Assessing the Impact of Paternal Involvement on Racial/Ethnic Disparities in Infant Mortality Rates
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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.
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- Assessing the Impact of Paternal Involvement on Racial/Ethnic Disparities in Infant Mortality Rates
Journal of Community Health
Volume 36, Issue 1 , pp 63-68
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Fathers’ involvement
- Paternal involvement
- Infant mortality
- Racial disparities
- Author Affiliations
- 1. Department of Community and Family Health, University of South Florida, Tampa, FL, USA
- 5. College of Public Health, 13201 Bruce B. Downs Blvd., MDC 56, 33612-3805, Tampa, FL, USA
- 2. The Chiles Center for Healthy Mothers and Babies, University of South Florida, Tampa, FL, USA
- 3. Public Health Practice Program, University of South Florida, Tampa, FL, USA
- 4. Department of Epidemiology and Biostatistics, and Department of Obstetrics and Gynecology, The Chiles Center for Healthy Mothers and Babies, University of South Florida, Tampa, FL, USA