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Published in: Maternal and Child Health Journal 4/2011

01-05-2011

Addressing Policy Barriers to Paternal Involvement During Pregnancy

Authors: Amina P. Alio, M. Jermane Bond, Yolanda C. Padilla, Joel J. Heidelbaugh, Michael Lu, Willie J. Parker

Published in: Maternal and Child Health Journal | Issue 4/2011

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Abstract

Efforts to reduce infant mortality in the United States have failed to incorporate paternal involvement. Research suggests that paternal involvement, which has been recognized as contributing to child development and health for many decades, is likely to affect infant mortality through the mother’s well-being, primarily her access to resources and support. In spite of that, systemic barriers facing the father and the influence on his involvement in the pregnancy have received little attention. The Commission on Paternal Involvement in Pregnancy Outcomes (CPIPO) has identified the most important social barriers to paternal involvement during pregnancy and outlined a set of key policy priorities aimed at fostering paternal involvement. This article summarizes the key recommendations, including equitable paternity leave, elimination of marriage as a tax and public assistance penalty, integration of fatherhood initiatives in MCH programs, support of low-income fathers through employment training, father inclusion in family planning services, and expansion of birth data collection to include father information.
Literature
1.
go back to reference Heron, M., Hoyert, D. L., Murphy, S. L., Xu, J., Kochanek, K. D., & Tejada-Vera, B. (2009). Deaths: final data for 2006. National Vital Statistics Reports, 57(14), 1–135.PubMed Heron, M., Hoyert, D. L., Murphy, S. L., Xu, J., Kochanek, K. D., & Tejada-Vera, B. (2009). Deaths: final data for 2006. National Vital Statistics Reports, 57(14), 1–135.PubMed
2.
go back to reference Hummer, R. A., Powers, D. A., Pullum, S. G., Gossman, G. L., & Frisbie, W. P. (2007). Paradox found (again): Infant mortality among the Mexican-origin population in the United States. Demography, 44(3), 441–457.PubMedCrossRef Hummer, R. A., Powers, D. A., Pullum, S. G., Gossman, G. L., & Frisbie, W. P. (2007). Paradox found (again): Infant mortality among the Mexican-origin population in the United States. Demography, 44(3), 441–457.PubMedCrossRef
4.
go back to reference Braveman, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: Coming of age. Annual Review of Public Health, 32, 3.1–3.18.CrossRef Braveman, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: Coming of age. Annual Review of Public Health, 32, 3.1–3.18.CrossRef
6.
go back to reference Alio, A. P., Mbah, A.K., Kornosky, J.L., Wathington, D., Marty, P.J., & Salihu, H.M. (2010). Assessing the impact of paternal involvement on racial/ethnic disparities in infant mortality rates. Journal of Community Health [Epub ahead of print]. doi:10.1007/s10900-010-9280-3. Alio, A. P., Mbah, A.K., Kornosky, J.L., Wathington, D., Marty, P.J., & Salihu, H.M. (2010). Assessing the impact of paternal involvement on racial/ethnic disparities in infant mortality rates. Journal of Community Health [Epub ahead of print]. doi:10.​1007/​s10900-010-9280-3.
7.
go back to reference Alio, A. P., Kornosky, J. L., Mbah, A. K., Marty, P. J., & Salihu, H. M. (2009). The impact of paternal involvement on feto-infant morbidity among whites, blacks, and Hispanics. Maternal and Child Health Journal [Epub ahead of print]. doi:10.1007/s10995-009-0482-1. Alio, A. P., Kornosky, J. L., Mbah, A. K., Marty, P. J., & Salihu, H. M. (2009). The impact of paternal involvement on feto-infant morbidity among whites, blacks, and Hispanics. Maternal and Child Health Journal [Epub ahead of print]. doi:10.​1007/​s10995-009-0482-1.
8.
go back to reference Gaudino, J. A., Jenkins, B., & Rochat, R. W. (1999). No fathers’ names: A risk factor for infant mortality in the state of Georgia, USA. Social Science and Medicine, 48(2), 253–265.PubMedCrossRef Gaudino, J. A., Jenkins, B., & Rochat, R. W. (1999). No fathers’ names: A risk factor for infant mortality in the state of Georgia, USA. Social Science and Medicine, 48(2), 253–265.PubMedCrossRef
