Lee Shawna J, Sanchez Diana T, Grogan-Kaylor Andrew, Lee Joyce Y, Albuja Analia
University of Michigan, Ann Arbor, USA.
University of Michigan School of Social Work, 1080 South University Avenue, Ann Arbor, MI, 48109, USA.
Matern Child Health J. 2018 Oct;22(10):1407-1417. doi: 10.1007/s10995-018-2521-2.
Objective To examine the association of father early engagement behaviors and infant low birth weight (LBW) among unmarried, urban couples. Methods Participants were from the Fragile Families and Child Wellbeing Study, a birth-cohort study of urban families. We conducted cross-sectional analyses of data from interviews with unmarried mothers and fathers (N = 2726) that took place at the time of their child's birth. Early engagement behaviors were based on fathers' self-report of whether during the pregnancy they gave mothers money to buy things for the baby, helped in other ways like providing transportation to prenatal clinics, and attended the birth. Results Most (68.9%) fathers engaged in all three early engagement behaviors; 22% engaged in 2 behaviors; and 9.1% engaged in 1 or 0 early engagement behaviors. LBW more than doubled when comparing infants of fathers who engaged in all three early engagement behaviors (9.6% predicted probability of LBW) to those fathers who engaged in no early engagement behaviors (over 22% predicted probability of LBW). Conclusion Infant and maternal health may benefit from intervention to encourage positive father engagement during pregnancy.
目的 探讨未婚城市伴侣中父亲的早期参与行为与婴儿低出生体重（LBW）之间的关联。方法 研究对象来自脆弱家庭与儿童健康研究，这是一项针对城市家庭的出生队列研究。我们对未婚母亲和父亲（N = 2726）在孩子出生时进行的访谈数据进行了横断面分析。早期参与行为基于父亲的自我报告，即孕期是否给母亲钱用于为婴儿购买物品、是否以其他方式提供帮助（如送母亲去产前诊所）以及是否陪产。结果 大多数（68.9%）父亲参与了所有三种早期参与行为；22%参与了两种行为；9.1%参与了一种或零种早期参与行为。将参与所有三种早期参与行为的父亲的婴儿（低出生体重预测概率为9.6%）与未参与任何早期参与行为的父亲的婴儿（低出生体重预测概率超过22%）进行比较时，低出生体重的发生率增加了一倍多。结论 鼓励父亲在孕期积极参与的干预措施可能有益于婴儿和母亲的健康。
