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评估全国代表性样本中青少年父亲身份与常规保健之间的关系:描述性、横断面研究。

Evaluating the Relationship Between Adolescent Fatherhood and Routine Health Care in a Nationally Representative Sample: A Descriptive, Cross-Sectional Study.

出版信息

J Pediatr Health Care. 2021 Mar-Apr;35(2):163-171. doi: 10.1016/j.pedhc.2020.09.003. Epub 2020 Dec 5.

DOI:10.1016/j.pedhc.2020.09.003
PMID:33288340
Abstract

INTRODUCTION

This study evaluates whether fatherhood status is associated with receipt of preventive care (i.e., a routine physical) among adolescent males and whether attending their child's appointments is associated with greater odds of preventive care.

METHOD

This study is a secondary analysis of cross-sectional data collected from the 2011-2017 National Survey of Family Growth. The sample consisted of 3,831 males aged 15-21 years. Logistic regression models were constructed to assess the odds of having a routine physical in the previous year.

RESULTS

Adolescent fatherhood (adjusted odds ratio = 0.56, 95% confidence interval = [0.32, 0.99]) was associated with reduced odds of having a routine physical in the previous year. Attending a child's appointment was not associated with having a routine physical in the previous year (adjusted odds ratio = 0.18, 95% confidence interval = [0.01, 2.31]).

DISCUSSION

Having a child is associated with foregoing routine physical care in the previous 12 months. Elucidating barriers may inform interventions to increase the uptake of preventive care for adolescent fathers.

摘要

引言

本研究评估了父亲身份是否与青少年男性接受预防保健(即常规体检)有关,以及是否参加子女的预约与接受预防保健的可能性是否更高有关。

方法

本研究是对 2011-2017 年全国家庭增长调查收集的横断面数据进行的二次分析。样本包括 3831 名年龄在 15-21 岁的男性。构建逻辑回归模型来评估过去一年接受常规体检的可能性。

结果

青少年父亲身份(调整后的优势比=0.56,95%置信区间=[0.32, 0.99])与过去一年接受常规体检的可能性降低有关。参加子女的预约与过去一年接受常规体检之间没有关联(调整后的优势比=0.18,95%置信区间=[0.01, 2.31])。

讨论

有孩子与过去 12 个月内放弃常规体检有关。阐明障碍可以为增加青少年父亲接受预防保健的机会提供信息。

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