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Baxter SLK, Hopper LN, Spinner C. Correlates of Sexual Behavior Across Fatherhood Status: Finding From the National Longitudinal Study of Adolescent to Adult Health (Add Health), 2016-2018. Am J Mens Health 2024; 18:15579883241239770. [PMID: 38545885 PMCID: PMC10981246 DOI: 10.1177/15579883241239770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 05/16/2023] [Accepted: 02/27/2024] [Indexed: 04/01/2024] Open
Abstract
Amid national trends in postponed parenthood and more diverse family structures, the fatherhood identity may be important to men's sexual behaviors. This study examined factors associated with reports of consistent contraceptive use and multiple sexual partners across fatherhood status. Using public data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), Wave V (2016-2018), two sexual behaviors were examined among 1,163 men aged 32 to 42 years. Outcomes were two binary indicators: consistent contraceptive use with partner and having multiple (≥2) sexual partners in the past year. Fatherhood status was categorized as nonfather, resident father, and nonresident father. Demographic (e.g., race/ethnicity, education, income, and relationship type) and health-related (e.g., drinking, perceived stress, depressive symptoms, and insurance status) factors were considered. Logistic regression analysis produced odds ratios and 95% confidence intervals and were stratified by fatherhood categories. In the sample, 72% of men were resident fathers, 10% were nonresident fathers, and 18% were nonfathers; 28% reported consistent contraceptive use and 16% reported multiple sexual partners. For nonfathers, relationship type and race were associated with reporting multiple sexual partners. For resident fathers, relationship type was the crucial factor associated with consistent contraceptive use and reporting multiple sexual partners. In nonresident fathers, relationship type, education, and income were important factors to consistent contraceptive use and reporting multiple sexual partners. Key findings suggest that relationship type, income, and education are crucial factors to men's sexual behavior. Heterogeneous effects were observed across fatherhood status. This study adds to limited research on fatherhood and sexual behavior among men transitioning from young adulthood to middle age.
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Affiliation(s)
- Samuel L. K. Baxter
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Lorenzo N. Hopper
- Department of Public Health Sciences, College of Health and Human Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA
| | - Chelse Spinner
- Department of Public Health Sciences, College of Health and Human Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA
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Wynter K, Watkins V, Kavanagh S, Hosking S, Rasmussen B, Maindal HT, Macdonald J. Health literacy among fathers and fathers-to-be: a multi-country, cross-sectional survey. Health Promot Int 2023; 38:daad131. [PMID: 37851463 PMCID: PMC10583760 DOI: 10.1093/heapro/daad131] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2023] Open
Abstract
During pregnancy and early fatherhood, men are at higher risk of poor health, exacerbated by low engagement by healthcare services. Yet the transition to fatherhood presents an opportunity for men to improve their health and health behaviours. Health literacy refers to individuals' competence in accessing and applying health information. Poor health literacy is associated with poor health and low help-seeking. The aim of this study was to identify health literacy strengths, needs and profiles among fathers. Men who were expecting a baby ('antenatal') or had become fathers in the past 18 months ('postnatal') were recruited through an international, online paid survey platform. The survey included the nine-scale Health Literacy Questionnaire (HLQ). Of 889 survey respondents (n = 416, 46.5% antenatal; n = 473, 53.5% postnatal), 274 (31.0%) were residing in the USA and 239 (27.0%) in the UK. Relatively higher scores were reported for HLQ scales relating to having sufficient information and finding and understanding this information, as well as social support for health. Relatively lower scores were obtained for scales relating to actively managing one's own health and navigating the health care system. Three scale scores were significantly lower among nulliparous than multiparous men. Seven health literacy profiles were identified. In conclusion, while fathers have some health literacy strengths, they also experience some barriers, particularly first-time fathers. Awareness of diverse health literacy profiles among fathers may assist in developing strategies to strengthen health services' capacity to meet fathers' needs and reduce risks to their health at this critical juncture in families' lives.
