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Background A nation-wide data collection on small children and their families’ health and well-being has been lacking in Finland. The aim of this study was to examine health and determinants of health among parents with a four-year-old child. Methods A nation-wide study for 4-year-old children (N = 8720) and their parents (N = 10 737) conducted in 2018. The families were recruited by public health nurses at child health clinics. Both parents had a possibility to answer a questionnaire considering questions on health, well-being and service use. General health of the parent was measured by one question (How do you find your general state of health?), depressive disorders by PHQ-2 and mental health by MHI-5. Data were analyzed by cross-tabulation. Results of logistic regression will be presented in the conference. Results Most participants were female (72%) and most families had two adults (93%). Mean age was 35 years and 58% were highly educated. Around 10% reported their health as average or poor, 19% had had depressive disorders within 12 months, and 6% had experienced mental distress. Single parents reported mental distress and depressive disorders significantly more often than the other parents. Average or poor health was reported significantly more often by female parents. Those with average or poor health or depressive disorders were significantly more likely to have one child, upper secondary education or less, or be outside of work. They felt themselves significantly more often lonely and unsatisfied with their life and family’s economic situation. They were also significantly more likely to report need of support for their own parenthood and partnership. Conclusions Health challenges among the parents were quite similar than those among the adults in same ages. However, detailed analysis is needed to find out the specific determinants affecting the parents and whole family’s life to be able to better support the families. Key messages Most parents with children aged 4-year-old were healthy and satisfied with their life. The parents having poor physical or mental health had also challenges in family life.

Health and well-being of parents with 4-year-old children – a nationwide study in 2018 in Finland