Predictors of Urban fathers' involvement in their child's health care.
OBJECTIVE
Fathers make important contributions to many aspects of children's well-being, but relatively few studies have evaluated father involvement in their child's health care. The objective of this study was to explore the extent to which fathers are involved in their children's health care and identify those factors that are associated with greater involvement.


METHODS
A convenience sample of 104 English-speaking, urban fathers with children younger than 7 years were recruited to complete an anonymous, structured interview. Fathers self-reported the number of well-child visits (WCVs) that they had ever attended and which factors had influenced their attendance. Bivariate and multivariate analyses were used to identify those factors that predicted greater involvement.


RESULTS
Eighty-nine percent of the fathers had attended at least 1 WCV. Fifty-three percent had high involvement, ie, had attended > or =40% of the American Academy of Pediatrics recommended visits for their child's age. In multivariate modeling, factors that were significantly associated with high involvement in attending WCVs included attendance at the child's delivery (odds ratio [OR]: 7.3 [1.7-30.4]), younger child age (OR: 0.96 [0.94-0.99]), older father age (OR: 1.2 [1.2-1.3]), the child's having health insurance (OR: 4.1 [1.3-12.0]), and having >1 child (OR: 0.22 [0.06-0.72]).


CONCLUSIONS
The factors identified suggest ways that pediatric providers can support fathers' involvement in their children's health care. Providers should focus on encouraging greater involvement early, especially for younger fathers and those with older children. In addition, support of universal health coverage for children might, in addition to other obvious benefits, enhance a father's engagement with his child's health care.
Moore
Trevena
T
Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, USA. mooret3@slu.edu
Kotelchuck
Milton
M
D000328:Adult; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003695:Delivery of Health Care; D005220:Fathers / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D019458:Insurance Coverage; D007348:Insurance, Health; D008297:Male; D010332:Paternal Behavior; D010372:Pediatrics / Q000706:statistics & numerical data*; D014481:United States; D014505:Urban Population