Center to Address Disparities in Children's Oral HealthPresentation Transcript
Center to Address Disparities in Children’s Oral Health Supported by the DHHS/NIH: National Institute of Dental and Craniofacial Research National Center on Minority Health and Health Disparities U54 DE 14251
To understand, prevent and reduce oral health disparities among young children
Preventing Early Childhood Caries
The 1993-94 California Oral Health Needs Assessment Survey found the prevalence of ECC to be 14% among all preschool children, but 44% among Asian and 39% among Latino children from low-income families enrolled in Head Start programs.
(Pollick et al.)
In a recent study of >2000 young children near the CA-Mexican border, the ECC prevalence was 58%. (Ramos-Gomez)
Identify biologic, behavioral, and contextual factors associated with health disparities among different ethnic/racial groups.
Enhance our ability to target children likely to be at risk for dental caries.
Provide successful multidisciplinary
interventions to prevent disease and reduce oral health disparities.
Multi-faceted Approach Health Disease Environment + Health Care System Community + Social Factors Family Individual
Why is this Center different from “business as usual?”
Collaborations with minority institutions that serve large populations from groups traditionally considered to be under served with respect to oral health needs.
Collaborations across the professions and a multidisciplinary scope
Development of regional and national research and training networks
Research that will ultimately reduce health disparities
Our Primary Partners San Ysidro Community Health Center – near US-Mexican border National Institutes of Health (NIH)
Four Main Projects
Weintraub: RCT to test fluoride varnish in preventing ECC
Ramos-Gomez: MAYA , Mothers and Youngsters Access - RCT to test chlorhexidine rinse in Moms and FV in kids to prevent ECC
Evans/Hilton: CBAG , Cultural Barriers to Access Groups – barriers to oral health care for young children.
Gansky: RAE ,
Risk Assessment models for ECC
Role of Independent Scientific Advisory Committee
Conduct an annual review of the broad goals and accomplishments of the center
Assess interim progress
Aid in the review of new pilot and main project proposals
Review adverse event reports, safety concerns and overall progress of studies involving human subjects that are not clinical trials requiring DSMBs.
Issues for Consideration
Future main projects and research direction
Executive Committee membership
NIDCR Evaluation Plans
The Center as a National Resource
Additional Funding Sources and center-generated income
Ramping up and use of carry-over funds from year 1.
Selection of pilot projects for funding
Measures of Success
Improvements in oral health status and other outcomes for projects providing interventions and community services
Translation of pilot studies into larger, funded studies