口腔健康综合模型中纳入多层次视角至关重要。我在K99阶段的研究将描述与ECC相关的母亲心理社会和行为因素，也将描述拉丁美洲儿童样本中龋齿的患病率。从基础研究因素问卷（BRFQ）中获得的测量结果将用于描述心理社会和行为因素（例如，在科罗拉多州丹佛市学龄前儿童的拉丁裔母亲中进行口腔健康控制点、健康信念、自我效能、一致感、压力、口腔健康的重要性、口腔健康知识和行为）的调查。本研究的结果将与使用BRFQ中类似措施的高风险美洲印第安人人群的结果进行比较。在R 00阶段，混合方法的方法将被用来描述在儿童，家庭和社区层面的无龋和龋活跃的城市居住拉丁美洲儿童的差异。这一方法将捕捉BRFQ调查所衡量的因素，然后使用定性方法进一步探索每个层面的特征。我将使用资产映射，这是一个基于优势的方法，描述保护性健康资产，提高个人，家庭，社区和社会系统的能力，以保持和维持口腔健康，并帮助减少口腔健康不公平的高风险和弱势群体。

 DESCRIPTION (provided by applicant): This proposed K99/R00 career development award application will support academic preparation and the initiation of an independent research career focused on multilevel factors associated with oral health using a strengths-based approach to reduce pediatric oral health disparities. The oral health of a child cannot be separated from family, community and the environment; thus it is vital to include a multilevel perspective in any comprehensive model of children's oral health. My research in the K99 phase will describe the maternal psychosocial and behavioral factors associated with ECC and also will describe the prevalence of dental caries in a sample of Latino children. Measures taken from the Basic Research Factors Questionnaire (BRFQ) will be used to describe psychosocial and behavioral factors (e.g., oral health locus of control, health beliefs, self- efficacy, Sense o Coherence, stress, importance of oral health, oral health knowledge and behaviors) in Latina mothers of preschool children in Denver, Colorado. The results of this study will be compared to that of a high-risk American Indian population in which similar measures from the BRFQ were used. During the R00 phase, a mixed methods approach will be used to describe the differences at child, family and community levels for caries-free and caries-active urban dwelling Latino children. This methodology will capture the factors measured by the BRFQ survey and then will use qualitative methods to further probe characteristics at each level. I will use asset mapping, which is one on the strengths-based approaches, to describe the protective health assets that enhance the ability of individuals, families, communities and social systems to maintain and sustain oral health and to help reduce oral health inequities in high risk and vulnerable groups.