小児虐待防止のための初等ケア介入:米国の予防サービスタスクフォースの勧告声明
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|March 19, 2024
まとめ
子供や青少年に対する虐待を防ぐためのプライマリケア介入の利益と害を決定するには,証拠は不十分です. 児童虐待や無視の予防戦略を導き出すには もっと研究が必要です
科学分野:
- 公衆衛生
- 予防 医療
- 小児科
背景:
- 虐待や無視を含む児童虐待は,生涯にわたる健康と発達に重大な影響を及ぼします.
- 米国での流行は不確実であり,2021年にはCPSによって600,000人の子どもと,1820人の死亡が虐待に起因している.
- 幼児虐待の症例を特定し 介入するには プライマリケア環境が不可欠です
研究 の 目的:
- 児童虐待を防ぐための行動カウンセリングの利害を評価する.
- 主要な介護施設内で実行可能な介入に重点を置く
- 対象集団:虐待の兆候や症状のない18歳未満の子供や青少年
主な方法:
- 米国予防サービスタスクフォース (USPSTF) が委託した体系的なレビュー.
- 児童虐待を予防するための行動カウンセリングの評価
- 含有基準:虐待の兆候や症状のない18歳未満の子供や青少年
主要な成果:
- USPSTFは,利益と害のバランスを評価するのに十分な証拠が見つかりませんでした.
- 現状の証拠は,小児虐待を防ぐためのプライマリケア介入の有効性を 支持したり否定したりしません.
- 効果と安全性を確立するためにさらなる研究が必要である.
結論:
- USPSTFは,勧告を行うのに十分な証拠がないと結論付けている (I声明).
- 子どもの虐待防止のための プライマリケア介入について より質の高い研究が必要です
- 潜在的利益と害は不明である.
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