Assessing the Impact of Paternal Involvement on Racial/Ethnic Disparities in Infant Mortality Rates
Assessing the Impact of Paternal Involvement on Racial/Ethnic Disparities in Infant Mortality Rates
复制标题
DOI：
10.1007/s10900-010-9280-3
复制
发表时间：
2011-02-01
影响因子：
5.9
通讯作者：
Salihu, Hamisu M.
中科院分区：
文献类型：
--
作者：
Alio, Amina P.;Mbah, Alfred K.;Salihu, Hamisu M.
我们试图评估父亲参与对婴儿死亡率种族差异的贡献。使用1998年至2005年佛罗里达单胎出生的生命记录数据，我们生成了比值比（OR）、95%置信区间（CI）和预防分数，以评估父亲参与和婴儿死亡率之间的关联。父亲的参与状态是基于出生证明上父亲的名字和/或姓氏的存在/不存在。婴儿死亡率在种族/族裔亚群之间和内部存在差异。与父亲参与的西班牙裔（NH）白色女性相比，父亲参与的NH黑人女性的婴儿死亡风险增加了两倍，而父亲缺席的黑人女性所生的婴儿的婴儿死亡风险增加了七倍婴儿死亡率的风险。婴儿死亡的风险增加，也观察到西班牙裔婴儿与父亲缺席（OR = 3.33。95%CI = 2.66-4.17）。大约65-75%的超额死亡率可以通过增加父亲的参与来预防。父亲的缺失使黑人和白人在婴儿死亡率方面的差距扩大了近四倍。干预计划，以改善围产期父亲参与可能会减少负担的父亲缺席相关的婴儿死亡率。
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.