Paternal childcare at 6 months and risk of maternal psychological distress at 1 year after delivery: The Japan Environment and Children's Study (JECS).

BACKGROUND

Paternal childcare is reported to benefit maternal mental health, but specific childcare behaviors have not been comprehensively determined. This study sought to identify paternal childcare behaviors associated with maternal mental health by adjusting for other covariates associated with maternal mental health and examining childcare behaviors.

METHODS

This study investigated whether seven types of paternal childcare behaviors at 6 months after delivery were associated with maternal psychological distress at 1 year after delivery, which was assessed using the Kessler Psychological Distress Scale (K6). After exclusions from a dataset of 103,062 pregnancies obtained in the Japan Environment and Children's Study, we evaluated data from 75,607 mothers.

RESULTS

More than 70% of fathers were always or sometimes involved in "playing at home," "playing outdoors," "changing diapers," and "bathing," 60%-70% in "helping with feeding" and "dressing," and 45.9% in "putting the child to bed." All paternal childcare behaviors showed some beneficial association with less maternal psychological distress, both moderate (K6 score 5-12) and severe (K6 score ≥ 13) distress. Playing at home was the most beneficial association identified (adjusted odds ratio [aOR] 0.66, 95% confidence interval [CI] 0.56-0.76 for moderate psychological distress; aOR 0.36, 95% CI 0.28-0.48 for severe psychological distress).

CONCLUSIONS

These seven types of paternal childcare behaviors may help lessen maternal psychological distress. Emphasis should be given to building education systems and working environments that promote paternal childcare.