Impact of a Federal Healthy Start Program on Feto-infant Morbidity Associated with Absent Fathers: A Quasi-experimental Study

被引:8
|
作者
Salihu, Hamisu M. [1 ,2 ]
August, Euna M. [1 ,3 ]
Mbah, Alfred K. [1 ]
Alio, Amina P. [4 ]
Lo Berry, Estrellita [5 ]
Aliyu, Muktar H. [6 ]
机构
[1] Univ S Florida, Coll Publ Hlth, Dept Epidemiol & Biostat, Tampa, FL 33612 USA
[2] Univ S Florida, Coll Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, Tampa, FL 33612 USA
[3] Univ S Florida, Coll Publ Hlth, Dept Community & Family Hlth, Tampa, FL 33612 USA
[4] Univ Rochester, Dept Community & Prevent Med, Rochester, NY USA
[5] REACHUP Inc, Tampa, FL USA
[6] Vanderbilt Univ, Sch Med, Dept Prevent Med, Nashville, TN 37212 USA
关键词
Paternal involvement; Healthy Start; Florida; Preterm birth; Small-for-gestational age; Singletons; PATERNAL INVOLVEMENT; PROPENSITY SCORE; PRETERM BIRTH; HORMONE CRH; LOW-INCOME; OUTCOMES; PREGNANCY; BEHAVIOR; CAUSAL;
D O I
10.1007/s10995-014-1451-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The absence of fathers during pregnancy increases the risk of feto-infant morbidities, including low birth weight (LBW), preterm birth (PTB), and small-for-gestational age. Previous research has shown that the Central Hillsborough Healthy Start project (CHHS)-a federally funded initiative in Tampa, Florida-has improved birth outcomes. This study explores the effectiveness of the CHHS project in ameliorating the adverse effects of fathers' absence during pregnancy. This retrospective cohort study used CHHS records linked to vital statistics and hospital discharge data (1998-2007). The study population consisted of women who had a singleton birth with an absent father during pregnancy. Women were categorized based on residence in the CHHS service area. Propensity score matching was used to match cases (CHHS) to controls (rest of Florida). Conditional logistic regression was employed to generate odds ratios (OR) and 95 % confidence intervals (CI) for matched observations. Women residing in the CHHS service area were more likely to be high school graduates, black, younger (<35 years), and to have adequate prenatal care compared to controls (p < 0.01). These differences disappeared after propensity score matching. Mothers with absent fathers in the CHHS service area had a reduced likelihood of LBW (OR 0.76, 95 % CI 0.65-0.89), PTB (OR 0.72, 95 % CI 0.62-0.84), very low birth weight (OR 0.50, 95 % CI 0.35-0.72) and very preterm birth (OR 0.48, 95 % CI 0.34-0.69) compared to their counterparts in the rest of the state. This study demonstrates that a Federal Healthy Start project contributed to a significant reduction in adverse fetal birth outcomes in families with absent fathers.
引用
收藏
页码:2054 / 2060
页数:7
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