| 0781 Predictors of Retention of Pregnant Women in a Community-based Trial | ||
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F. RAMOS-GOMEZ1, S.A. GANSKY1, R. GONZALEZ-BERISTAIN2, W. SANTO1, and J.A. WEINTRAUB3, 1University of California - San Francisco, Center to Address Disparities in Children's Oral Health, USA, 2San Ysidro Community Health Center, CA, USA, 3University of California - San Francisco, USA Objectives: To determine baseline factors related to participant retention in a community-based, randomized clinical trial among pregnant women to prevent Early Childhood Caries (ECC) in their children. Methods: The ongoing MAYA clinical trial at the San Ysidro Health Center, a community clinic near the California-Mexico border, has been recruiting women in their second trimester of pregnancy. At baseline consenting women complete an oral health questionnaire, a dental exam and receive oral health counseling. The questionnaire includes items about respondents' demographics, knowledge, attitudes and behaviors related to ECC prevention. Four months post-partum (+4mo), women return with their babies for randomization for the clinical trial. This report concentrates on retention from baseline to the +4mo randomization visit. Chi-square tests and logistic regression assessed significant predictors of retention. Participants not meeting inclusion criteria around baseline were excluded from these analyses. Results: From 1462 women reached as of September 2004, 351 predominantly Mexican-American women were recruited at baseline. 121 (34%) were excluded at, or shortly after, baseline with 32 (26%) of them having high risk pregnancies. Of the 183 women with a 4-month old child (ie eligible to return), 87 (48%) successfully continued to randomization. Poor or fair baseline subjective oral health rating, finishing education outside the US, speaking Spanish, and two parent household status were individually significantly related to successful retention and randomization (all P<0.03). In a multivariable logistic model, statistically significant effects showed that women reporting fair or poor oral health were ~1.5 times more likely (58%) to return for randomization than those with better self-ratings (38%) and women having two parents at home were ~2.5 times more likely (both P<0.01). Conclusion: Overall, the study is on-target for recruitment and randomization. Self-rated oral health and two parent household status were significantly related to retention. USDHHS NIH/NIDCR & NCMHD U54DE14251. | ||
| Seq #103 - Oral Health Programs 2:00 PM-4:00 PM, Thursday, 10 March 2005 Baltimore Convention Center Exhibit Hall E-F | ||
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