142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Boca Sana, Cuerpo Sano/Healthy Mouth, Healthy Body: A community-based participatory research (CBPR) oral health project

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:30 AM - 11:50 AM

Tracy L. Finlayson, PhD , Graduate School of Public Health, San Diego State University, San Diego, CA
Lisa Hoffman, MA
Ana Palomo-Zerfas, BA , Vista Community Clinic
Martha Gonzalez , Vista Community Clinic
Nannette Stamm, MPH , Vista Community Clinic
Maria Rocha , Community Housing Works
Arcela Nunez-Alvarez, PhD , CSU San Marcos NLRC
Objective: To undertake a community-based participatory research (CBPR) approach to develop a Lideres-led (lay-community health worker) curriculum to increase oral health literacy and expand dental services for migrant Mexican families in North San Diego County, an underserved community.

Methods: Formative research activities were conducted over a one-year planning period (September 1, 2012-August 31, 2013). Existing community oral health assets, needs, and barriers were assessed. In November 2012, key informants (n=38; a 70% response rate) ranked program priorities via online survey. Input was obtained from three interviews and multiple community advisory board meetings. In February 2013, three focus groups were held with Lideres (n=22) and three with migrant families (n=30) inquiring about barriers to dental care and input on the educational program structure and content. Ten existing curricula were reviewed. Twelve Lideres reviewed draft curriculum materials and provided input during two focus groups in July 2013.

Results: The community elected to focus on adults and families for this project. A 5-week educational program with hands-on demonstrations and colorful accompanying visuals was developed, covering these topics: tooth decay, hygiene, nutrition, gum disease, and dental services. Lideres will also be trained to apply fluoride varnish, per California law.

Focus group findings reinforced known access problems and emphasized cultural competency issues. Most participants reported mistrust in local dental providers, years since last visit due to lack of insurance, low perceived quality of services, and transportation barriers.


Conclusions: The CBPR process engaged multiple community stakeholders in all aspects of planning and developing a tailored program.

Learning Areas:

Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Discuss the community-based participatory research (CBPR) process in developing an oral health education program and setting community oral health promotion goals and priorities. Describe the most common reported barriers to accessing dental care and greatest dental needs among Mexican migrant families in North San Diego County.

Keyword(s): Latinos, Community-Based Research (CBPR)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I'm an interdisciplinary health services researcher with experience conducting qualitative and quantitative analyses exploring barriers related to accessing dental care and oral health status among vulnerable populations. I have been part of research teams in the past that develop tailored oral health education for specific groups.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.