Paternal Role in Adverse Birth Outcomes in Black Families

黑人家庭不良出生结果中父亲的作用

• 批准号: 10267738
• 负责人: CLEOPATRA HOWARD CALDWELL
• 金额: $ 36.6万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-03 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10267738
• 关键词: Address; Attention; Biosocial; Birth; Birth Weight; Communities; Complement; Complex; Conflict (Psychology); Data; Data Collection; Discrimination; Economically Deprived Population; Enrollment; Environment; Family; Fathers; Funding; Gestational Age; Health behavior; Inflammation; Interview; Length; Life Cycle Stages; Literature; Measures; Mediating; Mental Health; Methods; Mothers; Names; Neighborhoods; Occupations; Outcome; Parents; Paternal Age; Perception; Policies; Pregnancy; Pregnant Women; Premature Birth; Process; Provider; Psychological Stress; Reporting; Research; Research Support; Risk; Risk Factors; Role; Smoking; Social Environment; Social support; Socioeconomic Status; Source; Stress; Stress and Coping; United States National Institutes of Health; Woman; Work; adverse birth outcomes; black women; coping; depressive symptoms; design; experience; father role; health care availability; innovation; multiple data sources; neighborhood disadvantage; pregnant; prenatal; prospective; protective factors; psychologic; racial discrimination; racial disparity; recruit; service intervention; social; social disadvantage; social stressor; telomere

A wide range of factors have been examined as potential explanations for the high rates of adverse birth outcomes for Black women. Available research is limited in the extent to which it examines the role of babies' fathers in the lives of pregnant women. As we have reported, the few studies that have explored paternal effects on birth outcomes have generally excluded understanding the dynamic, complex, and often correlated maternal-paternal relationship. Given the significance placed on the father's role as a provider, studies have often have been limited to an examination of paternal age, occupation, or socioeconomic status. The proposed study will assess whether and how fathers may have an impact on successful birth outcomes (birth weight, gestational age). Our study of Black fathers and birth outcomes builds on our previous studies and those of others although differing in several important ways. Innovative aspects of this study include direct collection of data from fathers, assessment of the mother-father relationship, and inclusion of measures rarely studied, particularly as related to fathers, such as discrimination, neighborhood environment, and telomere length across the life course. This study complements the recently funded NIH R01 Social stressors and Inflammation: A Mixed Methods Approach to Preterm Birth (Giurgescu PI, Misra, co-I) in that 400 fathers of the babies (to be born) of pregnant Black women in that study will be recruited for the proposed study. Both fathers and mothers will be interviewed during the prenatal period and within the first week after birth. Data on birth outcomes and additional maternal social, psychological, and biomedical data from BIBB will complement data from this study to address the aims. Thus, multiple sources of data will be available to provide a more comprehensive assessment of fathers as part of the social environment in which Black women experience pregnancies. We aim to: (1) Determine how the mother-father relationship (support, conflict) during pregnancy relates to maternal and/or paternal factors; and (2) Determine whether and how paternal factors relate to birth outcomes (birth weight, gestational age at birth). Complex processes are at work in the lives of pregnant Black parents. Understanding mechanisms through which these processes unfold is imperative for articulating risk and protective factors influencing birth outcomes. Although the literature has identified a number of risk factors associated with mothers, little attention has been given to understanding the role of fathers related to birth outcomes. Understanding their contributions to birth outcomes could expand service, intervention, and policy efforts beyond mothers.

一系列广泛的因素已被审查作为不良出生率高的潜在解释 黑人女性的结果。现有的研究是有限的，在何种程度上，它探讨了婴儿的作用， 孕妇生活中的父亲正如我们所报道的，少数研究探讨了父亲的 对出生结果的影响通常排除了对动态的，复杂的，往往相关的 父母关系考虑到父亲作为供养者的作用的重要性，研究表明， 通常仅限于检查父亲的年龄、职业或社会经济地位。拟议 研究将评估父亲是否以及如何影响成功的分娩结果（出生体重， 孕龄）。我们对黑人父亲和生育结果的研究建立在我们以前的研究和 其他人虽然在几个重要方面有所不同。这项研究的创新之处包括直接收集 来自父亲的数据、对母亲-父亲关系的评估以及纳入很少研究的措施， 特别是与父亲有关，如歧视，邻里环境和端粒长度。 生命历程。这项研究补充了最近资助的NIH R 01社会压力源和炎症：A 早产的混合方法方法（Giescu PI，Misra，co-I），400名婴儿的父亲（将被 该研究中的黑人孕妇的出生）将被招募用于拟议的研究。父亲和母亲都 将在产前和出生后第一周内进行面谈。关于生育结果的数据， 来自BIBB的其他产妇社会、心理和生物医学数据将补充来自本研究的数据。 研究以实现目标。因此，将有多个数据来源提供更全面的 对父亲的评估是黑人妇女怀孕的社会环境的一部分。我们的目标 目的：（1）确定怀孕期间母亲与父亲的关系（支持、冲突）如何与母亲 和/或父亲因素;以及（2）确定父亲因素是否以及如何与出生结果（出生 出生时的体重、胎龄）。 复杂的过程在怀孕的黑人父母的生活中起作用。了解机制，通过 这些过程的展开对于阐明影响出生的风险和保护因素至关重要 成果。虽然文献已经确定了一些与母亲相关的风险因素，但很少有人关注 一直致力于了解父亲在生育结果中的作用。了解他们的贡献 生育结果可以扩大服务，干预和政策努力超越母亲。