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Affiliation(s)
- Karen Wynter
- Department of Psychiatry, School of Clinical Sciences, Monash University, Level 3, P Block, 246 Clayton Road, Clatyon, Victoria, 3168, Australia
- School of Nursing and Midwifery, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Vanessa Watkins
- School of Nursing and Midwifery, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Shane Kavanagh
- School of Health and Social Development, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Sarah Hosking
- The Institute for Mental and Physical Health and Clinical Translation, Deakin University, School of Medicine, 199 Ryrie Street Geelong, Victoria, 3220, Australia
| | - Bodil Rasmussen
- School of Nursing and Midwifery, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
- Centre for Quality and Patient Safety Research in the Institute for Health Transformation (IHT) – Western Health Partnership, Deakin University, Sunshine Hospital, 176 Furlong Road, St Albans, Victoria, 3021, Australia
- Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, Copenhagen, 2200, Denmark
- Faculty of Health Sciences, University of Southern Denmark and Steno Diabetes Center, Campusvej 55, Odense, 5230, Denmark
| | - Helle Terkildsen Maindal
- Department of Public Health, Aarhus University, Bartholins Alle 2, 2. sal, Aarhus, 8000, Denmark
| | - Jacqui Macdonald
- Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
- Centre for Adolescent Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, 50 Flemington Road, Parkville, Victoria, 3052, Australia
- Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, 50 Flemington Road, Parkville, Victoria, 3052, Australia
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DEMİRCİ Ö, INAN E. Postpartum Paternal Depression: Its Impact on Family and Child Development. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2023. [DOI: 10.18863/pgy.1153712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/28/2023]
Abstract
The postpartum period is when parents undergo great changes and gain new responsibilities. Factors such as the changes that come with having a baby, not meeting the expectations about parenthood, having a child with a difficult temperament or health problems, or relational problems can be quite challenging in this period. These problems can deeply affect the psychological well-being of the parents. Although studies on depressive symptoms of mothers during pregnancy and postpartum are at an important level, studies aiming to examine the psychological state of fathers for the same period are still limited. However, perceptions that postpartum depression develops due to hormonal changes during pregnancy have been reshaped by the findings that this situation may also develop due to psychosocial factors. Relatedly, the number of studies on postpartum depression experienced by fathers has increased over time. Results of those studies show that fathers' psychological state also influences their parenting and the development of children. Fathers may experience paternal depression due to a lack of social support, economic conditions, relationship dynamics, and changing living conditions in the postpartum period. This situation may cause fathers to avoid parenting duties, spend less time with their children, be unable to cooperate with the mother, and have anger problems or deterioration in the relationship with the mother. The effects of depression on individuals' parenting styles negatively affect child-parent attachment and may cause children to develop emotional and behavioral problems. Therefore, it is very important to examine fathers' psychological state for children's development and the healthy progress of family dynamics. This review aims to address the effect of paternal depression on parenting and child development.
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Hannon MD. Otherfathering and Black men's mental health: A primer for counselors. JOURNAL OF MULTICULTURAL COUNSELING AND DEVELOPMENT 2022. [DOI: 10.1002/jmcd.12271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Michael D. Hannon
- Department of Counseling Montclair State University Montclair New Jersey USA
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Park SY, Kim S, Cho Chung HI. Adaptation Process of Korean Fathers within Multicultural Families in Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5935. [PMID: 34073131 PMCID: PMC8199263 DOI: 10.3390/ijerph18115935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 05/28/2021] [Accepted: 05/29/2021] [Indexed: 11/26/2022]
Abstract
This study aimed to develop a grounded theory regarding the associations between factors identified in the adaptation process of 11 fathers of multicultural families. Participants were recruited purposively and data were collected through in-depth interviews. Data analysis was performed alongside data collection, following Strauss and Corbin's grounded theory method. The following 11 categories were derived from the data: (1) a reluctantly formed multicultural family, (2) finding happiness amid confusion, (3) cultural differences, (4) economic difficulties, (5) social prejudice and alienation, (6) restrictions on the use of local services, (7) facing multiple obstacles, (8) people who provided strength and support, (9) accepting differences and moving forward, (10) growth with family, and (11) being made to stay. The core category was identified as "struggling to protect the family with a double burden." This theory described the adaptation process of being a father in a multicultural family and participants' reactions to the circumstances around it. Based on this theory, health policies should be developed to support not only the expansion of medical facilities in island and rural areas but also the activation of self-help groups. Future research should include the development of web-based prenatal management and parental education in immigrants' native languages.
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Affiliation(s)
- So-Yeon Park
- Department of Nursing, Chunnam Techno University, Jeollanamdo 57500, Korea;
| | - Suhyun Kim
- Department of Nursing, Nambu University, Gwangju 62271, Korea;
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Boykin A, Jones K, Miller E. Evaluating the Relationship Between Adolescent Fatherhood and Routine Health Care in a Nationally Representative Sample: A Descriptive, Cross-Sectional Study. J Pediatr Health Care 2021; 35:163-171. [PMID: 33288340 DOI: 10.1016/j.pedhc.2020.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 09/03/2020] [Accepted: 09/11/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION This study evaluates whether fatherhood status is associated with receipt of preventive care (i.e., a routine physical) among adolescent males and whether attending their child's appointments is associated with greater odds of preventive care. METHOD This study is a secondary analysis of cross-sectional data collected from the 2011-2017 National Survey of Family Growth. The sample consisted of 3,831 males aged 15-21 years. Logistic regression models were constructed to assess the odds of having a routine physical in the previous year. RESULTS Adolescent fatherhood (adjusted odds ratio = 0.56, 95% confidence interval = [0.32, 0.99]) was associated with reduced odds of having a routine physical in the previous year. Attending a child's appointment was not associated with having a routine physical in the previous year (adjusted odds ratio = 0.18, 95% confidence interval = [0.01, 2.31]). DISCUSSION Having a child is associated with foregoing routine physical care in the previous 12 months. Elucidating barriers may inform interventions to increase the uptake of preventive care for adolescent fathers.
