Guendelman Sylvia, Nussbaum Juliet, Soliday Ann, Lahiff Maureen
School of Public Health, University of California, Berkeley, 50 University Hall #7360, Berkeley, CA, 94720-7360, USA.
Matern Child Health J. 2018 Aug;22(8):1118-1126. doi: 10.1007/s10995-018-2496-z.
Objectives Fathering is known to foster child development and health, yet evidence on Hispanic immigrant fathers' involvement with their young children is sparse. This study assessed disparities in pregnancy intendedness and father involvement with children ages 0-4 among Hispanic immigrant co-resident fathers versus two reference groups: US-born Hispanic and US-born White fathers. We hypothesized that differentials in involvement were associated with socioeconomic and cultural factors. Methods Using 2011-2013 data from the National Survey of Family Growth (N = 598), we performed bivariate, logistic and linear regression analyses to assess disparities in pregnancy intendedness and five father involvement outcomes (physical care, warmth, outings, reading and discipline). The models controlled for socio-economic, structural, health and cultural covariates. Results Pregnancy intendedness did not differ significantly between Hispanic immigrant fathers and the two reference groups. Compared with US-born Hispanics, unadjusted models showed that immigrant fathers were less likely to engage in physical care, warmth and reading, (p ≤ 0.05) though the differences were attenuated when controlling for covariates. Hispanic immigrant fathers were less likely than US-born White fathers to engage in each of the father involvement outcomes (p ≤ 0.05), with the disparity in reading to their child persisting even after controlling for all covariates. Conclusions for Practice We found marked socio-economic and cultural differences between Hispanic immigrant and US-born Hispanic and White fathers which contribute to disparities in father involvement with their young children. Hispanic immigrant status is an important determinant of involved fathering and should be taken into account when planning public health policies and programs.
目标 众所周知，父亲角色对孩子的成长和健康有益，但关于西班牙裔移民父亲与幼儿互动的证据却很少。本研究评估了西班牙裔移民同住父亲与两个参照组（美国出生的西班牙裔和美国出生的白人父亲）在怀孕意愿以及与0至4岁孩子互动方面的差异。我们假设互动方面的差异与社会经济和文化因素有关。方法 利用2011 - 2013年全国家庭成长调查的数据（N = 598），我们进行了双变量、逻辑回归和线性回归分析，以评估怀孕意愿以及父亲参与的五个方面（身体照料、温情、外出活动、阅读和管教）的差异。模型控制了社会经济、结构、健康和文化协变量。结果 西班牙裔移民父亲与两个参照组在怀孕意愿上没有显著差异。与美国出生的西班牙裔相比，未经调整的模型显示，移民父亲在身体照料、温情和阅读方面的参与度较低（p≤0.05）；不过在控制协变量后，差异有所减弱。西班牙裔移民父亲在父亲参与的各个方面都比美国出生白人父亲参与度低（p≤0.05），即使在控制所有协变量后，他们给孩子读书方面的差异仍然存在。实践结论 我们发现西班牙裔移民父亲与美国出生的西班牙裔和白人父亲之间存在明显的社会经济和文化差异，这些差异导致了父亲与幼儿互动方面的差异。西班牙裔移民身份是父亲参与程度的一个重要决定因素，在制定公共卫生政策和项目时应予以考虑。
