Transcript Overview
Perfect Poster Presentations Jonathan Cass, Director of Community Projects Drexel School of Public Health Philadelphia, PA 215-267-4396 [email protected] Flavius Lilly, Assistant Vice President Academic and Student Affairs University of Maryland, Baltimore 410-706-7767 [email protected] Purpose of Poster • • • • • A poster should tell a story Public Health Initiate discussion Attract attention…in a positive way Should stand alone Reflection of several months to a year or more of your work Layout and Content • • • • Should make just one point loudly and clearly Should follow guidelines of published paper Overall format should be consistent Use space effectively Your Fabulous Research Title F.M. Last Name1, F.M. Last name2 and F.M. Last Name2 1. Drexel University School of Public Health, 2. Philadelphia Department of Health Abstract Background Project Aims Methods Results Results (Table) (Figure) Results Conclusions (Figure) Problem Model Results (Figure) (Figure) Recommend Layout and Content • • • Plain Language – – – – Short sentences, not too much text Avoid abbreviations Avoid technical terms SPELL CHECK! – Only use tables for descriptive statistics of your subjects sets of correlation coefficients Few Tables – Lots of graphs, figures Big Plain Fonts – – – Title – 40-60 pt. font Panels – 20-30 pt. font e.g. Times, Arial, Bookman Biggest mistake: too much text! Dental Disease in Alaska Native Children, Aged 11-3 Years, and Their Mothers For more information, contact: Christine A. Riedy, Dept. of Dental Public Health Sciences Box 357475 Seattle, WA 98195 Tel. 206 543-2034 E-mail [email protected] Christine A. Riedy, Charlotte W. Lewis, Peter Domoto and David C. Grossman University of Washington, Seattle, Washington Poster No. # METHODS (cont’d) Abstract Objective: Childhood dental disease has steadily decreased in the U.S., however, the decrease has not occurred across all groups. Alaska Native children are four and a half times more likely to have decay compared to non-Native counterparts. In this pilot study, we sought to determine the oral health status of young Alaska Native children and their mothers and to compare their disease with behavioral risk factors known to be associated with decay in other populations. Methods: We performed a population-based cross-sectional study of two Native communities in Alaska. Children, aged 1-3 years, were randomly selected using an age-stratified approach from the regional health corporation’s computerized enrollment database. Children and a subset of their mothers were examined for the presence of dental disease. Additionally, a subset of child-mother specimen pairs were examined for their presence and level of Streptococcus mutans, the oral microbiota associated with dental decay. Mothers completed a 43-item questionnaire regarding traditional dietary, feeding and childcare practices as well as oral hygiene practices and use of tobacco products. Results: Of the 65 children examined, 57% had any decayed, extracted, or filled teeth (deft). The prevalence of disease increased with age (12% of the 12-18 month olds vs.84% of the 30-36 month olds). Approximately 98% of the 44 mothers had decayed, missing or filled teeth (DMFT) with one community of mothers having more teeth affected. Most mothers reported cleaning their children’s teeth, although 20% brushed at least once per day. Most children had or do use a bottle at bedtime, but 94% were using a cup to drink. Snacking was prevalent in children from both communities, however, the one community consumed significantly more candy than the other. Moreover, this was the community with a significantly higher mean number of decayed, extracted, and filled surfaces (p<0.05). Conclusions: Dental disease affected most of the Alaska Native children 3 years of age and under in these communities. Not surprisingly, virtually all mothers had decay. Issues of transmission and poor dietary habits are paramount in this population given the high rate of maternal disease and the high rate of snacking on cariogenic foods and liquids. OBJECTIVES •To assess the oral health status of Alaska Native children (aged 1-3 years) and their mothers. •To compare the children’s and mother’s oral health results with potential behavioral risk factors related to oral health. •To develop and recommend a prevention program based on the data as well as gathered information about the health care and delivery system. •Procedures: Clinical Examination - children (N=65) examined for presence and amount of decayed, extracted or filled surfaces and teeth (defs, deft) [subsample (N=6) examined to establish validity of exams (2 examiners agreed on 97% of surfaces)] - mothers (N=44) examined for presence of decayed, missing and filled teeth (DMFT) and periodontal disease Behavioral Questionnaire - 43-item instrument to assess mother’s and child’s dental Hx, tobacco and dietary practices as well as maternal childcare and feeding practices, and child’s oral hygiene practices. Microbiologic Measures - culture for Streptococcus mutans w/ BBLTM CultureSwabTM system in a subset of mother/child pairs (N=28) - swab back and forth along gingival sulcus for 20 sec - samples transported within 24 h for S. mutans culture •Analysis: Data analyzed using SPSS v.9.0 - Prevalence of disease (deft, DMFT) was expressed as the proportion of children, mothers examined. - Descriptive analyses of the demographic, caries, microbiology, and survey data were calculated. METHODS RESULTS •Population: Children, aged 1-3 years and a subset of their Subjects’ Description - mothers in two Southwest Alaska communities Mean age (SD) of children examined: 23 months (7.9) - Comm. A; 24 months (7.0) - Comm. B •Design: Cross-sectional study using an age-stratified approach (12-18, 19-24, 25-30, and 31-36 months) •Sample: Community A - 110 randomly selected children; excluded 6 (5 moved out of area, 1 incorrect contact information) - 32% response rate Community B - 56 children (all children in age range); excluded 4 (3 out of area, 1 deceased ) - 40% response rate RESULTS (cont’d) Disease Prevalence - Gender distribution among children examined: 58% males - Comm. A; 50% males - Comm. B Household makeup of children examined: ~80% of all children lived w/ both mothers and fathers 73% w/ 1-2 other children - Comm. A; 60% w/ 3-6 other children - Comm. B (p< 0.01) Mean age (SD) of mothers examined: 27 (6.2) years Slightly less than 3/4 of all mothers completed 12th grade Overall, the prevalence of child disease (any deft) is high and increases incrementally w/ age: 57% any deft; ~12% at 12-18 months vs. ~84% at 30-36 months Communities differ in mean deft (SD): 2.0 (3.6) - Comm. A; 4.4 (4.8) - Comm. B (p< 0.05) Nearly all mothers have dental disease (any DMFT): ~98% with any DMFT Communities differ in mean DMFT (SD): 10.0 (5.2) - Comm. A; 15.1 (5.9) - Comm. B (p< 0.05) Communities differ in mean colony counts (CFU’s) of S. mutans Children: 2.5 x 103 (Comm. A); 5.6 x 103 (Comm. B) Mothers: 3.2 x 102 (Comm. A); 2.4 x 104 (Comm. B) Behavioral Factors - not all variables represented Oral Health Practices: Although only 1/4 of the children ever saw a dentist, most mothers reported cleaning their teeth. • Overall, ~ 28% of the children 3 & under ever visited the dentist. • Although 85-97% of mothers reported cleaning child’s teeth, only 1/5 reported cleaning 1-2x/day. • ~65% reported cleaning child’s teeth with fluoride toothpaste. Feeding/Dietary Practices: Although most children have used bottles, almost all were reported to use the cup as well. • Overall, ~ 88% of the children do or have taken a bottle to bed. • Most of the children’s bottles are filled with milk (66%). • However, ~ 94% of the children use a cup. Although the communities differ in # of times/week the children ate candy, all children consumed 2 or more snacks per day. • 40% ate candy a few times/week - Comm. A vs. 35% at candy a few times/day - Comm. B (p<0.02) • Overall, ~ 70% of the children ate 2-4 snacks per day. • Overall, ~ 61% of children 3 & under chew sugar gum. CONCLUSIONS Issues of transmission and poor dietary habits are paramount in this population given the high rate of maternal disease and the high rate of snacking on cariogenic foods and liquids. A program to reduce or prevent transmission of maternal bacteria would be beneficial. Spice it up! • • • • • Lots of tasteful and coordinated color Clear graphics Clear illustrations Photographs OK Have visual impact! (positive visual impact) Poster Printing Drexel Graphics Lab MacAlister Hall Room 4013 Peter Groesbeck [email protected] Center for Scientific Communication & Outreach New College Building, Room 18302 Raphael Lukov, Associate Director [email protected] Or any professional printing service, e.g. Kinkos, Makesigns.com, Postersession.com (usually email a PPT or PDF file leave time for shipping) All Posters Must Include Drexel Dragon Logo (upper left) Official logo can be found on Drexel’s graphic identity program website http://www.drexel.edu/about/communications/policies.aspx or on the templates posted on the CBMP website Reminder Be sure to get your poster approved by Jon Cass and your CBMP Advisor!