Father involvement and early child development in a low-resource setting.

Father involvement and early child development in a low-resource setting.
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DOI:
10.1016/j.socscimed.2022.114933
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发表时间:
2022-06
影响因子:
5.4
通讯作者:
Luoto, Jill E.
Luoto, Jill E.
中科院分区:
医学2区
文献类型:
--
作者:
Garcia, Italo Lopez;Fernald, Lia C. H.;Aboud, Frances E.;Otieno, Ronald;Alu, Edith;Luoto, Jill E.

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证据的作用,父亲参与儿童的发展,从低资源环境是非常有限的,历史上只依赖于母亲的报告,父亲的直接参与活动,如阅读的孩子。然而,父亲也可以通过与母亲更多的积极参与,如提供人际支持或分担决策责任,对子女的发展产生潜在的影响。这种积极的家庭内部互动可以有益于产妇的心理健康和福祉,并最终有益于儿童的发展。我们使用从母亲,父亲和儿童收集的数据,在集群随机对照试验评估的Msingi Bora,在肯尼亚西部农村60个村庄实施的响应式育儿干预的背景下,探索父亲可能会影响他们的孩子的结果的各种途径。在2019年秋季的一项底线调查中,对681个有16至34个月孩子的双亲家庭进行了抽样调查,父亲报告了他们对孩子和母亲的行为测量,母亲报告了他们的健康状况和行为,采访者评估了儿童认知和语言发展与贝利量表。在调整后的多元回归分析中,我们发现父亲对母亲的人际支持和更多地参与家庭决策与儿童的发展呈正相关。这些关联部分通过母亲的幸福和行为介导。我们发现父亲直接参与刺激活动与孩子的结果之间没有联系。邀请父亲参加该方案对他们的参与或对任何产妇或儿童的结果没有影响,父亲参加会议的比率很低。总的来说,我们的研究结果显示了在农村低资源环境中让父亲参与育儿干预的潜在承诺和挑战。我们的研究结果强调了在设计涉及父亲的育儿干预措施时考虑家庭内部影响途径的重要性。
Evidence on the role of father involvement in children’s development from low-resource settings is very limited and historically has only relied on maternal reports of father’s direct engagement activities such as reading to the child. However, fathers can also potentially influence their children’s development via greater positive involvement with the mother, such as by offering interpersonal support or sharing decision-making duties. Such positive intrahousehold interactions can benefit maternal mental health and wellbeing, and ultimately children’s development. We use data collected from mothers, fathers and children in the context of the cluster randomized controlled trial evaluation of Msingi Bora, a responsive parenting intervention implemented across 60 villages in rural western Kenya, to explore the various pathways through which fathers may influence their children’s outcomes. In an endline survey in Fall 2019 among a sample of 681 two-parent households with children aged 16–34 months, fathers reported on measures of their behaviors towards children and with mothers, mothers reported on their wellbeing and behaviors, and interviewers assessed child cognitive and language development with the Bayley Scales. In adjusted multivariate regression analyses we found that greater father interpersonal support to mothers and greater participation in shared household decision-making were positively associated with children’s development. These associations were partially mediated through maternal wellbeing and behaviors. We found no association between fathers’ direct engagement in stimulation activities with children and children’s outcomes. Inviting fathers to the program had no impact on their involvement or on any maternal or child outcomes, and fathers attended sessions at low rates. Overall, our results show the potential promises and challenges of involving fathers in a parenting intervention in a rural low-resource setting. Our findings do highlight the importance of considering intrahousehold pathways of influence in the design of parenting interventions involving fathers.
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