Men's Knowledge of Anticipatory Guidance Topics: Results from a Nationally Representative Survey.
Lee SJ, Walsh TB, Lee JY, Tolman R, Garfield C, Seabrook RC, Singh V.
Academic pediatrics. 2021; ():

Abstract

OBJECTIVE: (1) To describe young men's knowledge of infant routines, discipline, development, safety, sleep, and nutrition, using items assessing the American Academy of Pediatrics Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. (2) To report differences in knowledge between fathers and non-fathers. (3) To examine factors associated with men's greater knowledge. METHODS: Participants were men (N=1303) aged 18 to 35 years responding to a cross-sectional survey that was administered to a national panel established through probability sampling of the civilian, non-institutionalized US population. Survey weights allow reporting of nationally representative analyses. RESULTS: Participants (mean age=27; 58% white, 36% fathers) correctly answered 52% of the infant knowledge questions. Fathers and non-fathers answered 64% and 46% of the items correctly, respectively. The difference in knowledge between fathers and non-fathers was statistically significant (B=0.16, p < .001). The subscale with the highest number of correct responses was routines (80% accuracy), followed by discipline (59% accuracy), safety (52% accuracy), sleep (51% accuracy), development (50% accuracy), and nutrition (40% accuracy). Multivariate analyses showed that depressive symptoms (B=-0.07, p < .05) were associated with lower infant knowledge, while higher education (B=0.06, p < .05) and current employment (B=0.06, p < .01) were associated with higher infant knowledge. CONCLUSION: Significant gaps exist in men's knowledge of infant development. Pediatric health care providers could help to address these gaps by providing anticipatory guidance to fathers. CI - Copyright (c) 2021. Published by Elsevier Inc.



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