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Published on: October 10, 2025
Paternal violent criminality and preterm birth: a Swedish national cohort study
Can Liu1,2, Niklas Långström3,4, Cecilia Ekéus5
1Centre for Health Equity Studies (CHESS), Karolinska Institutet/Stockholm University, 106 91, Stockholm, Sweden. can.liu@ki.se.
Insights
Paternal violent crime is linked to a higher risk of preterm birth in infants. This association persists even when accounting for stable maternal factors across pregnancies.
Area of Science:
- Reproductive health
- Criminology
- Perinatal epidemiology
Background:
- Paternal factors can influence maternal well-being and pregnancy outcomes.
- Previous research has not extensively explored the link between paternal criminal history and preterm birth risk.
Purpose of the Study:
- To investigate the association between paternal violent criminality and the risk of preterm birth (birth before 37 weeks of gestation).
Main Methods:
- A Swedish register-based study utilized data from the Medical Birth Register (1992-2012) and the National Crime Register (1973-2012).
- Linked birth records with paternal violent crime convictions to assess exposure.
- Employed maternal half-sibling comparisons to control for stable maternal characteristics.
Main Results:
- Paternal violent criminality was significantly associated with an increased risk of preterm birth and lower gestational age.
- The risk was particularly elevated for infants whose fathers had multiple violent crime convictions (reoffenders).
- Maternal half-sibling analyses confirmed an increased risk of preterm birth and lower gestational age when fathers had persistent violent criminal histories.
Conclusions:
- Persistent paternal violent criminality is a risk factor for preterm birth.
- The findings highlight the importance of considering paternal background factors in perinatal health.
- Controlling for stable maternal characteristics reinforces the independent association between paternal violent crime and adverse birth outcomes.
Background:
Fathers may affect expectant mothers' daily living situations, which in turn might influence pregnancy outcomes. We investigated the association between paternal violent criminality and risk of preterm birth (≤36 weeks).
Methods:
We conducted a register-based study with all live singleton births in the Swedish Medical Birth Register from 1992 to 2012, linked with records of paternal violent crime convictions from the National Crime Register from 1973 to 2012.
Results:
Paternal violent criminality was associated with increased risk of preterm birth and lower gestational age. The association was especially pronounced among infants of reoffenders: men convicted of three or more violent crimes (adjusted odds ratio [aOR] 1.23 [95% CI 1.17, 1.29]). Maternal half sibling-comparisons, an analytic approach controlling for maternal factors stable across pregnancies, also suggested increased risk of preterm birth and lower gestational age when exposed to a violently reoffending father compared to a father without violent criminal convictions (aOR 1.30 [0.99, 1.72], adjusted mean difference - 1.07 [- 1.78, - 0.36]).
Conclusions:
Persistent paternal violent criminality was associated with increased risk of preterm birth, even after controlling for maternal characteristics that did not change between pregnancies.
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