Infant mortality has been identified as a key public health concern in the United States. Although infant mortality rates (IMRs) in the United States have declined during the past 10 years, the rates among Blacks are more than two times higher as compared with other racial and ethnic groups. This study used focus groups to explore Black men’s awareness and perceptions of the rising IMR in their community. Twenty-five men participated in an initial and follow-up focus group, which revealed that men had limited awareness of infant mortality, reduced sense of personal responsibility for pregnancy outcomes, and perceptions that stress, the age of the mother, and the health care system were responsible for poor birth outcomes. The role of the community and possible interventions to involve and educate men were also explored.
Andreason, A.R. ( 1989). Marketing social change: Changing behavior to promote health, social development, and the environment. San Francisco : Jossey-Bass.
2.
Armstrong, D., Gosling, A., Weinman, J., & Martaeu, T. ( 1997). The place of inter-rater reliability in qualitative research: An empirical study. Sociology, 31, 597-607.
3.
Astolfi, P., De Pasquale, A., & Zonta, L.A. ( 2006). Paternal age and preterm birth in Italy, 1990 to 1998 . Epidemiology, 17, 218-221.
4.
Bailey, B.A., & Byrom, A.R. ( 2007). Factors predicting birth weight in a low-risk sample: The role of modifiable pregnancy health behaviors. Maternal and Child Health Journal, 11, 173-179.
5.
Barbour, R.S. ( 2001). Checklists for improving rigour in qualitative research: A case of the tail wagging the dog? British Medical Journal , 322, 1115-1117.
6.
Becerra, R.M., Thomas, W., & Ong, P.M. ( 2001). Latino and African American non-custodial fathers: Perceptions of fatherhood and child support. Journal of Ethnic and Cultural Diversity, 10(3), 3-30.
7.
Centers for Disease Control and Prevention. ( 2005). Racial/Ethnic disparities in infant mortality: United States, 1995-2002. Morbidity and Mortality Weekly Report, 54, 553-556.
8.
Coker, A.L., Sanderson, M., & Dong, B. ( 2004). Partner violence during pregnancy and risk of adverse pregnancy outcomes. Paediatric and Perinatal Epidemiology , 18, 260-269.
9.
Florida Community Health Assessment Resource Tool Set. ( 2007). Maternal & child health: Infant mortality rate. Retrieved December 10, 2007, from http://www.floridacharts.com/charts/report.aspx?domain=03&IndNumber=0053
10.
Florida Department of Health. (2002). The health of Florida’s children and youth: Atlas of key status indicators, goals, and objectives for strategic planning. Retrieved December 10, 2007, from http://www.doh.state.fl.us/family/childhealth/childreport/
11.
Gaudino, J.A., Jenkins, B., & Rochat, R.W. ( 1999). No fathers’ names: A risk factor for infant mortality in the state of Georgia, USA. Social Science & Medicine , 48, 253-265.
12.
Hill, S., & Sprague, J. ( 1999). Parenting in black and white families: The interaction of gender with race and class. Gender Society, 13, 480-502.
13.
Hogan, V.K., & Ferré, C.D. (2001). The social context of pregnancy for African American women: Implications for the study and prevention of adverse perinatal outcomes. Maternal and Child Health Journal , 5, 67-69.
14.
Janssen, P.A., Holt, V.L., Sugg, N.K., Emanuel, I., Critchlow, C.M., & Henderson, A.D. (2003). Intimate partner violence and adverse pregnancy outcomes: A population-based study. American Journal of Obstetrics and Gynecology, 188, 1341-1347.
15.
Kotler, P., Roberto, N., & Lee, N. ( 2002). Social marketing: Improving the quality of life (2nd ed.). Thousand Oaks, CA: SAGE Publications.
16.
Krieger, N. ( 2000). Epidemiology, racism, and health: The case of low birth weight. Epidemiology, 11, 237-239.
17.
Lin, C., Chen, C., Chen, P., Lu, T., & Li, C. ( 2007). Risks and causes of mortality among low-birthweight infants in childhood and adolescence. Paediatric and Perinatal Epidemiology , 21, 465-472.
18.
Lu, M.C., & Halfon, N. ( 2003). Racial and ethnic disparities in birth outcomes: A life-course perspective. Maternal and Child Health Journal, 7, 13-29.
19.
Milligan, R., Wingrove, B.K., Richards, L., Rodan, M., Monroe-Lord, L., Jackson, V., et al. (2002). Perceptions about prenatal care: Views of urban vulnerable groups. BMC Public Health, 2, 25.
20.
Office of Minority Health and Health Disparities. ( 2007). Eliminate disparities in infant mortality. Retrieved December 17, 2007, from http://www.cdc.gov/omhd/AMH/factsheets/infant.ht
21.
Pattenden, S., Dolk, H., & Vrijheid, M. ( 1999). Inequalities in low birth weight: Parental social class, area deprivation, and "lone mother status. Journal of Epidemiology and Community Health, 53, 355-358.
22.
Patton, M.Q. ( 2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: SAGE Publications.
23.
Reichman, N.E., & Teitler, J.O. ( 2006). Paternal age as a risk factor for low birthweight. American Journal of Public Health, 96, 862-866.
24.
Rich, M., & Ginsburg, K.R. (1999). The reason and rhyme of qualitative research: Why, when, and how to use qualitative methods in the study of adolescent health. Journal of Adolescent Health, 25, 371-378.
25.
Rowley, D.L. ( 2001). Closing the gap, opening the process: Why study social contributors to preterm delivery among Black women. Maternal and Child Health Journal, 5, 71-74.
26.
Schempf, A.H., Branum, A.M., Lukacs, S.L., & Schoendorf, K.C. (2007). The contribution of preterm birth to the Black-White infant mortality gap, 1990 and 2000. American Journal of Public Health, 97, 1255-1260.
27.
Silverman, D. ( 2003). Interpreting qualitative data: Methods for analyzing talk, text, and interaction (2nd ed.). London: SAGE Publications.
28.
Smith, C.A., Krohn, M.D., Chu, R., & Best, O. ( 2005). African American fathers: Myths and realities about their involvement with their firstborn children. Journal of Family Issues, 26, 975-1001.
29.
Tones, K., & Green, J. ( 2004). Health promotion: Planning and strategies. London: SAGE Publications.
30.
U. S. Department of Health and Human Services. ( 2000). Healthy people 2010: Understanding and improving health (2nd ed.). Washington, DC: Author. [Available at http://www.health.gov/healthypeople ]
31.
Yang, Q., Greenland, S., & Flanders, W.D. (2006). Associations of maternal age- and parity-related factors with trends in low-birthweight rates: United States, 1980 through 2000. American Journal of Public Health , 97, 856-861.
32.
Zhu, J.L., Madsen, K.M., Vestergaard, M., Basso, O., & Olsen, J. ( 2005). Paternal age and preterm birth. Epidemiology , 16, 259-262.
