No fathers' names: a risk factor for infant mortality in the State of Georgia, USA
No fathers' names: a risk factor for infant mortality in the State of Georgia, USA
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DOI：
10.1016/s0277-9536(98)00342-6
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发表时间：
1999-01-01
影响因子：
5.4
通讯作者：
Rochat, RW
中科院分区：
文献类型：
--
作者：
Gaudino, JA;Jenkins, B;Rochat, RW
许多研究探讨了母亲和婴儿因素作为婴儿死亡风险的因素，但很少关注父亲因素。在佐治亚州，已婚夫妇可以选择在出生证明上列出父亲的名字，而未婚夫妇则可以在得到父亲的承认后才可以在出生证明上列出父亲的名字。作者评估了父亲姓名报告作为亲子鉴定的措施以及婴儿死亡的风险。使用关联的 1989-1990 年佐治亚州单胎婴儿的出生和死亡证明来计算相对风险 (RR)，将 38,943 名未列出父亲姓名的婴儿的婴儿死亡率与 178,100 名列出父亲姓名的婴儿的婴儿死亡率进行比较。与已婚女性列出父亲的死亡率相比，未婚母亲未列出父亲（相对风险，RR = 2.5；95% CI 2.3-2.7）、未婚母亲列出父亲（RR = 1.4；95% CI 1.3-1.6）和已婚妇女未列出父亲（RR = 2.3；95% CI 1.6-3.1）的死亡率较高。按母亲种族、年龄、产前护理充分性和医疗风险分层后，风险仍然增加；先天性畸形、出生体重、胎龄和小于胎龄。使用逻辑回归来检查效果修正并将这些因素一起调整，调整后的相对死亡风险在没有父亲姓名的不同群体中有所不同，无论婚姻状况如何。例如，对于没有列出父亲且没有低出生体重等效应修饰条件的婴儿，该比例在统计上仍然较高（估计 RR = 2.0；95% CI 1.6-2.4）。尽管这些发现表明，通过列出父亲的名字来衡量，父亲的参与可以防止低出生体重和婴儿死亡率，但仍需要进一步评估。 (C) 1998 Elsevier Science Ltd. 保留所有权利。
Many studies have explored maternal and infant factors as risks for infant mortality, but little attention is given to paternal factors. In Georgia, listing a father's name on the birth certificate is optional for married couples and possible after paternal acknowledgment for unmarried couples. The authors evaluated father's name reporting as a paternity measure and risk for infant mortality. Using the linked 1989-1990 birth and death certificates of singleton Georgia infants to calculate relative risks (RRs), infant mortality rates for 38,943 infants with no father's names listed were compared to rates for 178,100 with father's names listed. Compared with the rate for married women listing names, the death rates were higher for unmarried mothers not listing fathers (relative risk, RR = 2.5; 95% CI 2.3-2.7), unmarried mothers listing fathers (RR = 1.4; 95% CI 1.3-1.6), and married women not listing fathers (RR = 2.3; 95% CI 1.6-3.1). Increased risks remained after stratifying by maternal race, age, adequacy of prenatal care and medical risks; and congenital malformations, birthweight, gestational age, and small-for-gestational age. Using logistic regression to examine for effect modification and to adjust for these factors together, the adjusted relative risks for death varied across different groups without fathers' names, regardless of marital status. For example, it remained statistically higher for infants with no father listed and without effect-modifying conditions such as low birthweight (estimated RR = 2.0; 95% CI 1.6-2.4). Although these findings suggest paternal involvement, as measured by listing fathers names, is protective against low birthweight and infant mortality, further evaluation is needed. (C) 1998 Elsevier Science Ltd. All rights reserved.