Center to Address Disparities in Children's Oral Health


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Center to Address Disparities in Children's Oral Health

  1. 1. 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
  2. 2. Our Theme <ul><li>To understand, prevent and reduce oral health disparities among young children </li></ul><ul><li>Primary focus: </li></ul><ul><li>Preventing Early Childhood Caries </li></ul>
  3. 3. The Problem <ul><li>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. </li></ul><ul><li>(Pollick et al.) </li></ul><ul><li>In a recent study of >2000 young children near the CA-Mexican border, the ECC prevalence was 58%. (Ramos-Gomez) </li></ul>
  4. 4. Research Mission: <ul><li>Identify biologic, behavioral, and contextual factors associated with health disparities among different ethnic/racial groups. </li></ul><ul><li>Enhance our ability to target children likely to be at risk for dental caries. </li></ul><ul><li>Provide successful multidisciplinary </li></ul><ul><li>interventions to prevent disease and reduce oral health disparities. </li></ul>
  5. 5. Multi-faceted Approach Health Disease Environment + Health Care System Community + Social Factors Family Individual
  6. 6. Why is this Center different from “business as usual?” <ul><li>RFA required: </li></ul><ul><li>Collaborations with minority institutions that serve large populations from groups traditionally considered to be under served with respect to oral health needs. </li></ul><ul><li>Collaborations across the professions and a multidisciplinary scope </li></ul><ul><li>Development of regional and national research and training networks </li></ul><ul><li>Research that will ultimately reduce health disparities </li></ul>
  7. 7. Our Primary Partners                                                                                       San Ysidro Community Health Center – near US-Mexican border National Institutes of Health (NIH)
  8. 8. Organizational Structure
  9. 9. Four Main Projects <ul><li>Weintraub: RCT to test fluoride varnish in preventing ECC </li></ul><ul><li>Ramos-Gomez: MAYA , Mothers and Youngsters Access - RCT to test chlorhexidine rinse in Moms and FV in kids to prevent ECC </li></ul><ul><li>Evans/Hilton: CBAG , Cultural Barriers to Access Groups – barriers to oral health care for young children. </li></ul><ul><li>Gansky: RAE , </li></ul><ul><li>Risk Assessment models for ECC </li></ul>
  10. 10. Role of Independent Scientific Advisory Committee <ul><li>Conduct an annual review of the broad goals and accomplishments of the center </li></ul><ul><li>Assess interim progress </li></ul><ul><li>Aid in the review of new pilot and main project proposals </li></ul><ul><li>Review adverse event reports, safety concerns and overall progress of studies involving human subjects that are not clinical trials requiring DSMBs. </li></ul>
  11. 11. Issues for Consideration <ul><li>Future main projects and research direction </li></ul><ul><li>Executive Committee membership </li></ul><ul><li>NIDCR Evaluation Plans </li></ul><ul><li>The Center as a National Resource </li></ul><ul><li>Additional Funding Sources and center-generated income </li></ul><ul><li>Ramping up and use of carry-over funds from year 1. </li></ul><ul><li>Selection of pilot projects for funding </li></ul>
  12. 12. Measures of Success <ul><li>Improvements in oral health status and other outcomes for projects providing interventions and community services </li></ul><ul><li>Translation of pilot studies into larger, funded studies </li></ul><ul><li>Publications, presentations, “project generated resources. </li></ul><ul><li>Development of new investigators in this field, especially from underserved minorities </li></ul><ul><li>Translation of research into health policy </li></ul>
  13. 13. Goal To improve the oral health of children Please visit our website: