Poutiainen Hannele, Hakulinen-Viitanen Tuovi, Laatikainen Tiina
Social and Health Affairs, Lahti, Finland.
Scand J Caring Sci. 2014 Jun;28(2):225-34. doi: 10.1111/scs.12035. Epub 2013 Mar 14.
The family and the way it functions have a key role for the health and well-being of children and adolescents. Approximately 10-30% of children grow up in families where their health and well-being may be endangered or weakened. There is very little research data on public health nurses' concerns in connection with children's health examinations related to family characteristics.
The aim of this study was to investigate the associations of children's gender, age, family structure, mother's employment status and parents' perception on the sufficiency of income with public health nurses' concerns on physical and psychosocial health at children's health examinations.
In 2007-2009, information about children's health and well-being and their background factors was collected from the health examinations of altogether 6506 children in Finland using a cross-sectional design. Associations between family characteristics and nurses concern related to physical and psychosocial health and development of children were assessed using logistic regression analysis.
Physical health and psychosocial issues of school-age children raised most concern in public health nurses. Especially, public health nurses felt concern for the psychosocial development of boys both under and of school age. Family structure and the family's financial situation were associated with public health nurses' concern for children's physical health, psychosocial development and the presence of at least one concern.
The fact that public health nurses found cause for concern during health examinations was associated with the child's gender, development stage and family characteristic. The research findings may be utilised in planning and targeting health counselling and services in child and school health care. Understanding the role of family characteristics in health and well-being challenges in children is useful in promoting multidisciplinary work in health care.
家庭及其运作方式对儿童和青少年的健康与幸福起着关键作用。约10%至30%的儿童在其健康和幸福可能受到威胁或削弱的家庭中成长。关于公共卫生护士在与家庭特征相关的儿童健康检查方面的担忧，研究数据非常少。
本研究的目的是调查儿童的性别、年龄、家庭结构、母亲的就业状况以及父母对收入充足性的看法与公共卫生护士在儿童健康检查中对其身体和心理社会健康的担忧之间的关联。
在2007年至2009年期间，采用横断面设计，从芬兰总共6506名儿童的健康检查中收集了有关儿童健康与幸福及其背景因素的信息。使用逻辑回归分析评估家庭特征与护士对儿童身体和心理社会健康及发育的担忧之间的关联。
学龄儿童的身体健康和心理社会问题最引起公共卫生护士的关注。特别是，公共卫生护士对学龄期及学龄期以下男孩的心理社会发育感到担忧。家庭结构和家庭经济状况与公共卫生护士对儿童身体健康、心理社会发育以及至少存在一种担忧有关。
公共卫生护士在健康检查中发现担忧原因这一事实与儿童的性别、发育阶段和家庭特征有关。研究结果可用于儿童和学校卫生保健中健康咨询和服务的规划及目标设定。了解家庭特征在儿童健康和幸福挑战中的作用有助于促进卫生保健中的多学科工作。
