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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.

DOI:10.1007/s10995-007-0209-0
PMID:17557201
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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本文引用的文献

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Paternal influences on the timing of prenatal care among Hispanics.父亲因素对西班牙裔人群产前护理时机的影响。
Matern Child Health J. 2005 Jun;9(2):159-63. doi: 10.1007/s10995-005-3012-9.
2
Fathers and mothers at play with their 2- and 3-year-olds: contributions to language and cognitive development.与2至3岁孩子玩耍的父母:对语言和认知发展的贡献。
Child Dev. 2004 Nov-Dec;75(6):1806-20. doi: 10.1111/j.1467-8624.2004.00818.x.
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Reproductive history and involvement in pregnancy and childbirth of fathers of babies born to teenage mothers in Stockholm, Sweden.
在法国蒙特勒伊实施一项针对未来父亲的产前健康筛查干预措施:大多数使用者是面临困难的移民。
BMC Public Health. 2024 Oct 28;24(1):2982. doi: 10.1186/s12889-024-20388-x.
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A development and implementation of a preconception counseling program for black women and men in the southeastern United States: a pilot protocol.美国东南部黑人群体孕前咨询项目的制定与实施:一项试点方案。
Front Public Health. 2024 Sep 25;12:1416586. doi: 10.3389/fpubh.2024.1416586. eCollection 2024.
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Knowledge of pregnancy care behaviors, complications, and urgent maternal warning signs up to one year postpartum among Georgia residents.佐治亚州居民对产后一年的妊娠护理行为、并发症和紧急产妇预警信号的了解程度。
BMC Public Health. 2024 Sep 27;24(1):2598. doi: 10.1186/s12889-024-19931-7.
6
Exploring online reproductive health promotion in Canada: a focus on behavioral and environmental influences from a sex and gender perspective.探索加拿大的在线生殖健康促进:从性别视角关注行为和环境影响。
BMC Public Health. 2024 Jun 20;24(1):1647. doi: 10.1186/s12889-024-19159-5.
7
A Development and Implementation of a Preconception Counseling Program for Black Women and Men in the Southeastern United States: A Pilot Protocol.美国东南部针对黑人男性和女性的孕前咨询项目的开发与实施:一项试点方案
medRxiv. 2024 Apr 22:2024.04.22.24306171. doi: 10.1101/2024.04.22.24306171.
8
The role of fathers in child development from preconception to postnatal influences: Opportunities for the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) program.父亲在从受孕前到产后的儿童发展中的作用:美国国立卫生研究院儿童健康结果的环境影响(ECHO)计划的机会。
Dev Psychobiol. 2024 Feb;66(2):e22451. doi: 10.1002/dev.22451.
9
Perceptions and attitudes of women in the perinatal period towards male midwives in a rural district of Ghana: a descriptive, exploratory qualitative study.加纳农村地区围产期女性对男助产士的看法和态度:一项描述性、探索性定性研究。
BMJ Open. 2024 Feb 1;14(2):e070841. doi: 10.1136/bmjopen-2022-070841.
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Health literacy among fathers and fathers-to-be: a multi-country, cross-sectional survey.父亲和准父亲的健康素养:一项多国家、横断面调查。
Health Promot Int. 2023 Oct 1;38(5). doi: 10.1093/heapro/daad131.
瑞典斯德哥尔摩青少年母亲所生孩子父亲的生育史以及其在妊娠和分娩中的参与情况。
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Partner support and pregnancy wantedness.伴侣支持与生育意愿
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Pregnancy intentions may not be a useful measure for research on maternal and child health outcomes.怀孕意向对于母婴健康结局的研究而言可能并非一项有用的衡量指标。
Fam Plann Perspect. 1999 Sep-Oct;31(5):249-50.
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Predicting maternal behaviors during pregnancy: does intention status matter?预测孕期的母亲行为:意向状态重要吗?
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Differences in preconceptional and prenatal behaviors in women with intended and unintended pregnancies.有计划妊娠和意外妊娠女性在孕前及孕期行为上的差异。
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