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O'Connor TM, Beltran A, Musaad S, Perez O, Flores A, Galdamez-Calderon E, Isbell T, Arredondo EM, Parra Cardona R, Cabrera N, Marton SA, Baranowski T, Morgan PJ. Feasibility of Targeting Hispanic Fathers and Children in an Obesity Intervention: Papás Saludables Niños Saludables. Child Obes 2020; 16:379-392. [PMID: 32466678 PMCID: PMC7475092 DOI: 10.1089/chi.2020.0006] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Background: Hispanic children and men carry a high burden for obesity and associated medical conditions. Healthy Dads Healthy Kids was the first obesity prevention intervention targeting fathers and demonstrated weight loss among fathers and behavior change among fathers and children in Australia. The aim of this study was to assess the feasibility of a culturally adapted version of the program for Hispanic families, Papás Saludables Niños Saludables. Methods: A randomized waitlist controlled trial with a process evaluation was conducted to assess the feasibility of Papás Saludables Niños Saludables(NCT03532048). Fathers, their partner (mother), and one to three children were enrolled. A priori feasibility criteria were: (1) recruit 40 Hispanic fathers and their families in ≤4 months; (2) retain 80% of participants for pre- and postassessments; (3) maintain ≥70% attendance to the 10 sessions; (4) obtain 80% "excellent" or "good" satisfaction from participants; and (5) collect anthropometric and behavioral data on ≥75% of participants at baseline and follow-up. Results: The study enrolled 90% (n = 36) of the goal from one local pediatric clinic between May and August 2018; retained 75% of participants for postassessment; maintained 72% attendance among those who started the program; and achieved 100% "excellent/good" satisfaction ratings among the participating fathers and mothers. One hundred percent of participants had most anthropometric and behavioral data at baseline and 72% at follow-up. Conclusions: With oversampling and improvements in the recruitment strategies, Papás Saludables Niños Saludables is feasible for a randomized controlled clinical trial to address whether a father-targeted lifestyle program is efficacious among low-income Hispanic men and their children.
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Affiliation(s)
- Teresia M. O'Connor
- Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Houston, TX, USA.,Address correspondence to: Teresia M. O'Connor, MD, MPH, Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, 1100 Bates Street, Houston, TX 77030, USA
| | - Alicia Beltran
- Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Houston, TX, USA
| | - Salma Musaad
- Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Houston, TX, USA
| | - Oriana Perez
- Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Houston, TX, USA
| | - Adriana Flores
- Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Houston, TX, USA
| | - Edgar Galdamez-Calderon
- Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Houston, TX, USA
| | - Tasia Isbell
- School of Public Health, University of Texas, Houston, TX, USA
| | - Elva M. Arredondo
- School of Public Health, San Diego State University, San Diego, CA, USA
| | - Ruben Parra Cardona
- Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA
| | - Natasha Cabrera
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park, MD, USA
| | - Stephanie A. Marton
- Texas Children's Health Plan, Houston, TX, USA.,Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
| | - Tom Baranowski
- Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Houston, TX, USA
| | - Philip J Morgan
- Faculty of Education and Arts, Priority Research Center for Physical Activity and Nutrition, University of Newcastle, Newcastle, New South Wales, Australia
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Sihota H, Oliffe J, Kelly MT, McCuaig F. Fathers' Experiences and Perspectives of Breastfeeding: A Scoping Review. Am J Mens Health 2020; 13:1557988319851616. [PMID: 31092114 PMCID: PMC6537273 DOI: 10.1177/1557988319851616] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
During the transition to parenthood, fathers may experience significant
challenges, including finding a place for themselves as important participants
in the context of infant breastfeeding by female partners. Although generally
viewed as a healthy process and the preferred method of infant feeding,
breastfeeding may result in some fathers feeling excluded, inadequate, and
helpless. Breastfeeding is known to adversely affect various aspects of a
father’s life, including parenting self-efficacy, quality of life (QOL), the
relationship with the partner, and the perception that breastfeeding limits time
available for father–infant bonding. The current scoping review explores the
experiences, roles, and needs of fathers of breastfed infants by synthesizing
and discussing the findings from relevant published research studies
(n = 18). Recommendations, drawn from the scoping review
findings, are offered to guide primary health providers and services.
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Affiliation(s)
| | - John Oliffe
- 1 University of British Columbia, Vancouver, Canada
| | - Mary T Kelly
- 1 University of British Columbia, Vancouver, Canada
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Boykin A, Demirci J, Miller E. Investigating the Relationship Between Fatherhood and Provider Weight-Related Practices and Counseling in Clinical Settings. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:713-718. [PMID: 32646598 PMCID: PMC7369002 DOI: 10.1016/j.jneb.2020.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 02/23/2020] [Accepted: 03/09/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE To assess whether weight-related practices and counseling between men and their medical providers are associated with the patient's fatherhood status. METHODS Using the 2015-2017 National Survey of Family Growth, logistic regression models were constructed to examine the odds of men being weighed, told a weight status, or referred for nutrition/exercise counseling during a medical visit in the previous year. RESULTS The sample included 2,562 men and 1,272 fathers. Overall, 90%, 76%, and 49% of fathers were weighed by a provider, told their weight status, and referred for nutrition/exercise counseling, respectively. There were no associations between fatherhood status and being weighed or provider weight status communication. Fathers were more likely to be referred for nutrition/exercise counseling compared with those without children during a medical (adjusted odds ratio, 1.61; 95% confidence interval, 1.003-2.583) or routine visit (adjusted odds ratio, 1.81; 95% confidence interval, 1.04-3.16). CONCLUSIONS AND IMPLICATIONS The increased likelihood of nutrition or exercise counseling referrals among fathers presents an opportunity to address obesity within families.
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Affiliation(s)
- Alicia Boykin
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
| | - Jill Demirci
- Department of Health Promotion and Development, School of Nursing, University of Pittsburgh, Pittsburgh, PA
| | - Elizabeth Miller
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA
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Allport-Altillo BS, Aqil AR, Nelson T, Johnson SB, Labrique AB, Carabas Y, Marcell AV. Parents' Perspectives on Supporting Father Involvement in African American Families During Pregnancy and Early Infancy. J Natl Med Assoc 2020; 112:344-361. [PMID: 32409095 DOI: 10.1016/j.jnma.2020.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 04/04/2020] [Accepted: 04/08/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To explore fathers' pregnancy and early infancy experiences in supporting his infant, partner, and himself, using information collected from fathers, mothers, and mother-father dyads in a low-income, urban community. BACKGROUND Father involvement is associated with positive child health outcomes and parental well-being. However, little information exists about low-income parents' perceived needs for father involvement during pregnancy and infancy. METHODS This was an exploratory qualitative study of parents in low-income communities of Baltimore, Maryland. Participants were conveniently sampled via partnerships with community organizations. Eighty percent of parents were African American. Four focus groups were conducted with fathers (n = 8), 4 with mothers (n = 9), and 4 interviews with father-mother dyads (n = 8). Sessions were audio-recorded, transcribed, and analyzed using iterative, inductive open coding performed independently by two team members (interrater agreement 86%). Frequency tables were generated for identified categories for content analysis and theme development. RESULTS Five themes were identified: perspectives on the father role, supporting partners, negotiating co-parenting, parenting logistics, and learning parenting skills. Participants expressed the importance of fathers to "be there" and barriers to being involved (e.g., finances, lack of role models). Fathers discussed needing to learn how to manage partner conflicts, while mothers discussed fathers' need for greater empathy. Dyads discussed the importance of co-parenting strategies (e.g., effective communication, sharing responsibilities). Logistics included direct infant care, finances, and community resources. Fathers discussed learning by trial and error rather than informational resources and relying on healthcare professionals for pregnancy information and female relatives for infant care. CONCLUSION Participants discussed various needs of fathers to be effective partners and parents, and lacking informational resources tailored specifically for fathers. Research is needed to explore the best ways to tailor and disseminate information to fathers, especially prenatally. IMPLICATIONS Study findings have significant implications for improving the ways in which maternity care, community-based programs, and pediatric providers support father involvement.
