Dr. Hamisu Salihu examines impact of absentee fathers on birth outcomes in HIV/AIDS population
Public health researcher Hamisu Salihu, MD, PhD is co-author on a publication entitled “Paternal Involvement and Fetal Morbidity Outcomes in HIV/AIDS: A Population-Based Study.” The research is in the current issue of the American Journal of Men’s Health.
Dr. Salihu, a professor of epidemiology, directs the USF College of Public Health’s Occupational Medicine Residency Program and the Center for Research and Evaluation for the Lawton & Rhea Chiles Center for Healthy Mothers and Babies. His academic home is the Department of Epidemiology and Biostatistics. The department offers concentrations in epidemiology that lead to MPH, MSPH, and PhD degrees, as well several dual degrees, graduate certificates, and special programs. Most recently, the department added an online master of public health degree in epidemiology to its academic offerings.
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Alio AP, Mbah AK, Shah K, August EM, Dejoy S, Adegoke K, Marty PJ, Salihu HM, Aliyu MH. Paternal Involvement and Fetal Morbidity Outcomes in HIV/AIDS: A Population-Based Study. Am J Mens Health. 2013 Aug 2. [Epub ahead of print] PMID:23913897
Prior research indicates that infants with absent fathers are vulnerable to unfavorable fetal birth outcomes. HIV is a recognized risk factor for adverse birth outcomes. However, the influence of paternal involvement on fetal morbidity outcomes in women with HIV remains poorly understood. Using linked hospital discharge data and vital statistics records for the state of Florida (1998-2007), the authors assessed the association between paternal involvement and fetal growth outcomes (i.e., low birth weight [LBW], very low birth weight [VLBW], preterm birth [PTB], very preterm birth [VPTB], and small for gestational age [SGA]) among HIV-positive mothers (N = 4,719). Propensity score matching was used to match cases (absent fathers) to controls (fathers involved). Conditional logistic regression was employed to generate adjusted odds ratios (OR). Mothers of infants with absent fathers were more likely to be Black, younger (<35 years old), and unmarried with at least a high school education (p < .01). They were also more likely to have a history of drug (p < .01) and alcohol (p = .02) abuse. These differences disappeared after propensity score matching. Infants of HIV-positive mothers with absent paternal involvement during pregnancy had elevated risks for adverse fetal outcomes (LBW: OR = 1.30, 95% confidence interval [CI] = 1.05-1.60; VLBW: OR = 1.72, 95% CI = 1.05-2.82; PTB: OR = 1.38, 95% CI = 1.13-1.69; VPTB: OR = 1.81, 95% CI = 1.13-2.90). Absence of fathers increases the likelihood of adverse fetal morbidity outcomes in women with HIV infection. These findings underscore the importance of paternal involvement during pregnancy, especially as an important component of programs for prevention of mother-to-child transmission of HIV.