Thursday, June 19, 2008

Fathers: More healthy moms, babies, kids

When talking about pregnancy in the teen and college population we often focus solely on the pregnant young mother, neglecting the father. So let's spend this week after Father's Day looking at fathers a little bit, and think and talk about how the baby's father impacts your daughter, her child, and your family.

The National Fatherhood Initiative summarizes the following independent research studies:

Father Factor in Maternal and Infant Health

- Infant mortality rates are 1.8 times higher for infants of unmarried mothers than for married mothers.
Source: Matthews, T.J., Sally C. Curtin, and Marian F. MacDorman. Infant Mortality Statistics from the 1998 Period Linked Birth/Infant Death Data Set. National Vital Statistics Reports, Vol. 48, No. 12. Hyattsville, MD: National Center for Health Statistics, 2000.

- Based on birth and death data for 217,798 children born in Georgia in 1989 and 1990, infants without a father’s name on their birth certificate (17.9 percent of the total) were 2.3 times more likely to die in the first year of life compared to infants with a father’s name on their birth certificate.
Source: Gaudino, Jr., James A., Bill Jenkins, and Foger W. Rochat. “No Fathers’ Names: A Risk Factor for Infant Mortality in the State of Georgia, USA.” Social Science and Medicine 48 (1999): 253-265.

- Unmarried mothers are less likely to obtain prenatal care and more likely to have a low birth-weight baby. Researchers find that these negative effects persist even when they take into account factors, such as parental education, that often distinguish single-parent from two-parent families.
Source: U.S. Department of Health and Human Services. Public Health Service. Center for Disease Control and Prevention. National Center for Health Statistics. Report to Congress on Out-of-Wedlock Childbearing. Hyattsville, MD (Sept. 1995): 12.

- Expectant fathers can play a powerful as advocates of breastfeeding. Three-fourths of women whose partners attended a breastfeeding promotion class initiated breastfeeding.
Source: Wolfberg, Adam J., et al. “Dads as breastfeeding advocates: results from a randomized controlled trial of an educational intervention.” American Journal of Obstetrics and Gynecology 191 (September 2004): 708-712.

- Fathers’ knowledge about breastfeeding increases the likelihood that a child will be breastfed. Children who fathers knew more had a 1.76 higher chance of being breastfed at the end of the first month and 1.91 higher chance of receiving maternal milk at the end of the third month.
Source: Susin, Lurie R.O. “Does Parental Breastfeeding Knowledge Increase Breastfeeding Rates?” BIRTH 26 (September 1999): 149-155.

- Twenty-three percent of unmarried mothers in large U.S. cities reported cigarette use during their pregnancy. Seventy-one percent were on Medicare.
Source: McLanahan, Sara. The Fragile Families and Child Well-being Study: Baseline National Report. Table 7. Princeton, NJ: Center for Research on Child Well-being, 2003: 16.

- A study of 2,921 mothers revealed that single mothers were twice as likely as married mothers to experience a bout of depression in the prior year. Single mothers also reported higher levels of stress, fewer contacts with family and friends, less involvement with church or social groups and less overall social support.
Source: Cairney, John and Michael Boyle et al. “Stress, Social Support and Depression in Single and Married Mothers.” Social Psychiatry and Psychiatric Epidemiology 38 (August 2003): 442-449.

- In a longitudinal study of more than 10,000 families, researchers found that toddlers living in stepfamilies and single-parent families were more likely to suffer a burn, have a bad fall, or be scarred from an accident.
Source: O’Connor, T., L. Davies, J. Dunn, J. Golding, ALSPAC Study Team. “Differential Distribution of Children’s Accidents, Injuries and Illnesses across Family Type.” Pediatrics 106 (November 2000): e68.

- A study of 3,400 middle schoolers indicated that not living with both biological parents quadruples the risk of having an affective disorder.
Source: Cuffe, Steven P., Robert E. McKeown, Cheryl L. Addy, and Carol Z. Garrison. “Family Psychosocial Risk Factors in a Longitudinal Epidemiological Study of Adolescents.” Journal of American Academic Child Adolescent Psychiatry 44 (February 2005): 121-129.

- Children who live apart from their fathers are more likely to be diagnosed with asthma and experience an asthma-related emergency even after taking into account demographic and socioeconomic conditions. Unmarried, cohabiting parents and unmarried parents living apart are 1.76 and 2.61 times, respectively, more likely to have their child diagnosed with asthma. Marital disruption after birth is associated with a 6-fold increase in the likelihood a children will require an emergency room visit and 5-fold increase of an asthma-related emergency.
Source: Harknett, Kristin. Children’s Elevated Risk of Asthma in Unmarried Families: Underlying Structural and Behavioral
Mechanisms. Working Paper #2005-01-FF. Princeton, NJ: Center for Research on Child Well-being, 2005: 19-27.

Father Factor in Childhood Obesity


- National Longitudinal Survey of Youth found that obese children are more likely to live in father-absent homes than are non-obese children.
Source: National Longitudinal Survey of Youth

- Study that looked at family lifestyle and parent’s Body Mass Index (BMI) over a nine year period found:
- Father’s Body Mass Index (BMI) predicts son’s and daughter’s BMI independent of offspring’s alcohol intake, smoking, physical fitness, and father’s education
- Furthermore, BMI in sons and daughters consistently higher when fathers were overweight or obese
- Physical fitness of daughters negatively related to their father’s obesity
- Obesity of fathers associated with a four-fold increase in the risk of obesity of sons and daughters at age 18

Source: Burke V, Beilin LJ, Dunbar D. “Family lifestyle and parental body mass index as predictors of body mass index in Australian children: a longitudinal study.” Department of Medicine, Royal Perth Hospital, University of Western Australia, and the Western Australian Heart Research Institute; Perth, Australia.