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Affiliation(s)
- Brandon S Allport-Altillo
- Johns Hopkins University School of Medicine, 733 North Broadway, Baltimore, MD 21205, USA; Johns Hopkins Bloomberg School of Public Health, 615 Wolfe Street, Baltimore, MD 21205, USA.
| | - Anushka R Aqil
- Johns Hopkins Bloomberg School of Public Health, 615 Wolfe Street, Baltimore, MD 21205, USA
| | - Timothy Nelson
- Princeton University Department of Sociology, Wallace Hall, Princeton, NJ 08544, USA
| | - Sara B Johnson
- Johns Hopkins University School of Medicine, 733 North Broadway, Baltimore, MD 21205, USA; Johns Hopkins Bloomberg School of Public Health, 615 Wolfe Street, Baltimore, MD 21205, USA
| | - Alain B Labrique
- Johns Hopkins University School of Medicine, 733 North Broadway, Baltimore, MD 21205, USA; Johns Hopkins Bloomberg School of Public Health, 615 Wolfe Street, Baltimore, MD 21205, USA
| | - Yorghos Carabas
- Johns Hopkins Bloomberg School of Public Health, 615 Wolfe Street, Baltimore, MD 21205, USA
| | - Arik V Marcell
- Johns Hopkins University School of Medicine, 733 North Broadway, Baltimore, MD 21205, USA; Johns Hopkins Bloomberg School of Public Health, 615 Wolfe Street, Baltimore, MD 21205, USA
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VandeVusse A, Rosentel K, Coldon L, Schneider J, Hill BJ. Parenting and child-caretaking among black men who have sex with men and associated sexual and reproductive health factors: A brief report. JOURNAL OF GAY & LESBIAN SOCIAL SERVICES 2020; 32:283-296. [PMID: 38773990 PMCID: PMC11107801 DOI: 10.1080/10538720.2020.1728462] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2024]
Abstract
The purpose of this exploratory study was to examine the prevalence of parenting and child-caretaking among a sample of black men who have sex with men (MSM), as well as associations between parenting roles and sexual and reproductive health (SRH) factors. Parenting and SRH data were derived from a survey of 199 black MSM. Nearly half of the sample reported being a father or father-figure (44.4%), almost a third indicated serving as caretaker of a child (29.1%), and one in five have a biological child (20.1%). Over half of the sample reported at least one of these three parenting/child-caretaking roles (52.5%). Two significant differences were observed for sexual health variables: men with biological children were significantly more likely to report using condoms inconsistently (55.0% vs. 35.7%, p=.026) and engaging in transactional sex work (36.8% vs. 21.0%, p=.041). Given the observed prevalence, parenting and child-caretaking among black MSM warrant further inquiry as factors that may influence SRH outcomes and care utilization. Services and interventions tailored to black MSM should consider these men's potential roles and responsibilities as parents and caretakers of children.
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Affiliation(s)
| | - Kris Rosentel
- Department of Medicine, University of Chicago, Chicago, Illinois
| | - Lawrence Coldon
- Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA
| | - John Schneider
- Department of Medicine, University of Chicago, Chicago, Illinois
| | - Brandon J. Hill
- Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA
- Planned Parenthood Great Plains
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Aqil A, Allport BS, Johnson SB, Nelson T, Labrique AB, Marcell AV. Content to share with expectant fathers: Views of professionals focused on father involvement. Midwifery 2019; 70:119-126. [DOI: 10.1016/j.midw.2018.12.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 10/31/2018] [Accepted: 12/23/2018] [Indexed: 11/26/2022]
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Carlson RE, Caines MC, Harrison PA. Psychosocial risk screening of expectant fathers in an urban home visiting service population. Public Health Nurs 2018; 35:369-378. [PMID: 29770502 DOI: 10.1111/phn.12513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Revised: 03/01/2018] [Accepted: 04/04/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To examine the occurrence of psychosocial risk factors among expectant fathers whose female partners were enrolled in prenatal home visiting services. DESIGN Cross-sectional, exploratory, quantitative design. SAMPLE Expectant father-mother pairs were recruited from two urban home visiting programs to participate in a randomized controlled trial of a father advocate intervention. The study sample consisted of 66 father-mother pairs who completed structured interviews at baseline, before randomization. MEASUREMENTS Participants were interviewed using a structured questionnaire. This study focused on their responses related to 11 psychosocial risk factors, as measured by the Brief Risk Overview (BRO) for men and the Prenatal Risk Overview (PRO) for pregnant women. RESULTS Moderate- or high-risk classification of psychosocial risk factors was prevalent among expectant fathers. The risk factors that fathers reported were diverse, related to their basic needs, social support, mental health, and substance use; risk factors frequently co-occurred. Fathers' and mothers' total risk scores, calculated as a composite of all 11 risk factors, were significantly correlated. CONCLUSIONS Expectant fathers who have a partner enrolled in home visiting would benefit from psychosocial risk screening. Addressing fathers' risk factors may improve paternal health, their involvement in parenting, and the well-being of their partners and children.
