Influence of paternal characteristics on the risk of low birth weight
1Division of Analysis, National Center for Health Statistics, Hyattsville, MD 20782.
Insights
Paternal education and race independently impact low birth weight (LBW) and very low birth weight (VLBW) risks. Higher paternal education is linked to lower LBW/VLBW, and paternal race identifies specific risk groups for Black mothers.
Area of Science:
- Reproductive Health
- Perinatal Epidemiology
- Sociodemographic Factors in Birth Outcomes
Background:
- Low birth weight (LBW) and very low birth weight (VLBW) are critical indicators of infant health and long-term outcomes.
- Maternal factors are traditionally emphasized in assessing LBW/VLBW risks.
- The role of paternal factors in influencing birth weight remains less understood.
Purpose of the Study:
- To investigate the independent contributions of maternal and paternal characteristics to the risk of LBW and VLBW.
- To determine if paternal factors modify the association between maternal characteristics and LBW/VLBW.
- To identify specific demographic subgroups with altered LBW/VLBW risks based on paternal attributes.
Main Methods:
- Analysis of a large-scale national dataset (1984-1988 natality data from the National Center for Health Statistics).
- Statistical modeling to assess the independent effects of paternal education and race on LBW/VLBW risks.
- Adjustment for maternal characteristics to isolate the impact of paternal factors.
Main Results:
- Paternal education and race demonstrated independent effects on LBW and VLBW risks, even after controlling for maternal factors.
- Increased paternal education was associated with a decreased risk of both LBW and VLBW.
- Paternal education attenuated the observed effect of maternal education on LBW/VLBW risks.
- Paternal race analysis revealed a subgroup of married Black women with lower LBW/VLBW risks compared to the overall group.
Conclusions:
- Paternal characteristics, specifically education and race, are significant independent predictors of infant birth weight.
- Incorporating paternal factors into risk assessment models can provide a more comprehensive understanding of LBW/VLBW.
- These findings highlight the need to consider both parents' sociodemographic attributes in perinatal health strategies.
Abstract:
The combined effects of maternal and paternal factors on the risk of delivering low birth weight (less than 2,500 g) and very low birth weight (less than 1,500 g) infants were examined among married parents. Using 1984-1988 natality data compiled by the National Center for Health Statistics, the authors found paternal education and race to have independent effects on the risks of low birth weight and very low birth weight after adjustment for maternal characteristics. The odds of low and very low birth weight decreased with increasing paternal education. Adjustment for paternal education decreased the effect of maternal education on the risks of low and very low birth weight. Additionally, the examination of paternal race led to the identification of a subgroup of married black women with lower risks of low and very low birth weight than married black mothers overall. These data suggest that paternal characteristics should be used, in addition to maternal characteristics, to describe the risks of low and very low birth weight.
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