Paternal involvement and support and risk of preterm birth: findings from the Boston birth cohort.
Paternal involvement and support and risk of preterm birth: findings from the Boston birth cohort.
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DOI：
10.1080/0167482x.2017.1398725
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发表时间：
2019-03
期刊：
影响因子：
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通讯作者：
Wang X
中科院分区：
文献类型：
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作者：
Surkan PJ;Dong L;Ji Y;Hong X;Ji H;Kimmel M;Tang WY;Wang X
目的探讨孕期父亲参与和支持与早产(PTB)和小于胎龄儿(SGA)出生的关系。使用波士顿出生队列(n=7,047)的数据，采用多元Logistic回归模型估计PTB或SGA出生的对数优势，父亲的参与、父亲的社会支持以及家庭和朋友的社会支持变量是主要的自变量。约10%的参与调查的母亲报告称，她们的丈夫在怀孕期间没有参与或支持她们。缺乏父亲参与的儿童患肺结核的风险增加22%(OR=1.21，95%CI：1.01~1.45)。同样，缺乏父亲支持与肺结核有关(OR=1.13，95%CI：0.94~1.35)。无父亲参与(OR=1.18，95%CI：0.95~1.47)和父亲的支持(OR=1.19，95%CI：0.96~1.48)也与SGA的出生几率有关。未发现孕期家庭/朋友支持与肺结核或SGA之间的关联。在主要是低收入的非裔美国人中，怀孕期间缺乏父亲的参与和支持与肺结核的风险增加有关，可能还会导致SGA出生。这些发现，如果在未来的研究中得到证实，强调了父亲在减少肺结核和/或SGA方面可以发挥的重要作用。
To investigate to what extent paternal involvement and support during pregnancy were associated with preterm (PTB) and small-for-gestational age (SGA) births. Using data from the Boston Birth Cohort (n=7,047), multiple logistic regression models were performed to estimate the log odds of either PTB or SGA birth, with paternal involvement, paternal social support, and family and friend social support variables as the primary independent variables. About 10% of participating mothers reported their husbands’ not being involved or supportive during their pregnancies. Lack of paternal involvement was associated with 22% higher risk of PTB (OR=1.21, 95% CI:1.01–1.45). Similarly, lack of paternal support was borderline associated with PTB (OR=1.13, 95% CI:0.94–1.35). Also marginally significant, lack of paternal involvement (OR=1.18, 95% CI:0.95–1.47) and father’s support (OR=1.19, 95% CI:0.96–1.48) were associated with higher odds of SGA birth. No associations were found between familial/friend support during pregnancy and PTB or SGA. Among predominantly low-income African Americans, lack of paternal involvement and support during pregnancy was associated with an increased risk of PTB, and possibly SGA birth. These findings, if confirmed in future research, underscore the important role a father can play in reducing PTB and/or SGA.