9.
go back to reference Ghosh, J. K., Wilhelm, M. H., Dunkel-Schetter, C., Lombardi, C. A., & Ritz, B. R. (2009). Paternal support and preterm birth, and the moderation of effects of chronic stress: a study in Los Angeles County mothers. Archives of Women’s Mental Health [Epub ahead of print]. doi:10.1007/s00737-009-0135-9. Ghosh, J. K., Wilhelm, M. H., Dunkel-Schetter, C., Lombardi, C. A., & Ritz, B. R. (2009). Paternal support and preterm birth, and the moderation of effects of chronic stress: a study in Los Angeles County mothers. Archives of Women’s Mental Health [Epub ahead of print]. doi:10.​1007/​s00737-009-0135-9.
10.
go back to reference Martin, L. T., McNamara, M. J., Milot, A. S., Halle, T., & Hair, E. C. (2007). The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Maternal and Child Health Journal, 11(6), 595–602.PubMedCrossRef Martin, L. T., McNamara, M. J., Milot, A. S., Halle, T., & Hair, E. C. (2007). The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Maternal and Child Health Journal, 11(6), 595–602.PubMedCrossRef
11.
go back to reference Ngui, E., Cortright, A., & Blair, K. (2009). An investigation of paternity status and other factors associated with racial and ethnic disparities in birth outcomes in Milwaukee, Wisconsin. Maternal Child Health Journal, 13(4), 467–478.CrossRef Ngui, E., Cortright, A., & Blair, K. (2009). An investigation of paternity status and other factors associated with racial and ethnic disparities in birth outcomes in Milwaukee, Wisconsin. Maternal Child Health Journal, 13(4), 467–478.CrossRef
12.
go back to reference Padilla, Y., & Reichman, N. E. (2001). Low birthweight: Do unwed fathers help? Children and Youth Services Review, 23(4/5), 427–452.CrossRef Padilla, Y., & Reichman, N. E. (2001). Low birthweight: Do unwed fathers help? Children and Youth Services Review, 23(4/5), 427–452.CrossRef
13.
go back to reference Tan, H., Wen, S. W., Walker, M., & Demissie, K. (2004). Missing paternal demographics: a novel indicator for identifying high risk population of adverse pregnancy outcomes. BMC Pregnancy and Childbirth, 4(1), 21.PubMedCrossRef Tan, H., Wen, S. W., Walker, M., & Demissie, K. (2004). Missing paternal demographics: a novel indicator for identifying high risk population of adverse pregnancy outcomes. BMC Pregnancy and Childbirth, 4(1), 21.PubMedCrossRef
14.
go back to reference Waller, M. R., & Bitler, M. P. (2008). The link between couples’ pregnancy intentions and behavior: Does it matter who is asked? Perspectives on Sex Reproductive Health, 40(4), 194–201.CrossRef Waller, M. R., & Bitler, M. P. (2008). The link between couples’ pregnancy intentions and behavior: Does it matter who is asked? Perspectives on Sex Reproductive Health, 40(4), 194–201.CrossRef
15.
go back to reference Zambrana, R. E., Dunkel-Schetter, C., & Scrimshaw, S. (1991). Factors which influence use of prenatal care in low-income racial-ethnic women in Los Angeles County. Journal of Community Health, 16(5), 283–295.PubMedCrossRef Zambrana, R. E., Dunkel-Schetter, C., & Scrimshaw, S. (1991). Factors which influence use of prenatal care in low-income racial-ethnic women in Los Angeles County. Journal of Community Health, 16(5), 283–295.PubMedCrossRef
16.
go back to reference Commission on Paternal Involvement in Pregnancy Outcomes. (2010, May). Commission outlook: Best and promising practices for improving research, policy and practice on paternal involvement in pregnancy outcomes. Washington, DC: Joint Center for Political and Economic Studies. Retrieved on March 2, 2011, from http://www.jointcenter.org/. Commission on Paternal Involvement in Pregnancy Outcomes. (2010, May). Commission outlook: Best and promising practices for improving research, policy and practice on paternal involvement in pregnancy outcomes. Washington, DC: Joint Center for Political and Economic Studies. Retrieved on March 2, 2011, from http://​www.​jointcenter.​org/​.
17.
