Paternal Preconception Health and Care in Australia: Health Behaviours, Health Beliefs, and Health Service Use

Publication Type:
Thesis
Issue Date:
2025
Full metadata record
This research project explores Australian males’ preconception health behaviours, and beliefs, and intentions towards preconception care. A four-phase design including males in three distinct preconception period stages. Phase 1 incorporated a review investigating paternal preconception modifiable risk factors for adverse pregnancy and offspring outcomes. Phase 2 included analysis of preconception health behaviours for first-time fathers. Phase 3 covered preconception health beliefs and intentions of expectant partners. Phase 4 included the preconception health services utilisation of males planning pregnancy or attempting pregnancy. Phase 1 results reveal associations between paternal preconception smoking and increased risk of adverse infant outcomes. Phase 2 results report numerous males who became a first-time father were more likely to meet guidelines for daily safe alcohol consumption (85.7%) than other males (80.6%) p=0.002. Phase 3 results report the beliefs of expectant partners toward alcohol avoidance during the preconception period being associated with a greater intention to avoid alcohol. Phase 4 results reveal a significant proportion of males attempting pregnancy utilised western herbal medicine treatments (13.9%) compared with other males (5.7%) p=0.02. This research underscores the public health importance and necessity towards integrating males into preconception care strategies to adequately enable their future preconception health engagement, awareness, and education.
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