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CENTER FOR NATIVE ORAL HEALTH
RESEARCH
Judith E. Albino, PhD, PISpero Manson, PhD, Co-I
Funded by: NIH-NIDCR-U54-DE019259
CENTER FOR NATIVE ORAL HEALTH RESEARCH(CNOHR)
VISIONTo become the premier national center working with AI/AN communities to generate and sustain research, training, information dissemination, and technical assistance needed to address AI/AN oral health disparities.
The Mission of CNOHR is to work with AI/AN communities to conduct, facilitate, and disseminate the next generation of AI/AN oral health intervention research, with an initial focus on oral infections and their complications.
CNOHR Executive Committee
Ruth Nowjack-Raymer,
J. Albino, S. Manson,
W. HendersonCNOHR Asst. AdministratorJudy Sandoval
Community Advisory
Committee
Training and Career
DevelopmentTerry Batliner,
DDS
RPACJudith Albino, PI
Community Liaison and Dissemination
CoreSpero Manson, PhDDevelopmental
Research ProgramsJudith Albino, PhD
S&DCCWilliam Henderson,
PI
RC1: Promoting Behavioral Change for
OH in MI Mothers & Children
Terry Batliner, PI
RC2: Preventing Caries in Preschoolers: Delivery Model in AI Head Start
CentersDavid Quissell, PI
Statistics & Sampling
Luohua Jiang
CNOHR Multi-methods
Team
Clinical, Community, Economic,
Epidemiologic Ethnographic, etc.
CENTER FOR NATIVE ORAL HEALTH RESEARCH
Judith E. Albino, PISpero Manson, Co-I
University of ColoradoDenver/Boulder/Colorado Springs
UCD Anschutz Medical Campus
AI/AN Head Start
Research
School of Medicine
School of Pharmacy
Faculty in Other CU Schools & Colleges
Colorado Clinical and Translational Science Institute
Centers for American Indian/Alaska Native Health
Special Diabetes
Program for Indians
Urban Indian Heart Health
AI/AN Mental Health
Research
Center for Native AmericanTelehea
lth & Tele-Education
Native Elder Research
Export/Minority Health &
Disparities
Center for Native Oral
Health Research (CNOHR)
Circles of Care
Colorado School of Public Health
School of Dental Medicine
Public Health Faculty at
CSU and UNC
Professions and Disciplines of Individuals Who Have Contributed
to CNOHR Anthropology Biostatistics Business Administration Communications Clinical Psychology Community Psychology Demography Dental Hygiene Developmental
Psychology Diabetology Economics Epidemiology
General Dentistry Health Psychology Medicine Microbiology Pediatric Dentistry Pediatric Medicine Periodontics Psychology Psychiatry Public Health Social Psychology Sociology
Why Study AI/AN Oral Health Issues?
The population is small, but
…the disparities are great.
Demographics• Census 2000 – 4.1 million individuals identified
as AI/AN (1.5% of the US population).
• AI/AN live predominantly in the West (43%) and South (31%).
• Approximately 35% of AI/ANs live on reservations or in AN villages.
• 560 AI/AN tribes and communities recognized by US Government. Tribes are legally sovereign nations.
• AI/AN groups reflect great cultural diversity, with differences in language, culture and customs.
.
More Demographics
• Median age is 29 compared to 35 for the US as a whole
• Approximately 33% are under 18 (26% of overall US population)
• Only 6% are 65 or older (12% for US)
• Only 71% of AI/ANs have at least a high school education and 11% at least a baccalaureate degree, compared to 80% and 24%, respectively
• 2006, the overall poverty rate for AI/ANs was 26%, compared to 12% of the US generally.
.
AI/AN Health Disparities• Life expectancy is 6 years less than for the US population
• Infant mortality rate is 21% higher
• Injuries 3.4 times higher ; tuberculosis 4.4 times higher;alcoholism 7.5 times higher; diabetes almost 4 times higher; CHD 2 times higher
• CVD rates are rising, and CVD appears to be more fatal
• Higher mortality from all cancers than other groups
• Higher risks: Obesity in AI/AN WIC children is 2 times higher (20% vs 13%); smoking is more prevalent (36% vs 23%); adults more likely not to exercise (50% vs 37%)
• In 2005, per-capita spending for Medicare was almost $6800; for Medicaid, $4300+; and for IHS, just $2130.
Oral Health Disparities in the AI/AN Population
• The greatest group disparities in oral health are found among American Indians/ Alaska Natives.
• Results from IHS Oral Health Surveys show ECC in AI/ANs continues to increase.
• Compared to other children ages 2-5, AI/ANs are 3+ times more likely to have untreated decay (68% vs 19%).
• AI/AN adults have significantly more periodontal disease.
• Nearly 25% of AI/ANs over 65 are completely edentulous.
Major Research Components
Two studies focused on prevention of ECCRC1: Promoting Behavioral Change for Oral Health in American Indian Mothers and Children
- adapt, demonstrate, and test a preventive intervention strategy (MI) for ECC targeted to newborns (600 mothers
and 600 controls)
RC2: Preventing Caries in Preschoolers: Testing a Unique Service Delivery Model in AI Head Start Programs
- develop and test a prevention program, including FV, and provided by AI community workers in 26 HS Centers (26 control Centers)
Affiliated and Developmental Projects
“Denver Children’s Oral Health Project,” J. O’Connell, PI, & J. Albino, Denver AI Focus Schools. Funded by the Colorado Trust, 2006-
“A Motivational Approach to Improve Prevention of ECC in AI Children,” T. Batliner, PI, & J. Albino, Southern Ute, Ignacio, CO, for Project Export (S. Manson, PI). Funded by NCMHD 63085479, 2008-
“Training Community Members for Prevention of ECC in AI Children,” J. Albino, PI, & D. Quissell, for Native American Research Centers for Health, G. Belcourt, Montana-Wyoming Tribal Leaders Council, PI. Funded by DHHS-IHS, NOT GM-08-115, 2009-
“Periodontal Disease Prevention and Control in AI Adolescents and Young Adults,” E. Morrato, PI, Denver Indian Health and Family Services Center, developmental project concept to be presented Tuesday.
CNOHR’s Student Investigators
• NOT-OD-09-060 Administrative Supplement: Providing Summer Research Experiences for Students and Science Educators
• Amanda Campbell is AI/AN, from the Cherokee and Yup’ik tribes, Amanda is a first year student at the SoDM. She graduated Cum Laude with a BS in Biology from California Lutheran University and then completed the Post-Baccalaureate program at UC Denver’s SoDM.
• Kendra Velasquez is Hispanic and grew up in Los Lunas, NM. Kendra graduated with honors, earning a BS in Biology from the New Mexico Institute of Mining and Technology on an academic scholarship. She is the first in her family to earn a degree and pursue graduate/professional studies.
• Copies of their final presentation to faculty can be found at the front table.