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孕期父亲参与对产前护理接受情况及孕妇吸烟的影响。

The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking.

作者信息

Martin Laurie T, McNamara Michelle J, Milot Alyssa S, Halle Tamara, Hair Elizabeth C

机构信息

Research Associate, Child Trends, Suite 350, 4301 Connecticut Ave., NW, Washington, DC 20008, USA.

出版信息

Matern Child Health J. 2007 Nov;11(6):595-602. doi: 10.1007/s10995-007-0209-0. Epub 2007 Jun 8.

Abstract

OBJECTIVES

To examine whether women whose partners are involved in their pregnancy are more likely to receive early prenatal care and reduce cigarette consumption over the course of the pregnancy. This study also examines sociodemographic predictors of father involvement during pregnancy.

METHODS

Data on 5,404 women and their partners from the first wave of the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) were used to examine the association between father involvement during pregnancy and maternal behaviors during pregnancy. Multivariate linear and logistic regression analyses were used and data were weighted to account for the complex survey design of the ECLS-B.

RESULTS

Women whose partners were involved in their pregnancy were 1.5 times more likely to receive prenatal care in the first trimester and, among those who smoked at conception, to reduce their cigarette consumption 36% more than women whose partners were not involved in the pregnancy (p = .09). Fathers with less than a high school education were significantly less likely to be involved in their partner's pregnancy, while first-time fathers and fathers who reported wanting the pregnancy were significantly more likely to be involved.

CONCLUSIONS

The positive benefits of father involvement often reported in the literature on child health and development can be extended into the prenatal period. Father involvement is an important, but understudied, predictor of maternal behaviors during the prenatal period, and improving father involvement may have important consequences for the health of his partner, her pregnancy, and their child.

摘要

目的

探讨伴侣参与孕期过程的女性是否更有可能接受早期产前护理,并在孕期减少吸烟量。本研究还考察了孕期父亲参与情况的社会人口学预测因素。

方法

利用来自儿童早期纵向研究——出生队列(ECLS - B)第一波的5404名女性及其伴侣的数据,来检验孕期父亲参与情况与孕期母亲行为之间的关联。采用多变量线性和逻辑回归分析,并对数据进行加权处理,以考虑ECLS - B复杂的调查设计。

结果

伴侣参与孕期过程的女性在孕早期接受产前护理的可能性是伴侣未参与的女性的1.5倍,在怀孕时吸烟的女性中,其吸烟量比伴侣未参与的女性减少36%(p = 0.09)。受教育程度低于高中的父亲参与伴侣孕期过程的可能性显著较低,而初为人父者以及表示想要此次怀孕的父亲参与的可能性则显著较高。

结论

文献中经常报道的父亲参与对儿童健康和发育的积极益处可以延伸到产前阶段。父亲参与是产前阶段母亲行为的一个重要但研究不足的预测因素,提高父亲的参与度可能对其伴侣的健康、怀孕情况及其孩子有重要影响。

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