Health status and substance use trajectories are described over 18 months for a county sample of 230 divorced fathers of young children aged 4 to 11. One third of the sample was clinically depressed. Health problems, drinking, and hard drug use were stable over time for the sample, whereas depression, smoking, and marijuana use exhibited overall mean reductions. Variance components revealed significant individual differences in average levels and trajectories for health and substance use outcomes. Controlling for fathers' antisociality, negative life events, and social support, fathering identity predicted reductions in health-related problems and marijuana use. Father involvement reduced drinking and marijuana use. Antisociality was the strongest risk factor for health and substance use outcomes. Implications for application of a generative fathering perspective in practice and preventive interventions are discussed.
Keywordsgeneral health and wellness; depression; alcohol use; drug use; divorced fathers Epidemiological evidence shows that divorce is linked to greater mental and physical health problems, including depression and anxiety (Bruce, 1998), and disproportionately high rates of vehicle accidents, alcoholism, suicide, and homicide (Blazer, Kessler, McGonagle, & Swartz, 1994;Bruce, 1998;Kitson & Morgan, 1990). Furthermore, recent evidence from the National Health Interview Survey indicates that health differentials between divorced and married adults have increased over the past three decades (Liu & Umberson, 2008). Many of these health disparities can be more severe for men. Divorced men are more likely than males of any other marital status to engage in health-compromising behaviors such as substance use and drinking and driving (Umberson & Williams, 1993), and the mortality rate differential between divorced and married men is greatest for causes of death involving behavioral components such as suicide and accidents (Koskinen & Martelin, 1994).Despite the growing evidence for health disparities in divorced men, little is known about factors associated with the health status of divorced fathers. Regarding substance use and abuse, research on alcohol and drug use with men has largely neglected the role of fathering and parenting roles (Parke, 2002;Phares, 2002), resulting in experts calling for a better understanding of how drug and alcohol abuse contributes to compromised fathering and in turn how father characteristics and stressors are associated with maintenance and growth in substance abuse over time (McMahon & Rounsaville, 2002). Given that men's health is Address correspondence to: David S. DeGarmo, PhD, Oregon Social Learning Center, 10 Shelton McMurphey Boulevard, Eugene, OR 97401-4928; e-mail: davidd@oslc.org.
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Author ManuscriptAm J Mens Health. Author manuscript; available in PMC 2010 March 1.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript inexorably linked to the health and well-being of women and children in families (Bonhomme, 2007), di...