Detroit Research Center on Oral Health Disparities
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 2,042
- 试验地点
- 2
- 主要终点
- Carious lesions
研究概览
简要总结
The Detroit Dental Health Project (DDHP)aims to promote oral health and reduce disparities within the community of low-income African-American children (0-5 years) and their main caregivers (14+ years), living in the City of Detroit. The driving theme of the Project is to identify determinants and design interventions to answer the following question: why do some low-income African-American children and their main caregivers have better oral health than others who live in the same community? The Project has 3 support cores, 4 research core projects and 1 pilot study. The Project has selected a multistage random sample of African-American families living in the poorest 39 Census Tracts in the City of Detroit. A total of 1,022 families were recruited and interviewed at a community center in Detroit during the year 2 (2002). We have collected data about the social characteristics of parents, families, and neighborhoods that are associated with disparities in oral health; lead levels in saliva and blood of the caregivers; and dietary intake. All these families will be recalled in the year 4 (2004) and year 6 (2006) for longitudinal data collection. We are currently developing a tailored multi-media educational intervention (Project #3), based on data collected in the first phase (2002). The educational intervention will be administered using a randomized controlled design in year 4 (2004). Additionally, the Project is evaluating the impact on access to dental care of a state-funded experiment on utilization where Medicaid children are managed like privately insured patients (Project #4).
详细描述
The principal theme of the DDHP is to investigate why some African-American children and their main caregivers have better oral health than others who live in the same community. This question dictates the design of individual projects to understand the determinants of oral health disparities.
The DDHP has the following specific aims:
- To promote oral health and reduce the disparities in oral health within the community of low-income African-American children (0-5 years) and their main caregivers living in the City of Detroit. This goal will be addressed through understanding of the social, familial, biological, and neighborhood determinants of dental caries and periodontal disease, and designing and implementing tailored interventions to target oral health knowledge and behaviors and access to dental care.
- To develop a multidisciplinary cadre of health providers knowledgeable about oral health care and research in the City of Detroit.
- To assist in the provision of dental care services to low-income and dentally underserved residents of the City of Detroit.
The DDHP includes three integrated research projects that are centered on one targeted population and one research project that will evaluate the impact of a state-sponsored pragmatic experiment on access to dental care and utilization of dental services (Project 4). The DDHP also includes one pilot project that aims to develop a new index for evaluating the impact of dental aesthetics on employability and social acceptance.
The research program focuses on the determinants of oral health status (dental caries and periodontal disease) of families that include at least one child less than 6 years of age at baseline (2002-2003) and the main caregiver of the child. The main caregiver is the individual who is responsible for feeding, bathing, and nurturing a child emotionally, mentally, and physically at the primary home of residence. The cohort will be followed for 4 years with a second assessment (interviews and dental examinations) in the fourth year and in the six year of the funding cycle of the DDHP.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- — 至 5 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •African-American
- •0-5 years of age
- •below 250% of poverty
排除标准
- 未提供
结局指标
主要结局
Carious lesions
时间窗: Measures at baseline (2002-03); wave 2 (2004-05); wave 3 (2007)
The carious process was measured using the International Caries Detection and Assessment System (ICDAS). The codes range from measurement of the first visible carious change in enamel (Code 1) to extensive cavitation (Code 6). Both primary carious lesions and lesions adjacent to restorations and sealants (CARS) were recorded,.
次要结局
未报告次要终点