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Research ArticleOriginal Article

First-Time Parents’ Prenatal to Postpartum Changes in Health, and the Relation of Postpartum Health to Work and Partner Characteristics

Dwenda K. Gjerdingen and Bruce A. Center
The Journal of the American Board of Family Practice July 2003, 16 (4) 304-311; DOI: https://doi.org/10.3122/jabfm.16.4.304
Dwenda K. Gjerdingen
MD
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Bruce A. Center
PhD
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Article Figures & Data

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    Table 1.

    Baseline (Prenatal) Demographic and Health Characteristics of Fathers, Mothers, and the Total Group, and Significant Gender Differences in these Characteristics, as Determined by Paired t Tests and Chi-square Analyses (n = 125–128 Couples).

    MeasureFathers (n = 129)Mothers (n = 132)Total Group (n = 261)P Value
    Demographic characteristics:
     Age (mean years, SD)30.5 (4.5)29.0 (4.2)29.7 (4.4).004
     Education (% ≥ college degree)65.165.265.11.000
     Married (%)91.591.791.61.000
     Employed (%)98.490.994.6.011
     White (%)92.194.793.4.460
    Physical health
     General health*21.2 (2.9)21.0 (2.3)21.1 (2.6).502
     Days ill (d/4 wk)0.7 (2.1)1.5 (3.7)1.1 (3.0).037
     Vitality†17.1 (2.8)14.7 (2.9)15.9 (3.1).000
     Sleep (hours last night)7.4 (1.0)7.5 (1.2)7.3 (1.6).605
    Mental health
     Mental health scale‡24.6 (2.6)24.4 (2.4)24.5 (2.5).538
     Quality of life§82.6 (11.9)86.4 (8.0)84.6 (10.3).001
    • * General health: 5 items, scale 1–5, possible score range of 5–25, with 25 = healthiest.

    • † Vitality: 4 items, scale 1–6, possible score range of 4–24, with 24 = most vital.

    • ‡ Mental health: 5 items, scale 1–6, possible score range of 5–30, with 30 = healthiest.

    • § Quality of life: range of 1%–100%, with 100% = best quality.

    • View popup
    Table 2.

    Fathers’ and Mothers’ Prenatal (Pre) to Postpartum (Post) Changes in Physical and Mental Health, as Determined by Paired t Tests.

    MeasureFathers (n = 129): means (SD)P ValueMothers (n = 132): means (SD)P Value
    PrePostPost-Pre*PrePostPost-Pre*
    Physical health
     General health†21.2 (2.9)20.7 (3.0)−0.5 (2.7).03321.0 (2.3)21.1 (2.8)0.1 (2.9).810
     Days ill‡0.7 (2.1)1.7 (3.6)1.0 (4.2).0061.5 (3.7)2.0 (3.6)0.4 (4.9).306
     Vitality§17.1 (2.8)16.0 (3.4)−1.1 (2.8).00014.7 (2.9)15.3 (3.2)0.6 (3.2).031
     Sleep‖ (hours last night)7.4 (1.0)7.2 (1.3)−0.2 (2.3).6817.6 (1.2)6.9 (1.2)−0.7 (1.6).009
    Mental health
     Mental health scale¶24.6 (2.6)24.2 (3.2)−0.4 (2.9).15624.3 (2.4)23.9 (2.9)−0.4 (2.8).101
     Quality of life**82.7 (11.9)79.3 (13.1)−3.4 (11.0).00186.4 (8.1)83.1 (9.3)−3.3 (9.6).000
    • * Post-pre: postpartum score minus prenatal score.

    • † General health: 5 items, scale 1–5, possible score range of 5–25, with 25 = healthiest.

    • ‡ Days ill: number of days ill during the past 4 weeks; possible range: 0–28.

    • § Vitality: 4 items, scale 1–6, possible score range of 4–24, with 24 = most vital.

    • ‖ Due to missing data on sleep at the prenatal interval, paired t tests on sleep were conducted with 39 men and 41 women. Mean postpartum sleep time, when analyzed for full sample, was 6.9 hours for both fathers and mothers.

    • ¶ Mental health: 5 items, scale 1–6, possible score range of 5–30, with 30 = healthiest.

    • ** Quality of life: range of 1%–100%, with 100% = best quality.

    • View popup
    Table 3.

    Predictors of Fathers’ And Mothers’ General Health 6 Months after the Birth of Their First Child, as Determined by Multiple Regression Analysis.

    Independent VariablesFathers (n = 101)*Mothers (n = 101)*Total Group
    Standardized βP ValueStandardized βP ValueStandardized βP Value
    Mental health
     Quality of life.364.000.074.441.291.000
    Work
     F-M† difference in employment hours.252.006.108.332.150.027
     Total work hours.238.009−.069.497.061.372
     F-M† difference in childcare hours.109.337−.259.008−.129.099
    Demographic Education.065.469.254 (F)‡.009.115.088
    Adjusted R2.211.099.089
    • * The number of participants included in these regression analyses is less than the total sample size, because those with incomplete data were excluded.

    • † F-M refers to the father-mother difference in hours devoted to this activity.

    • ‡ F indicates that the standardized β and P value for this item are derived from the father’s response. Otherwise, the responder identity (father or mother) is indicated by the column heading.

    • View popup
    Table 4.

    Predictors of Fathers’ and Mothers’ Mental Health 6 Months after the Birth of Their First Child, as Determined by Multiple Regression Analysis.

    Independent VariablesFathers (n = 100)Mothers (n = 100)Total Group
    Standardized βP ValueStandardized βP ValueStandardized βP Value
    Physical Health
     General health.277.003.135.133.116.077
     Days ill−.086.352−.087.338−.177.006
    Partner
     Partner satisfaction.379 (M)*.000.461.000.398.000
    Work
     F-M† difference in employment hours−.301.001.006.944−.059.430
     F-M† difference in childcare hours−.078.446−.089.324−.134.034
     Satisfaction with housework sharing−.209 (M)†.024.005.961.120.062
    Adjusted R2.270.204.204
    • * M indicates that the standardized β and P value for this item are derived from the mother’s response. Otherwise, the responder identity is indicated by the column heading.

    • † F-M” refers to the father-mother difference in hours devoted to this activity.

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The Journal of the American Board of Family Practice: 16 (4)
The Journal of the American Board of Family Practice
Vol. 16, Issue 4
1 Jul 2003
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First-Time Parents’ Prenatal to Postpartum Changes in Health, and the Relation of Postpartum Health to Work and Partner Characteristics
Dwenda K. Gjerdingen, Bruce A. Center
The Journal of the American Board of Family Practice Jul 2003, 16 (4) 304-311; DOI: 10.3122/jabfm.16.4.304

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First-Time Parents’ Prenatal to Postpartum Changes in Health, and the Relation of Postpartum Health to Work and Partner Characteristics
Dwenda K. Gjerdingen, Bruce A. Center
The Journal of the American Board of Family Practice Jul 2003, 16 (4) 304-311; DOI: 10.3122/jabfm.16.4.304
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