Fathers and the well-child visit

Area of Science:

• Pediatric Health
• Family Medicine
• Sociology of Health

Background:

• Father involvement positively impacts child development and health outcomes.
• Limited research exists on father involvement in healthcare, particularly among minority and nonmarried fathers.
• Well-child visits (WCVs) are key opportunities for fathers to engage in their child's healthcare.

Purpose of the Study:

• To explore fathers' involvement in, experiences with, and satisfaction with well-child visits (WCVs).
• To identify barriers fathers face in participating in their child's healthcare.
• To understand fathers' perspectives on their role in the child's medical home.

Main Methods:

• Qualitative study using in-depth, semistructured interviews with 32 fathers.
• Participants were from the national Fragile Families and Child Wellbeing Study.
• Interviews focused on fathers' healthcare involvement, experiences, decision-making, and perceived barriers.

Main Results:

• The majority of fathers (53%) attended WCVs and (84%) saw a doctor with their child in the past year.
• Key reasons for attendance include information gathering, child support, and asking questions.
• Fathers reported satisfaction with inclusive interactions, quality care, and clear explanations, but noted barriers like employment and relationship dynamics.

Conclusions:

• Most fathers are involved in their child's healthcare through WCVs and doctor visits.
• Fathers express satisfaction but face barriers including work schedules and systemic issues.
• Healthcare providers should actively engage fathers, recognizing their situational flexibility and advocating for supportive policies.