Center to Address Disparities in Childrens Oral Health

1
Center to Address Disparities in Childrens 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
Our Theme

• To understand, prevent and reduce oral health
  disparities among young children
• Primary focus
• Preventing Early Childhood Caries

3
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 gt2000 young children near
  the CA-Mexican border, the ECC prevalence was
  58. (Ramos-Gomez)

4
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.

5
Multi-faceted Approach
6
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

7
Our Primary Partners
National Institutes of Health (NIH)
                                          
                                          
San Ysidro Community Health Center near
US-Mexican border
8
Organizational Structure
9
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

10
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.

11
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

12
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

13
Goal
To improve the oral health of children
Please visit our website http//www.ucsf.edu/cand
o/