- A fathers’ body mass index (a measurement of the relative composition of fat and muscle mass in the human body) is directly related to a child’s activity level. In a study of 259 toddlers, more active children were more likely to have a father with a lower BMI than less active children.
Source: Finn, Kevin, Neil Johannsen, and Bonny Specker. “Factors associated with physical activity in preschool children.” The Journal of Pediatrics 140 (January 2002): 81-85.

- Study that looked at dietary intake and physical activity of parents and their daughters over a two year period found:
- Daughter’s BMI predicted by father’s diets and father’s enjoyment of physical activity
- As father’s BMI rose, so did their daughter’s BMI

Source: Davison KK, Birch LL. “Child and parent characteristics as predictors of change in girls' body mass index.” Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania 16802, USA.

- Study that looked at the relationship between parent’s total and percentage body fat and daughter’s total body fat over a two and one-half year period found:
- Father’s, not mother’s, total and percentage body fat the best predictor of changes in daughter’s total and percentage body fat.

Source: Figueroa-Colon R, Arani RB, Goran MI, Weinsier RL. “Paternal body fat is a longitudinal predictor of changes in body fat in premenarcheal girls.” Department of Pediatrics, General Clinical Research Center, Medical Statistics Unit, Comprehensive Cancer Center, University of Alabama at Birmingham, USA.

- Two studies that have looked at the determinants of physical activity in obese and non-obese children found:
- Obese children less likely to report that their father’s were physically active than were the children of non-obese children. This determinant not found for mothers.
- Father’s inactivity strong predictor of children’s inactivity.

Source: Trost SG, Kerr LM, Ward DS, Pate RR. “Physical activity and determinants of physical activity in obese and non-obese children. School of Human Movement Studies, The University of Queensland, Brisbane, Queensland 4072, Australia.
Source: Fogelholm M, Nuutinen O, Pasanen M, Myohanen E, Saatela T. “Parent-child relationship of physical activity patterns and obesity.” University of Helsinki, Lahti Research and Training Centre, Finland.

- Children who lived with single mothers were significantly more likely to become obese by a 6-year follow-up, as were black children, children with nonworking parents, children with nonprofessional parents, and children whose mothers did not complete high school.
Source: Strauss RS, Knight J. “Influence of the home environment on the development of obesity in children.” Division of Pediatric Gastroenterology and Nutrition, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson School of Medicine, New Brunswick, New Jersey 08903, USA.

Our book "How To Survive Your Teen's Pregnancy: Practical Advice for the Parents of a Pregnant Christian Single" has several chapters about the father of your daughter's baby: "Where Does The Baby's Father Belong In All This?", "Forgiving The Baby's Father", "Forgiving The Young Man's Parents", and "The Importance Of A Father." You may find this book helpful as you and your daughter make decisions and plans.

Talk with your daughter about the issues revealed in the statistics above.
  • Is she smoking while pregnant? Does she breathe in second-hand smoke? Many studies have shown how damaging this can be to her child. Help her find resources so she can quit smoking immediately. Don't let anyone smoke near her. Help her find a new job if her current one involves working in second hand smoke (such as at a bar or restaurant).
  • Has your daughter gotten regular prenatal care? If not, find a way to get her to a doctor. Apply for medicaid; ask your church if they have a benevolence fund to help with medical bills; ask your hospital if they have a low-cost maternity clinic; ask her school if they have any maternity care on campus; look in the phone book to see if there are any charity clinics that could help her; call OptionLine (800-395-HELP) to get the name and phone number of a pregnancy resource center near you, then call them and see if they have any medical services or any referrals for medical help. There are several reputable internet sites that offer pregnancy healthy information so both you and your daughter should do a lot of reading about healthy pregnancy. Pregnancy resource centers may also be able to education your daughter on pregnancy health, delivery, and child care skills.
  • Ask your daughter her thoughts about breastfeeding. If she currently does not plan to breastfeed, have her research the benefits of breastfeeding and then also write up a list of the pros and cons of breastfeeding vs. formula. If she chooses to breastfeed, make sure the hospital where she delivers her baby knows this so that they don't start the baby on a formula bottle in the nursery.
  • Since single mothers report higher levels of stress, fewer contacts with family and friends, less involvement with church or social groups and less overall social support, what steps can you both take to avoid these problems? Does your church have a single parents support group? How about a new mother's support group, or a MOPS (Mothers Of PreSchoolers) group? What classes or community groups are offered from the hospital or local colleges?
  • Talk with your daughter about family healthy histories: what health challenges are more common in your family (obesity, cancer, asthma, allergies, etc.)? What can she do to have a more healthy lifestyle both now and after the baby is born? What support will she need in order to make changes in her health and lifestyle?

As you and your daughter talk about an involved father for her child, try to determine who will play this role. It may be the child's father. If the child's father plans to be involved in raising the child, talk to him about these statistics too. What changes could he make now so that he is more healthy? In what areas is he a weaker role model and a stronger role model? What changes could he make to be a better father in the areas where he is currently weaker?

If the child's father will not be involved for whatever reason, who in your current family could play this crucial role? If no one is available or acceptable, spend some time considering an adoption plan where the child would have the advantages of a father as the child grows.

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