Contextualizing relationship quality between pregnant Black women and the fathers of their babies: A latent class analysis.

IF 1.2 4区医学 Q3 FAMILY STUDIES

Families Systems & Health Pub Date : 2025-04-17 DOI:10.1037/fsh0000982

Rosemary Adaji, Dawn P Misra, David Todem, Dorothy Pathak, Carmen Giurgescu

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引用次数: 0

Abstract

Background: Black women in the United States experience higher rates of adverse maternal and birth outcomes (e.g., depressive symptoms and preterm birth), influenced by social and psychosocial factors including mother-father relationship quality. Existing measures of relationship quality often overlook the unique dynamics within Black families, requiring a more nuanced approach.

Objective: This study aims to contextualize the multidimensional nature of relationship quality between pregnant Black women and the fathers of their babies.

Method: Using a cross-sectional design, we analyzed data from 405 women enrolled in the Biosocial Impacts on Black Births study. Participants completed questionnaires at 19-29 weeks gestation on six indicators of relationship quality: frequency of contact, frequency of father's involvement during pregnancy, relationship before and during pregnancy, support, and conflict. Latent class analysis was used to identify a construct of relationship quality.

Results: Three distinct classes of relationship quality were identified: "no relationship," "conflictual relationship," and "good relationship." Sensitivity analyses showed that while marital or cohabitation status was highly correlated with both the relationship indicators and identified classes, its inclusion as an additional indicator did not alter classification in the latent class model. These classes highlight the intricacies of relationship dynamics, which may be specific to Black families.

Conclusion: This study underscores the importance of considering the multifaceted context of relationship quality, which is essential for designing culturally informed public health strategies or interventions. The implications of our findings are significant for both research and clinical interventions aimed at improving birth outcomes for diverse populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

黑人孕妇与婴儿父亲关系质量的语境化：一个潜在阶级分析。

背景：美国黑人妇女的不良孕产妇和分娩结果（如抑郁症状和早产）发生率较高，受包括父母关系质量在内的社会和心理社会因素的影响。现有的关系质量衡量标准往往忽略了黑人家庭内部的独特动态，需要更细致入微的方法。目的：本研究旨在探讨黑人孕妇与婴儿父亲关系质量的多维性。方法：采用横断面设计，我们分析了405名妇女的数据，这些妇女参加了对黑人出生的生物社会影响研究。参与者在怀孕19-29周时完成了关于关系质量的六个指标的问卷调查：联系频率，怀孕期间父亲参与的频率，怀孕前和怀孕期间的关系，支持和冲突。使用潜在类分析来确定关系质量的结构。结果：确定了三种不同类型的关系质量：“无关系”、“冲突关系”和“良好关系”。敏感性分析表明，虽然婚姻或同居状态与关系指标和识别类别高度相关，但将其作为附加指标并未改变潜在类别模型的分类。这些课程强调了关系动态的复杂性，这可能是黑人家庭所特有的。结论：这项研究强调了考虑关系质量的多方面背景的重要性，这对于设计文化知情的公共卫生策略或干预措施至关重要。我们的研究结果对旨在改善不同人群生育结果的研究和临床干预都具有重要意义。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

1.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.