Intimate partner violence (IPV) and child maltreatment (CM) – together referred to as family violence (FV) – often co-occur. In Finland, public health nurses play an important role in identifying FV. They regularly meet families and assess children's health until the child turns seven. This nationwide retrospective cross-sectional survey (FinChildren) aimed to describe and compare help and support needs in violent families from the perspectives of the parents of four-year-old children and public health nurses for advancing families' and professionals' collaboration in preventing FV. The data (N = 7476 families) included the responses of one parent from each family and public health nurses, caring for that certain family. The data analysis encompassed statistical methods. The results showed that 47.0% of the parents reported FV. The public health nurses assessed that 0.7% of the parents would have needed support for CM and 1.3% for IPV. They assessed that the parents involved in FV needed more support for their personal coping (p < 0.001) and intimate relationship (p < 0.017) compared with parents without FV. These parents were also found to have other support needs. We concluded that public health nurses recognise only a fraction of FV occurring in families. Risk assessment tools are needed to enable child and family professionals to better intervene in and prevent FV.

中文翻译：

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遭受暴力的四岁儿童的家庭：对父母和公共卫生护士的帮助和支持进行的全国调查

亲密伴侣暴力（IPV）和虐待儿童（CM）——统称为家庭暴力（FV）——经常同时发生。在芬兰，公共卫生护士在识别 FV 方面发挥着重要作用。他们定期与家人见面并评估孩子的健康状况，直到孩子七岁为止。这项全国性回顾性横断面调查（FinChildren）旨在从四岁儿童父母和公共卫生护士的角度描述和比较暴力家庭的帮助和支持需求，以促进家庭和专业人员在预防家庭暴力方面的合作。数据（N  = 7476 个家庭）包括每个家庭的一位家长和照顾该家庭的公共卫生护士的反应。数据分析包括统计方法。结果显示，47.0%的家长报告有FV。公共卫生护士评估认为，0.7% 的父母需要 CM 的支持，1.3% 的父母需要 IPV 的支持。他们评估认为， 与没有发生 FV 的父母相比，发生 FV 的父母在个人应对（ p  < 0.001）和亲密关系（p < 0.017）方面需要更多支持。这些父母还被发现有其他支持需求。我们的结论是，公共卫生护士只能识别家庭中发生的 FV 的一小部分。需要风险评估工具来帮助儿童和家庭专业人员更好地干预和预防家庭暴力。