Expectant Fathers' Social Determinants of Health in Early Pregnancy
Fernanda Neri Mini1, Jaclyn A Saltzman1,2, Meg Simione1
1Massachusetts General Hospital, Boston, MA, USA.
Insights
Expecting fathers in low-income communities face unmet social and economic needs, including food insecurity. Providing targeted perinatal education and support for fathers is crucial for maternal and infant health outcomes.
Area of Science:
- Public Health
- Maternal and Child Health
- Sociology
Background:
- The First 1000 Days program is a systems-level intervention designed to prevent obesity in low-income mothers and infants.
- Prenatal care often focuses on mothers, potentially overlooking the needs and roles of expecting fathers.
Purpose of the Study:
- To examine the unmet social and economic needs of low-income, expecting fathers.
- To identify health information requests from this demographic.
- To inform targeted support strategies within perinatal care.
Main Methods:
- Cross-sectional, descriptive study design.
- Survey administered to 131 fathers attending their partner's first prenatal visit within the First 1000 Days program.
- Data collected on demographics, social/economic needs, and information requests.
Main Results:
- A significant portion of fathers reported annual incomes under $50,000 (69%) and food insecurity (18%).
- While financial support was limited, strong non-financial social support networks were reported (85%).
- Fathers expressed a need for information on pregnancy, birth preparation, and fatherhood.
Conclusions:
- Low-income expecting fathers experience distinct social and economic challenges that require attention.
- There is a clear demand for father-specific perinatal information and support.
- Integrating father-focused resources into prenatal programs can enhance maternal and infant well-being.
Abstract:
This cross-sectional, descriptive study examined unmet social and economic needs and health information requests of low-income, expecting fathers who participated in the First 1000 Days program. The First 1000 Days is a systems-level intervention aiming to prevent obesity among low-income mothers and infants across 3 community health centers in Greater Boston, MA, USA. Fathers who attended their partner's first prenatal care visit were invited to complete a program survey during early pregnancy. Among 131 fathers surveyed, 45% were white, 21% were Hispanic/Latino, 55% were foreign-born, and 69% reported an annual income under $50 000. Fathers reported elevated levels of food insecurity (18%) and 33% were unaware of someone that could provide a $50 loan; however, over 85% of fathers knew someone that could provide non-financial social support. Fathers requested information about pregnancy, birth preparation, and fatherhood. Findings support addressing fathers' unmet needs during pregnancy and providing father-specific perinatal information.
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