Journal article
Men's preconception health and the social determinants of health: What are we missing?
Frontiers in reproductive health, v 4, 955018
13 Sep 2022
PMID: 36303655
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BackgroundLife course perspectives suggest that optimizing men's health before conception is requisite to equitably improve population health, an area of increasing public health focus. Although scholarship on the social determinants of health (SDOH) suggests that men's health and health behaviors do not occur in a vacuum, preconception health studies have not explicitly examined how these factors influence men's preconception health. ObjectiveTo identify latent classes of men's preconception health and the role of the SDOHs in predicting class membership. MethodsPooled data from the 2011-2019 male file of the National Survey of Family Growth were analyzed (n = 10,223). Latent class analysis (LCA) was used to identify distinct classes of men's preconception health. Eight manifest variables were used to fit latent class models. A classify-analyze approach was subsequently used to create a preconception health phenotype (PhP) outcome variable. SDOHs (exposure variable) were assessed in four domains (rural/urban residence, health access, socioeconomic status, and minority/immigrant status) to predict class membership. Survey-weighted multinomial regression models were fitted to examine the association between the exposure and the outcome. ResultsThree unique PhPs were identified (lowest risk (69%), substance users (22.9%), and sexual risk-takers (8.1%) from the LCA model. Health access, socioeconomic status, and minority/immigrant status were significant predictors of class membership but not rural/urban residence. Sexual risk takers were more likely to be uninsured (aOR: 1.25, 95% CI 1.02, 1.52), college-educated (aOR: 1.94 95% CI: 1.34, 2.79), and non-Hispanic Black (aOR: 1.99 95% CI: 1.55, 2.54) while substance users were more likely to have unstable employment (aOR: 1.23 95% CI:1.04, 1.45) and have a high school degree or higher (aOR 1.48 95% CI: 1.15, 1.90) than men in the lowest risk category. ConclusionSocial determinants may impact men's preconception health in ways that are not conventionally understood. These findings raise important questions about how preconception health interventions should be created, tailored, and/or retooled. Specifically, studies that examine the sociocultural and political contexts underpinning the relationship between social class, masculinity, and men's preconception health are needed to provide nuanced insights on factors that shape these outcomes.
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Details
- Title
- Men's preconception health and the social determinants of health: What are we missing?
- Creators
- Adaobi Anakwe - University of Missouri Health SystemHong Xian - Saint Louis UniversityRhonda BeLue - The University of Texas at San AntonioPamela Xaverius - University of Health Sciences and Pharmacy
- Publication Details
- Frontiers in reproductive health, v 4, 955018
- Publisher
- Frontiers Media Sa
- Number of pages
- 14
- Grant note
- SFPRF14-ES2 / Society for Family Planning Research Fund
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:001006641500001
- Scopus ID
- 2-s2.0-85142900643
- Other Identifier
- 991021899211404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Reproductive Biology