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Affiliation(s)
- Richard E Carlson
- Minneapolis Health Department, City of Minneapolis, Minneapolis, Minnesota
| | - Mageen C Caines
- Minneapolis Health Department, City of Minneapolis, Minneapolis, Minnesota
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Abstract
As part of the federal multi-agency conference on Paternal Involvement in Pregnancy Outcomes, the existing Fatherhood paradigm was expanded to include a new focus on Men's Preconception Health. This concept grew out of the women's preconception health movement and the maternal and child health (MCH) life course perspective, as well as pioneering research from the child development, public health data and family planning fields. It encourages a new examination of how men's preconception health impacts both reproductive outcomes and men's own subsequent health and development. This essay introduces the concept of men's preconception health and health care; examines its historical development; notes the challenges of its inclusion into fatherhood and reproductive health programs; and situates it within a longer men's reproductive health life course. We then briefly explore six ways men's preconception health and health care can have positive direct and indirect impacts-planned and wanted pregnancies (family planning); enhanced paternal biologic and genetic contributions; improved reproductive health biology for women; improved reproductive health practices and outcomes for women; improved capacity for parenthood and fatherhood (psychological development); and enhanced male health through access to primary health care. Research on men's preconception health and health care is very limited and siloed. We propose a research agenda to advance this topic in three broad domains: increasing the basic epidemiology and risk factor knowledge base; implementing and evaluating men's preconception health/fatherhood interventions (addressing clinical health care, psychological resiliency/maturation, and social determinants of health); and fostering more fatherhood health policy and advocacy research.
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Affiliation(s)
- Milton Kotelchuck
- MassGeneral Hospital for Children, Harvard Medical School, 125 Nashua Street, Suite 8402, Boston, MA, 02114, USA.
| | - Michael Lu
- Maternal and Child Health Bureau, Health Resources and Services Administration, United States Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD, 20857, USA
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Reilly L, Rees S. Fatherhood in Australian Aboriginal and Torres Strait Islander communities: An Examination of Barriers and Opportunities to Strengthen the Male Parenting Role. Am J Mens Health 2018; 12:420-430. [PMID: 29025357 PMCID: PMC5818118 DOI: 10.1177/1557988317735928] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Revised: 08/11/2017] [Accepted: 09/05/2017] [Indexed: 11/24/2022] Open
Abstract
Traditional Australian Aboriginal and Torres Strait Islander societies value men's role as parents; however, the importance of promoting fatherhood as a key social determinant of men's well-being has not been fully appreciated in Western medicine. To strengthen the Aboriginal and Torres Strait Islander male parenting role, it is vital to examine current barriers and opportunities. The first author (a male Aboriginal health project officer) conducted yarning sessions in three remote Australian communities, two being Aboriginal, the other having a high Aboriginal population. An expert sample of 25 Aboriginal and 6 non-Aboriginal stakeholders, including maternal and child health workers and men's group facilitators, considered barriers and opportunities to improve men's parenting knowledge and role, with an aim to inform services and practices intended to support men's parenting. A specific aim was to shape an existing men's group program known as Strong Fathers, Strong Families. A thematic analysis of data from the project identified barriers and opportunities to support men's role as parents. Challenges included the transition from traditional to contemporary parenting practices and low level of cultural and male gender sensitivity in maternal and child health services. Services need to better understand and focus on men's psychological empowerment and to address shame and lack of confidence around parenting. Poor literacy and numeracy are viewed as contributing to disempowerment. Communities need to champion Aboriginal and Torres Strait Islander male father role models. Biases and barriers should be addressed to improve service delivery and better enable men to become empowered and confident fathers.