go back to reference Bond, M. J., Heidelbaugh, J. J., Robertson, A., Alio, P. A., & Parker, W. J. (2010). First priority: Research, policy and practice recommendations to improve paternal involvement in pregnancy outcomes. Current Opinions in Obstetrics & Gynecology, 22(6), 525–529.CrossRef Bond, M. J., Heidelbaugh, J. J., Robertson, A., Alio, P. A., & Parker, W. J. (2010). First priority: Research, policy and practice recommendations to improve paternal involvement in pregnancy outcomes. Current Opinions in Obstetrics & Gynecology, 22(6), 525–529.CrossRef
18.
go back to reference Misra, D. P., Caldwell, C., Young, A. A., & Abelson, S. (2010). Do fathers matter? Paternal contributions to birth outcomes and racial disparities. American Journal of Obstetrics and Gynecology, 202, 99–100.PubMedCrossRef Misra, D. P., Caldwell, C., Young, A. A., & Abelson, S. (2010). Do fathers matter? Paternal contributions to birth outcomes and racial disparities. American Journal of Obstetrics and Gynecology, 202, 99–100.PubMedCrossRef
19.
go back to reference Padilla, Y. C., & Reichman, N. E. (2001). Low birthweight: Do unwed fathers help? Children and Youth Services Review, 23(4–5), 427–452.CrossRef Padilla, Y. C., & Reichman, N. E. (2001). Low birthweight: Do unwed fathers help? Children and Youth Services Review, 23(4–5), 427–452.CrossRef
20.
go back to reference Bond, J. T., Galinsky, E., Kim, S. S., & Brownfield, E. (2005). 2005 National study of employers. Families and Work Institute. Retrieved October 4, 2010, from http://familiesandwork.org. Bond, J. T., Galinsky, E., Kim, S. S., & Brownfield, E. (2005). 2005 National study of employers. Families and Work Institute. Retrieved October 4, 2010, from http://​familiesandwork.​org.
21.
go back to reference Ray, R., Gornick, J. C., & Schmitt, J. (2010). Who cares? Assessing generosity and gender equality in parental leave policy designs in 21 countries. Journal of European Social Policy, 20(3), 196–216.CrossRef Ray, R., Gornick, J. C., & Schmitt, J. (2010). Who cares? Assessing generosity and gender equality in parental leave policy designs in 21 countries. Journal of European Social Policy, 20(3), 196–216.CrossRef
22.
go back to reference Ooms, T., Bouchet, S., & Parke, M. (2004). Beyond marriage licenses: Efforts in states to strengthen marriage and two-parent families. Center for Law and Social Policy, Washington, DC. Ooms, T., Bouchet, S., & Parke, M. (2004). Beyond marriage licenses: Efforts in states to strengthen marriage and two-parent families. Center for Law and Social Policy, Washington, DC.
23.
go back to reference Rangarajan, A., Castner, L. & Clark, M. A. (2005, January). Public assistance use among two-parent families: An analysis of TANF and food stamp program eligibility and participation (Final Report). Princeton, NJ: Mathematica Policy Research, Inc. Retrieved on February 22, 2011, from http://aspe.hhs.gov/hsp/05/2parent-part/. Rangarajan, A., Castner, L. & Clark, M. A. (2005, January). Public assistance use among two-parent families: An analysis of TANF and food stamp program eligibility and participation (Final Report). Princeton, NJ: Mathematica Policy Research, Inc. Retrieved on February 22, 2011, from http://​aspe.​hhs.​gov/​hsp/​05/​2parent-part/​.
25.
go back to reference Carlson, M. J., & McLanahan, S. (2010). Fathers in fragile families. In M. E. Lamb (Ed.), The role of the father in child development (5th ed., pp. 241–269). New Jersey: Wiley & Sons. Carlson, M. J., & McLanahan, S. (2010). Fathers in fragile families. In M. E. Lamb (Ed.), The role of the father in child development (5th ed., pp. 241–269). New Jersey: Wiley & Sons.
26.
go back to reference Sorensen, E., Mincy, R., & Halpern, A. (2000). Redirecting welfare policy toward building strong families. Urban Institute. Retrieved October 4, 2010, from http://www.urban.org. Sorensen, E., Mincy, R., & Halpern, A. (2000). Redirecting welfare policy toward building strong families. Urban Institute. Retrieved October 4, 2010, from http://​www.​urban.​org.
27.
go back to reference Blackburn, C. M., Bonas, S., Spencer, N. J., Coe, C. J., Dolan, A., & Moy, R. (2005). Parental smoking and passive smoking in infants: fathers matter too. Health Education Research, 20(2), 185–194.PubMedCrossRef Blackburn, C. M., Bonas, S., Spencer, N. J., Coe, C. J., Dolan, A., & Moy, R. (2005). Parental smoking and passive smoking in infants: fathers matter too. Health Education Research, 20(2), 185–194.PubMedCrossRef
