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Cultural Barriers to Oral Health Care in Children
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Principal Investigator: Irene Hilton

Brief summary:
Cultural Barriers to Access Groups (CBAG)

The specific aim of the study is to identify barriers to accessing preventive oral health care among African American, Chinese, Filipino and Latino caregivers of children between 1 and 5 years of age, including those related to culture as measured by knowledge, attitudes, and behaviors. During year one and two of the project, focus groups among African American, Chinese, Filipino and Latino caregivers of children between 1-5 years of age were conducted to identify cultural barriers and other barriers to accessing preventive oral health care. To better understand the populations involved, it was important to recruit older and younger caregivers, and US born and non-US born caregivers to explore potential differences among different groups.

Study Phase: Not applicable

Study Design:
Focus groups of parents or caregivers of children age 1-5 (Chinese,Filipino, Hispanic, African American groups) were conducted to identify cultural barriers to oral health care.

Study Type: Qualitative research

Intervention: Not applicable

Inclusion criteria:
Age:
Minimum age is 18 years.
Groups stratified by age (up to age 44 years, older than 45) and place of birth (US-born or non-US-born)

Gender: No restriction

Minority status:
African American, Chinese, Filipino, Hispanic

Other:
Parents and caregivers of children age 1-5

Locations:
Various San Francisco community locations

Publications:
Manuscript currently under review

Study contact information:
Irene Hilton, DDS, MPH
San Francisco Dept. of Public Health Dental Bureau

1525 Silver Avenue, Dental Clinic
San Francisco, CA 94134
(415) 715 0308

Samantha Stephens, RDH, MS
San Francisco Dept. of Public Health Dental Bureau

30 Van Ness Avenue, Ste 2300, Rm 212B
San Francisco, CA 94102
(415) 581-2409

Expected date of completion: Summer 2004

Designation of recruitment status:
Recruitment complete. All focus groups completed. Analysis completed. Result in dissemination phase.

Overall study accrual of women, minorities and children (%):
Female: 84

African-American: 20
Hispanic: 24
Chinese: 32
Filipino: 24

Publications and Presentations

Hilton I, Stephen S, McRee T. Exploring cultural beliefs and practices influencing access to early preventive oral health care in children 1-5. Journal of Public Health Dentistry [abstract] 2004 64 (Supl 1):S58.

Evans P, Hilton I, Stephen S. Identifying cultural differences to early preventive oral health care in children 1-5. Infant and child health poster session: Annual meeting of the American Public Health Association. 15-19 November 2003. San Francisco.

Evans P, Hilton I, Stephen S. VIPs- Very Important Partners: Use of Community Advisory Boards in Oral Health Research. Journal of Public Health Dentistry [abstract] 2003 63(Supl 1):S40

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