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Affiliation(s)
- Lyndon Reilly
- School of Psychiatry, University of New South Wales, Sydney, Australia
- Royal Flying Doctor Service (Queensland), Cairns, Australia
| | - Susan Rees
- Psychiatry Research and Teaching Unit, School of Psychiatry University of New South Wales,. Academic Mental Health Unit, Liverpool Hospital, New South Wales, Australia
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Quach J, Sarkadi A, Napiza N, Wake M, Loughman A, Goldfeld S. Do Fathers' Home Reading Practices at Age 2 Predict Child Language and Literacy at Age 4? Acad Pediatr 2018; 18:179-187. [PMID: 29056402 DOI: 10.1016/j.acap.2017.10.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Revised: 11/29/2016] [Accepted: 10/14/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Maternal shared reading practices predict emergent literacy, but fathers' contributions are less certain. We examined whether fathers' shared home reading activities at 2 years predict language and emergent literacy at age 4 years, when controlling for maternal contributions; and whether this differentially benefits these outcomes in disadvantaged children. METHODS Two-parent families were recruited from 5 relatively disadvantaged communities for the universal Let's Read literacy promotion population-based trial (ISRCTN 04602902) in Melbourne, Australia. For exposure at 2 years, home reading practices were recorded via self-reported maternal and paternal StimQ-Toddler questionnaires and dichotomized at study median (high vs low). At 4 years, outcomes assessed included receptive and expressive language (Clinical Evaluation of Language Fundamentals 4) and emergent literacy (Sunderland Phonological Awareness Test-Revised). Linear regression, adjusted for mothers' home reading, was performed to assess 2-year-old vocabulary and communication skills and family disadvantage. Interaction of disadvantage (yes vs no) with high home reading by fathers and at least one parent was assessed. RESULTS Data were available for 405 families (64.3%). High father reading at 2 years (reference: low) predicted better expressive (mean difference, 4.7; 95% confidence interval, 1.5 to 8.0) and receptive (mean difference, 5.0; 95% confidence interval, 1.8 to 8.2) language at 4 years (both P < .001), but not emergent literacy skills. Similar patterns were observed in families with at least one parent with high home reading. Fathers' reading did not differentially benefit outcomes in disadvantaged children. CONCLUSIONS Fathers' involvement in reading at 2 years predicted better language but not emergent literacy at 4 years, and it did not protect against adverse effects of socioeconomic disadvantage.
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Affiliation(s)
- Jon Quach
- Murdoch Children's Research Institute, Parkville, Vic, Australia; The University of Melbourne, Carlton, Vic, Australia.
| | - Anna Sarkadi
- Murdoch Children's Research Institute, Parkville, Vic, Australia; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
| | - Natasha Napiza
- Murdoch Children's Research Institute, Parkville, Vic, Australia; The University of Melbourne, Carlton, Vic, Australia
| | - Melissa Wake
- Murdoch Children's Research Institute, Parkville, Vic, Australia; The University of Melbourne, Carlton, Vic, Australia; The University of Auckland, Auckland, New Zealand
| | - Amy Loughman
- Murdoch Children's Research Institute, Parkville, Vic, Australia
| | - Sharon Goldfeld
- Murdoch Children's Research Institute, Parkville, Vic, Australia; The University of Melbourne, Carlton, Vic, Australia; The Royal Children's Hospital, Parkville, Vic, Australia
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Hannon MD, Hannon LV. Fathers' Orientation to their Children's Autism Diagnosis: A Grounded Theory Study. J Autism Dev Disord 2018; 47:2265-2274. [PMID: 28488079 DOI: 10.1007/s10803-017-3149-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Sixteen fathers of individuals with autism were interviewed to develop a grounded theory explaining how they learned about their children's autism diagnosis. Results suggest the orientation process entails at least two phases: orienting oneself and orienting others. The orienting oneself phase entailed fathers having suspicion of developmental differences, engaging in research and education activities, having their children formally evaluated; inquiring about their children's prognosis, and having curiosities about autism's etiology. The orienting others phase entailed orientating family members and orienting members of their broader communities. Recommendations for responsive service provision, support for fathers, and future research are offered.
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Affiliation(s)
- Michael D Hannon
- Department of Counseling and Educational Leadership, College of Education and Human Services, Montclair State University, 3190 University Hall, 1 Normal Avenue, Montclair, NJ, 07043, USA
| | - LaChan V Hannon
- Program in Teacher Education/Teacher Development, College of Education and Human Services, Montclair State University, Montclair, USA.
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18
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Philpott LF, Corcoran P. Paternal postnatal depression in Ireland: Prevalence and associated factors. Midwifery 2018; 56:121-127. [DOI: 10.1016/j.midw.2017.10.009] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Revised: 10/06/2017] [Accepted: 10/14/2017] [Indexed: 12/01/2022]
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Garfield CF, Mesman J. Time and Money: Extending Fathers' Role in Economically Challenging Contexts. Pediatrics 2016; 138:peds.2016-2456. [PMID: 27600318 PMCID: PMC5051214 DOI: 10.1542/peds.2016-2456] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/26/2016] [Indexed: 11/24/2022] Open
Affiliation(s)
- Craig F. Garfield
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois;,Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; and
| | - Judi Mesman
- Centre for Child and Family Studies, Leiden University, Netherlands
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Isacco A, Hofscher R, Molloy S. An Examination of Fathers’ Mental Health Help Seeking. Am J Mens Health 2016; 10:NP33-NP38. [DOI: 10.1177/1557988315581395] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Fathers’ mental health help seeking is an understudied area. Using participants ( N = 1,989) from the Fragile Families and Child Wellbeing Study, this study hypothesized that few fathers would seek mental health services; and increases in anxiety, depression, and parental stress would predict less mental health help seeking. Only 3.2% of the participants reported seeking mental health counseling. Among the three independent variables, only depression emerged as a significant factor that predicted less mental health help-seeking behaviors in fathers. Future research and clinical efforts need to better understand the low rates of help seeking and to identify pathways that facilitate positive mental health help seeking among fathers.
