Center to Address Disparities in Children's Oral Health
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Center to Address Disparities in Children's Oral Health

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Center to Address Disparities in Children's Oral Health Center to Address Disparities in Children's Oral Health Presentation 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
  • Our Theme
    • To understand, prevent and reduce oral health disparities among young children
    • Primary focus:
    • Preventing Early Childhood Caries
  • The Problem
    • 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)
  • Research Mission:
    • 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?”
    • RFA required:
    • 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)
  • Organizational Structure
  • 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
    • Publications, presentations, “project generated resources.
    • Development of new investigators in this field, especially from underserved minorities
    • Translation of research into health policy
  • Goal To improve the oral health of children Please visit our website: http://www.ucsf.edu/cando/