Department of Community and Preventive Medicine, University of Rochester, 601 Elmwood Avenue, Box 644, Rochester, NY 14642, USA.
Matern Child Health J. 2011 May;15(4):425-30. doi: 10.1007/s10995-011-0781-1.
Efforts to reduce infant mortality in the United States have failed to incorporate paternal involvement. Research suggests that paternal involvement, which has been recognized as contributing to child development and health for many decades, is likely to affect infant mortality through the mother's well-being, primarily her access to resources and support. In spite of that, systemic barriers facing the father and the influence on his involvement in the pregnancy have received little attention. The Commission on Paternal Involvement in Pregnancy Outcomes (CPIPO) has identified the most important social barriers to paternal involvement during pregnancy and outlined a set of key policy priorities aimed at fostering paternal involvement. This article summarizes the key recommendations, including equitable paternity leave, elimination of marriage as a tax and public assistance penalty, integration of fatherhood initiatives in MCH programs, support of low-income fathers through employment training, father inclusion in family planning services, and expansion of birth data collection to include father information.
美国降低婴儿死亡率的努力未能纳入父亲的参与。研究表明，几十年来，父亲的参与被认为有助于儿童的发展和健康，很可能通过母亲的健康状况（主要是她获得资源和支持的机会）来影响婴儿死亡率。尽管如此，父亲所面临的系统性障碍及其对其参与妊娠的影响却很少受到关注。妊娠结局中的父亲参与问题委员会（CPIPO）确定了在妊娠期间父亲参与面临的最重要的社会障碍，并概述了一系列旨在促进父亲参与的关键政策重点。本文总结了主要建议，包括平等陪产假、取消婚姻作为税收和公共援助的惩罚、将父亲参与倡议纳入 MCH 项目、通过就业培训支持低收入父亲、在计划生育服务中纳入父亲、以及扩大出生数据收集范围以纳入父亲信息。
