Assessing the Impact of Paternal Involvement on Racial/Ethnic Disparities in Infant Mortality Rates

被引:76
作者
Alio, Amina P. [1 ,2 ]
Mbah, Alfred K. [2 ]
Kornosky, Jennifer L.
Wathington, Deanna [4 ]
Marty, Phillip J.
Salihu, Hamisu M. [3 ,5 ]
机构
[1] Univ S Florida, Coll Publ Hlth, Tampa, FL 33612 USA
[2] Univ S Florida, Dept Community & Family Hlth, Tampa, FL 33612 USA
[3] Univ S Florida, Chiles Ctr Healthy Mothers & Babies, Dept Obstet & Gynecol, Tampa, FL 33612 USA
[4] Univ S Florida, Publ Hlth Practice Program, Tampa, FL 33612 USA
[5] Univ S Florida, Dept Epidemiol & Biostat, Tampa, FL 33612 USA
关键词
Fathers' involvement; Paternal involvement; Infant mortality; Racial disparities; PRENATAL-CARE; FATHER INVOLVEMENT; UNITED-STATES; BIRTH-WEIGHT; PREGNANCY; INSIGHTS; OUTCOMES; SMOKING;
D O I
10.1007/s10900-010-9280-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We sought to assess the contribution of paternal involvement to racial disparities in infant mortality. Using vital records data from singleton births in Florida between 1998 and 2005, we generated odds ratios (OR), 95% confidence intervals (CI), and preventative fractions to assess the association between paternal involvement and infant mortality. Paternal involvement status was based on presence/absence of paternal first and/or last name on the birth certificate. Disparities in infant mortality were observed between and within racial/ethnic subpopulations. When compared to Hispanic (NH)-white women with involved fathers, NH-black women with involved fathers had a two-fold increased risk of infant mortality whereas infants born to black women with absent fathers had a seven-fold increased risk of infant mortality. Elevated risks of infant mortality were also observed for Hispanic infants with absent fathers (OR = 3.33. 95%CI = 2.66-4.17). About 65-75% of excess mortality could be prevented with increased paternal involvement. Paternal absence widens the black-white gap in infant mortality almost four-fold. Intervention programs to improve perinatal paternal involvement may decrease the burden of absent father-associated infant mortality.
引用
收藏
页码:63 / 68
页数:6
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