28.
go back to reference Passaro, C. T., Little, R. E., Savits, D. A., & Noss, J. (1998). Effect of paternal alcohol consumption before conception on infant birth weight. Teratology, 57, 294–301.PubMedCrossRef Passaro, C. T., Little, R. E., Savits, D. A., & Noss, J. (1998). Effect of paternal alcohol consumption before conception on infant birth weight. Teratology, 57, 294–301.PubMedCrossRef
29.
go back to reference van den Berg, M., van der Ende, J., Crijnen, A., Jaddoe, V., Moll, H., Mackenbach, J., Hofman, A., Hengeveld, M., Tiemeier, H., & Verhulst, F. (2009). Paternal depressive symptoms during pregnancy are related to excessive infant crying. Pediatrics, 124(1). doi:10.1542/peds.2008-3100. van den Berg, M., van der Ende, J., Crijnen, A., Jaddoe, V., Moll, H., Mackenbach, J., Hofman, A., Hengeveld, M., Tiemeier, H., & Verhulst, F. (2009). Paternal depressive symptoms during pregnancy are related to excessive infant crying. Pediatrics, 124(1). doi:10.​1542/​peds.​2008-3100.
30.
go back to reference Bhatt, R. V. (2000). Environmental influence on reproductive health. International Journal of Gynaecology and Obstetrics, 70(1), 69–75.PubMedCrossRef Bhatt, R. V. (2000). Environmental influence on reproductive health. International Journal of Gynaecology and Obstetrics, 70(1), 69–75.PubMedCrossRef
31.
go back to reference Rosenberg, J., & Wilcox, B. W. (2006). The importance of fathers in the healthy development of children. Child Welfare Information Gateway. Retrieved October 4, 2010, from http://www.childwelfare.gov. Rosenberg, J., & Wilcox, B. W. (2006). The importance of fathers in the healthy development of children. Child Welfare Information Gateway. Retrieved October 4, 2010, from http://​www.​childwelfare.​gov.
32.
go back to reference Father involvement in MCH Programs. (2009, August). AMCHP Fact Sheet. Association of Maternal and Child Health Programs. Father involvement in MCH Programs. (2009, August). AMCHP Fact Sheet. Association of Maternal and Child Health Programs.
33.
go back to reference Johnson, W. E. (1998). Paternal involvement in fragile, African American families: Implication for clinical social work practice. Smith College Studies in Social Work, 68(2), 215–232.CrossRef Johnson, W. E. (1998). Paternal involvement in fragile, African American families: Implication for clinical social work practice. Smith College Studies in Social Work, 68(2), 215–232.CrossRef
34.
go back to reference Johnson, W. E. (2001). Paternal involvement among unwed fathers. Children and Youth Services Review, 23(6–7), 513–536.CrossRef Johnson, W. E. (2001). Paternal involvement among unwed fathers. Children and Youth Services Review, 23(6–7), 513–536.CrossRef
35.
36.
go back to reference Hohmann-Marriott, B. (2009). The couple context of pregnancy and its effects on prenatal care and birth outcomes. Maternal and Child Health Journal, 13(6), 745–754.PubMedCrossRef Hohmann-Marriott, B. (2009). The couple context of pregnancy and its effects on prenatal care and birth outcomes. Maternal and Child Health Journal, 13(6), 745–754.PubMedCrossRef
37.
go back to reference Grady, W. R., Tanfer, K., Billy, J. O. G., & Lincoln-Hanson, J. (1996). Men’s perceptions of their roles and responsibilities regarding sex, contraception and childrearing. Family Planning Perspectives, 28(5), 221–226.PubMedCrossRef Grady, W. R., Tanfer, K., Billy, J. O. G., & Lincoln-Hanson, J. (1996). Men’s perceptions of their roles and responsibilities regarding sex, contraception and childrearing. Family Planning Perspectives, 28(5), 221–226.PubMedCrossRef
Metadata
Title
Addressing Policy Barriers to Paternal Involvement During Pregnancy
Authors
Amina P. Alio
M. Jermane Bond
Yolanda C. Padilla
Joel J. Heidelbaugh
Michael Lu
Willie J. Parker
Publication date
01-05-2011
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 4/2011
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-011-0781-1

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