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Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden

BACKGROUND: Parental leave use has been found to promote maternal and child health, with limited evidence of mental health impacts on fathers. How these effects vary for minority populations with poorer mental health and lower leave uptake, such as migrants, remains under-investigated. This study as...

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Autores principales: Honkaniemi, Helena, Katikireddi, Srinivasa Vittal, Rostila, Mikael, Juárez, Sol P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921563/
https://www.ncbi.nlm.nih.gov/pubmed/34635548
http://dx.doi.org/10.1136/jech-2021-217980
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author Honkaniemi, Helena
Katikireddi, Srinivasa Vittal
Rostila, Mikael
Juárez, Sol P
author_facet Honkaniemi, Helena
Katikireddi, Srinivasa Vittal
Rostila, Mikael
Juárez, Sol P
author_sort Honkaniemi, Helena
collection PubMed
description BACKGROUND: Parental leave use has been found to promote maternal and child health, with limited evidence of mental health impacts on fathers. How these effects vary for minority populations with poorer mental health and lower leave uptake, such as migrants, remains under-investigated. This study assessed the effects of a Swedish policy to encourage fathers’ leave, the 1995 Father’s quota, on Swedish-born and migrant fathers’ psychiatric hospitalisations. METHODS: We conducted an interrupted time series analysis using Swedish total population register data for first-time fathers of children born before (1992–1994) and after (1995–1997) the reform (n=198 589). Swedish-born and migrant fathers’ 3-year psychiatric hospitalisation rates were modelled using segmented negative binomial regression, adjusting for seasonality and autocorrelation, with stratified analyses by region of origin, duration of residence, and partners’ nativity. RESULTS: From immediately pre-reform to post-reform, the proportion of fathers using parental leave increased from 63.6% to 86.4% of native-born and 37.1% to 51.2% of migrants. Swedish-born fathers exhibited no changes in psychiatric hospitalisation rates post-reform, whereas migrants showed 36% decreased rates (incidence rate ratio (IRR) 0.64, 95% CI 0.47 to 0.86). Migrants from regions not predominantly consisting of Organisation for Economic Cooperation and Development countries (IRR 0.50, 95% CI 0.19 to 1.33), and those with migrant partners (IRR 0.23, 95% CI 0.14 to 0.38), experienced the greatest decreases in psychiatric hospitalisation rates. CONCLUSION: The findings of this study suggest that policies oriented towards promoting father’s use of parental leave may help to reduce native–migrant health inequalities, with broader benefits for family well-being and child development.
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spelling pubmed-89215632022-03-25 Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden Honkaniemi, Helena Katikireddi, Srinivasa Vittal Rostila, Mikael Juárez, Sol P J Epidemiol Community Health Original Research BACKGROUND: Parental leave use has been found to promote maternal and child health, with limited evidence of mental health impacts on fathers. How these effects vary for minority populations with poorer mental health and lower leave uptake, such as migrants, remains under-investigated. This study assessed the effects of a Swedish policy to encourage fathers’ leave, the 1995 Father’s quota, on Swedish-born and migrant fathers’ psychiatric hospitalisations. METHODS: We conducted an interrupted time series analysis using Swedish total population register data for first-time fathers of children born before (1992–1994) and after (1995–1997) the reform (n=198 589). Swedish-born and migrant fathers’ 3-year psychiatric hospitalisation rates were modelled using segmented negative binomial regression, adjusting for seasonality and autocorrelation, with stratified analyses by region of origin, duration of residence, and partners’ nativity. RESULTS: From immediately pre-reform to post-reform, the proportion of fathers using parental leave increased from 63.6% to 86.4% of native-born and 37.1% to 51.2% of migrants. Swedish-born fathers exhibited no changes in psychiatric hospitalisation rates post-reform, whereas migrants showed 36% decreased rates (incidence rate ratio (IRR) 0.64, 95% CI 0.47 to 0.86). Migrants from regions not predominantly consisting of Organisation for Economic Cooperation and Development countries (IRR 0.50, 95% CI 0.19 to 1.33), and those with migrant partners (IRR 0.23, 95% CI 0.14 to 0.38), experienced the greatest decreases in psychiatric hospitalisation rates. CONCLUSION: The findings of this study suggest that policies oriented towards promoting father’s use of parental leave may help to reduce native–migrant health inequalities, with broader benefits for family well-being and child development. BMJ Publishing Group 2022-04 2021-10-11 /pmc/articles/PMC8921563/ /pubmed/34635548 http://dx.doi.org/10.1136/jech-2021-217980 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Honkaniemi, Helena
Katikireddi, Srinivasa Vittal
Rostila, Mikael
Juárez, Sol P
Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden
title Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden
title_full Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden
title_fullStr Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden
title_full_unstemmed Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden
title_short Psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in Sweden
title_sort psychiatric consequences of a father’s leave policy by nativity: a quasi-experimental study in sweden
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921563/
https://www.ncbi.nlm.nih.gov/pubmed/34635548
http://dx.doi.org/10.1136/jech-2021-217980
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