Implementing a prenatal health screening intervention for future fathers in Montreuil, France: most users are immigrants facing hardship

BMC Public Health. 2024 Oct 28;24(1):2982. doi: 10.1186/s12889-024-20388-x.

Abstract

Background: Prenatal care provides pregnant women with repeated opportunities for prevention, screening and diagnosis that have no current extension to future fathers. It also contributes to women's general better access to health. The goal of PARTAGE study was to evaluate the level and determinants of adherence to a prenatal prevention consultation dedicated to men.

Methods: Between January 2021 and April 2022, we conducted a monocentric interventional study in Montreuil hospital. We assessed the acceptance of a prenatal prevention consultation newly offered to every future father, through their pregnant partner's prior consent to provide their contact details.

Results: Three thousand thirty-eight women provided contact information used to reach the fathers; effective contact was established with 2,516 men, of whom 1,333 (53%) came for prenatal prevention consultation. Immigrant men were more likely to come than French-born men (56% versus 49%, p < 0·001), and the more they faced social hardship, the more likely they were to accept the offer. In multivariate analysis, men born in Subsaharan Africa and Asia were twice as likely to attend the consultation as those born in Europe or North America.

Conclusion: Acceptance of this new offer was high. Moreover, this consultation was perceived by vulnerable immigrant men as an opportunity to integrate a healthcare system they would have otherwise remained deprived of.

Trial registration: Registry: ClinicalTrials.gov, US National Library of Medicine https://classic.

Clinicaltrials: gov/ct2/show/NCT05085717 Clinical Trial number: NCT05085717 . Date of registration: 20/10/2021.

Keywords: Gender inequalities; HIV; Health insurance coverage; Migrants health; Prenatal health; Sexually transmitted infections; Social inequalities in health; Vaccination.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Emigrants and Immigrants* / psychology
  • Emigrants and Immigrants* / statistics & numerical data
  • Fathers* / psychology
  • Fathers* / statistics & numerical data
  • Female
  • France
  • Humans
  • Male
  • Mass Screening / statistics & numerical data
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Pregnancy
  • Prenatal Care* / statistics & numerical data
  • Young Adult

Associated data

  • ClinicalTrials.gov/NCT05085717