Maternal and Child Health Journal
Volume 19, Issue 11, 2015, Pages 2358-2365

Men Aged 15–44 in Need of Preconception Care (Article)

Choiriyyah I. , Sonenstein F.L. , Astone N.M. , Pleck J.H. , Dariotis J.K. , Marcell A.V.*
  • a Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21287, United States
  • b Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21287, United States
  • c Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21287, United States
  • d Department of Human and Community Development, University of Illinois, Champaign, IL, United States
  • e Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21287, United States
  • f Division of General Pediatrics and Adolescent Medicine, Departments of Pediatrics and Population, Family and Reproductive Health, School of Medicine and Bloomberg School of Public Health, The Johns Hopkins University, 200 N. Wolfe St, Room 2062, Baltimore, MD 21287, United States

Abstract

Objectives: Preconception care for men focuses on prevention strategies implemented prior to conception of a first or subsequent pregnancy to improve pregnancy and infant outcomes. Little is known about U.S. men in need of preconception care. This analysis describes the proportion of men in need of preconception care and associations of these needs by background characteristics, related health conditions, access to care and receipt of services. Methods: Data from men aged 15–44 in the National Survey of Family Growth 2006–2010 were analyzed to describe men in need of preconception care, based on future childbearing intentions and self and partner fecundity status (among sexually experienced only), and associated factors with these needs using weighted bivariate analyses. Results: About 60 % of men are in need of preconception care. Higher prevalence of being in need was observed among men aged 15–29 than older; living in urban than non-urban settings; in school than not in school regardless of working status; not in a coresidential union than married or cohabiting; who were recent immigrants than U.S. born; and reporting never having had a child than ≥1 child(ren). Men in need were overweight/obese (56 %), ever binge drank in the last year (58 %), and have high STI risk (21 %). The majority of men in need reported access to care in the last year (>70 %), but few reported receipt of services including STD/HIV testing (<20 %) or counseling (<11 %). Conclusions for Practice: Findings from this analysis have implications for promoting preconception care among U.S. men. © 2015, Springer Science+Business Media New York.

Author Keywords

Men’s health Prevention strategies healthcare access Preconception health

Index Keywords

sexual behavior demography human risk assessment prepregnancy care Health Behavior sexuality Sexual Partners health status men's health Health Surveys Residence Characteristics United States Young Adult Humans Preconception Care Adolescent male Socioeconomic Factors socioeconomics adult Health Services Accessibility health care delivery health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943349818&doi=10.1007%2fs10995-015-1753-7&partnerID=40&md5=20fe122f40ba6fe9845fb94e0626aefe
DOI: 10.1007/s10995-015-1753-7
ISSN: 10927875
Cited by: 12
Original Language: English