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Updated: Feb 18, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Paternal involvement and support and risk of preterm birth: findings from the Boston birth cohort
Pamela J Surkan1,2, Liming Dong3, Yuelong Ji1
1a Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Insights
Paternal involvement and support during pregnancy are linked to reduced risks of preterm birth (PTB) and small-for-gestational age (SGA) births, particularly in low-income African American populations. These findings highlight the crucial role fathers play in improving birth outcomes.
Area of Science:
- Reproductive Health
- Perinatal Epidemiology
- Sociology of Health
Background:
- Paternal involvement during pregnancy is a critical factor in maternal and child health.
- Understanding the association between paternal support and adverse birth outcomes like preterm birth (PTB) and small-for-gestational age (SGA) is essential for public health interventions.
Purpose of the Study:
- To examine the association between paternal involvement and support during pregnancy and the risks of PTB and SGA births.
- To identify potential protective roles of paternal engagement in pregnancy outcomes.
Main Methods:
- Utilized data from the Boston Birth Cohort, including 7047 participants.
- Employed multiple logistic regression models to analyze the relationship between paternal involvement, paternal social support, and family/friend support with PTB and SGA.
- Focused on a predominantly low-income African American population.
Main Results:
- Lack of paternal involvement was associated with a 21% increased risk of PTB (OR=1.21).
- Lack of paternal support showed a borderline association with increased PTB risk (OR=1.13).
- Both lack of paternal involvement and support were marginally associated with higher odds of SGA births.
Conclusions:
- In this cohort, reduced paternal involvement and support during pregnancy were linked to increased risks of PTB and potentially SGA.
- These findings suggest that active paternal engagement may play a significant role in mitigating adverse birth outcomes.
- Further research is warranted to confirm these associations and explore intervention strategies.
Objective:
To investigate to what extent paternal involvement and support during pregnancy were associated with preterm (PTB) and small-for-gestational age (SGA) births.
Methods:
Using data from the Boston Birth Cohort (n = 7047), multiple logistic regression models were performed to estimate the log odds of either PTB or SGA birth, with paternal involvement, paternal social support, and family and friend social support variables as the primary independent variables.
Results:
About 10% of participating mothers reported their husbands not being involved or supportive during their pregnancies. Lack of paternal involvement was associated with 21% higher risk of PTB (OR = 1.21, 95% CI: 1.01-1.45). Similarly, lack of paternal support was borderline associated with PTB (OR = 1.13, 95% CI: 0.94-1.35). Also marginally significant, lack of paternal involvement (OR = 1.18, 95% CI: 0.95-1.47) and father's support (OR = 1.19, 95% CI: 0.96-1.48) were associated with higher odds of SGA birth. No associations were found between familial and friend support during pregnancy and PTB or SGA.
Conclusions:
Among predominantly low-income African Americans, lack of paternal involvement and lack of paternal support during pregnancy were associated with an increased risk of PTB, and suggestive of SGA birth. These findings, if confirmed in future research, underscore the important role a father can play in reducing PTB and/or SGA.
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