Department of Community and Family Health, University of South Florida, Tampa, FL, USA.
J Community Health. 2011 Feb;36(1):63-8. doi: 10.1007/s10900-010-9280-3.
We sought to assess the contribution of paternal involvement to racial disparities in infant mortality. Using vital records data from singleton births in Florida between 1998 and 2005, we generated odds ratios (OR), 95% confidence intervals (CI), and preventative fractions to assess the association between paternal involvement and infant mortality. Paternal involvement status was based on presence/absence of paternal first and/or last name on the birth certificate. Disparities in infant mortality were observed between and within racial/ethnic subpopulations. When compared to Hispanic (NH)-white women with involved fathers, NH-black women with involved fathers had a two-fold increased risk of infant mortality whereas infants born to black women with absent fathers had a seven-fold increased risk of infant mortality. Elevated risks of infant mortality were also observed for Hispanic infants with absent fathers (OR = 3.33. 95%CI = 2.66-4.17). About 65-75% of excess mortality could be prevented with increased paternal involvement. Paternal absence widens the black-white gap in infant mortality almost four-fold. Intervention programs to improve perinatal paternal involvement may decrease the burden of absent father-associated infant mortality.
我们旨在评估父系参与度对婴儿死亡率的种族差异的贡献。使用佛罗里达州 1998 年至 2005 年间单胎出生的生命记录数据，我们生成了优势比（OR）、95%置信区间（CI）和预防分数，以评估父系参与度与婴儿死亡率之间的关联。父系参与度的状态基于出生证明上是否存在父亲的名字。在不同的种族/民族亚群之间和内部都观察到了婴儿死亡率的差异。与有父系参与的西班牙裔（NH）-白人女性相比，有父系参与的 NH 黑人女性的婴儿死亡率增加了一倍，而父亲缺席的黑人女性的婴儿死亡率增加了七倍。父亲缺席的西班牙裔婴儿的婴儿死亡率也存在升高的风险（OR=3.33，95%CI=2.66-4.17）。增加父系参与度可以预防约 65-75%的额外死亡。父亲的缺席使黑人和白人之间的婴儿死亡率差距扩大了近四倍。改善围产期父系参与度的干预计划可能会降低与父亲缺席相关的婴儿死亡率负担。