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Affiliation(s)
- Anthony Isacco
- Graduate Psychology Programs, Chatham University, Pittsburgh, PA, USA
| | - Richard Hofscher
- Graduate Psychology Programs, Chatham University, Pittsburgh, PA, USA
| | - Sonia Molloy
- Graduate Psychology Programs, Chatham University, Pittsburgh, PA, USA
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22
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Yogman M, Garfield CF. Fathers' Roles in the Care and Development of Their Children: The Role of Pediatricians. Pediatrics 2016; 138:peds.2016-1128. [PMID: 27296867 DOI: 10.1542/peds.2016-1128] [Citation(s) in RCA: 156] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Fathers' involvement in and influence on the health and development of their children have increased in a myriad of ways in the past 10 years and have been widely studied. The role of pediatricians in working with fathers has correspondingly increased in importance. This report reviews new studies of the epidemiology of father involvement, including nonresidential as well as residential fathers. The effects of father involvement on child outcomes are discussed within each phase of a child's development. Particular emphasis is placed on (1) fathers' involvement across childhood ages and (2) the influence of fathers' physical and mental health on their children. Implications and advice for all child health providers to encourage and support father involvement are outlined.
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Garfield CF, Duncan G, Gutina A, Rutsohn J, McDade TW, Adam EK, Coley RL, Chase-Lansdale PL. Longitudinal Study of Body Mass Index in Young Males and the Transition to Fatherhood. Am J Mens Health 2015. [PMID: 26198724 DOI: 10.1177/1557988315596224] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Despite a growing understanding that the social determinants of health have an impact on body mass index (BMI), the role of fatherhood on young men's BMI is understudied. This longitudinal study examines BMI in young men over time as they transition from adolescence into fatherhood in a nationally representative sample. Data from all four waves of the National Longitudinal Study of Adolescent Health supported a 20-year longitudinal analysis of 10,253 men beginning in 1994. A "fatherhood-year" data set was created and changes in BMI were examined based on fatherhood status (nonfather, nonresident father, resident father), fatherhood years, and covariates. Though age is positively associated with BMI over all years for all men, comparing nonresident and resident fathers with nonfathers reveals different trajectories based on fatherhood status. Entrance into fatherhood is associated with an increase in BMI trajectory for both nonresident and resident fathers, while nonfathers exhibit a decrease over the same period. In this longitudinal, population-based study, fatherhood and residence status play a role in men's BMI. Designing obesity prevention interventions for young men that begin in adolescence and carry through young adulthood should target the distinctive needs of these populations, potentially improving their health outcomes.
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Affiliation(s)
- Craig F Garfield
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA Ann & Robert H. Lurie Children's Hospital of Chicago, IL, USA Northwestern University, Evanston, IL, USA
| | | | - Anna Gutina
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Joshua Rutsohn
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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Smith TK, Tandon SD, Bair-Merritt MH, Hanson JL. Parenting Needs of Urban, African American Fathers. Am J Mens Health 2014; 9:317-31. [PMID: 25147096 DOI: 10.1177/1557988314545380] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Fathers play a critical role in children's development; similarly, fatherhood positively affects men's health. Among the larger population of fathers relatively little is known about the parenting knowledge of urban, African American fathers. Focusing on urban, African American fathers, the objectives of this study were to (1) understand the primary sources from which fathers learn about parenting, (2) determine where and how fathers prefer to receive future parenting education, and (3) explore the information perceived as most valuable to fathers and how this compares with the recommended anticipatory guidance (Bright Futures-based) delivered during well visits. Five focus groups, with a total of 21 participants, were conducted with urban fathers at a community-based organization. Study eligibility included being more than 18 years old, English speaking, and having at least one child 0 to 5 years old. During the focus groups, fathers were asked where they received parenting information, how and where they preferred to receive parenting information, and what they thought about Bright Futures parenting guidelines. Fathers most commonly described receiving parenting information from their own relatives rather than from their child's health care provider. Most fathers preferred to learn parenting from a person rather than a technology-based source and expressed interest in learning more about parenting at community-based locations. Although fathers viewed health care providers' role as primarily teaching about physical health, they valued Bright Futures anticipatory guidance about parenting. Fathers valued learning about child rearing, health, and development. Augmenting physician counseling about Bright Futures with community-based parenting education may be beneficial for fathers.
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Affiliation(s)
| | - S Darius Tandon
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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