Association Among Father Involvement, Partner Violence, and Paternal Health: UN Multi-Country Cross-Sectional Study on Men and Violence

Association Among Father Involvement, Partner Violence, and Paternal Health: UN Multi-Country Cross-Sectional Study on Men and Violence
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DOI:
10.1016/j.amepre.2016.12.017
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发表时间:
2017-05-01
影响因子:
5.5
通讯作者:
Ip, Patrick
Ip, Patrick
中科院分区:
医学2区
文献类型:
--
作者:
Chan, Ko Ling;Emery, Clifton R.;Ip, Patrick

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导言:父亲参与对亲密伴侣暴力(IPV)和男性健康的影响知之甚少。本研究旨在调查父亲参与分娩和儿童保育的六个方面的患病率,并探讨其与亚太地区IPV对妇女和父亲健康的个体关联。方法:这项研究分析了2011-2012年联合国关于男性和暴力的多国跨部门研究的数据,该研究调查了来自孟加拉国、柬埔寨、中国、印度尼西亚、巴布亚新几内亚和斯里兰卡。2016年进行了多变量回归分析,以检查父亲参与,IPV和父亲健康之间的关联。结果:样本包括6,184名至少有一个孩子的男性(18-49岁)。在父亲参与的不同方面,患病率从40.0%到62.9%不等。产前检查、陪产假和帮助孩子做家庭作业与IPV对妇女的可能性降低有关(所有p < 0.05)。当调整可能的混杂因素后,父亲参与解释了2%的男性自感健康,4%的抑郁和2%的生活满意度(所有p < 0.05)。结论:父亲参与可能有助于降低IPV和改善父亲的健康。决策者应采取更多的家庭友好型政策,促进父亲在整个怀孕期间的参与,以改善家庭福祉和儿童发展。(C)2017年美国预防医学杂志。爱思唯尔公司出版All rights reserved.
Introduction: The influence of father involvement on intimate partner violence (IPV) and men's health is poorly understood. This study aimed to investigate the prevalence of six aspects of father involvement in delivery and child care, and to explore their individual associations with IPV against women and paternal health in an Asia-Pacific context.Methods: This study analyzed data from the 2011-2012 UN Multi-Country Cross-Sectional Study on Men and Violence, which surveyed 410,000 men from Bangladesh, Cambodia, China, Indonesia, Papua New Guinea, and Sri Lanka. Multivariate regression analyses were conducted in 2016 to examine the associations among father involvement, IPV, and paternal health.Results: The sample comprised 6,184 men (aged 18-49 years) who had at least one child. The prevalence ranged from 40.0% to 62.9% across different aspects of father involvement. Presence at prenatal visits, taking paternity leave, and helping children with homework were associated with a reduced likelihood of IPV against women (all p < 0.05). When possible confounding factors were adjusted for, father involvement accounted for 2% of the variance of men's perceived health, 4% of depression, and 2% of life satisfaction (all p < 0.05).Conclusions: Father involvement may be beneficial in reducing IPV and improving paternal health. More family-friendly policies should be adopted by policymakers to promote father involvement throughout pregnancy to improve family well-being and child development. (C) 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.