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親密なパートナーからの暴力が健康に及ぼす影響
1Johns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD 21205-2110, USA. jcambel@son.jhmi.edu
Lancet (London, England)
|April 20, 2002
まとめ
親密なパートナーによる暴力 (IPV) は,女性と乳児の重篤な身体的および精神的な健康問題に関連した一般的な医療問題です. 医療提供者は,IPVの評価と介入を増やすべきである.
科学分野:
- 公衆衛生は公衆衛生である.
- クリニカル・メディシン 臨床医学
- 心理学 心理学とは
背景:
- 親密なパートナーによる暴力 (IPV) は,親密な関係における身体的または性的暴力を含む.
- IPVは,広範囲に及ぶ影響を持つ重要な世界的な健康問題です.
- 既存の研究は,被害者の健康に有害な影響を強調しています.
研究 の 目的:
- 親密なパートナーからの暴力による精神的,身体的健康への影響に関する既存の研究をレビューする.
- IPVが女性の健康と妊娠中に与える影響に関する発見をまとめること.
- IPVに関する改善された臨床実践を提唱する.
主な方法:
- 統制された研究研究の体系的レビュー.
- IPVに関連した文書化された健康問題の分析.
- 妊婦集団におけるIPVの罹患率とアウトカムの検討.
主要な成果:
- IPVは,怪我,慢性的な痛み,消化器系および婦人科の問題,性感染症,うつ病,PTSDのリスクの増加と関連しています.
- 研究によると,IPVは,世界中で妊娠の3~13%に影響を及ぼしている.
- 妊娠中のIPVは,母親と乳児の両方に悪影響を及ぼします.
結論:
- IPVは,さまざまな不良な精神的および身体的健康結果をもたらします.
- 妊娠はIPVを排除するものではなく,リスクの増加と関連しています.
- 医療機関では,IPVに対する日常的な評価と介入を優先しなければなりません.
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