美国的暴力:地位,挑战和机遇
Steven A Sumner1, James A Mercy2, Linda L Dahlberg2
1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia2Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
JAMA
|August 5, 2015
概括
尽管谋杀和袭击率有所下降, 人际暴力仍然是美国重要的公共卫生问题. 有效的预防策略,包括基于家庭和学校的计划,对于解决这个复杂的问题至关重要.
科学领域:
- 公共卫生
- 犯罪学
- 社会学
背景情况:
- 人际暴力,包括虐待儿童,亲密伴侣暴力和虐待老年人, 每年影响数百万美国人.
- 目前的暴力预防工作往往缺乏跨部门的合作和有效策略的认识.
研究的目的:
- 量化美国人际暴力的负担.
- 确定预防暴力的挑战和机遇.
- 强调医疗保健提供者在应对暴力方面的作用.
主要方法:
- 分析来自国家卫生和执法监督系统的数据.
- 包括来自国家生命统计系统,联邦调查局统一犯罪报告和国家犯罪受害者调查的数据.
- 对儿童虐待,亲密伴侣暴力和年轻人的风险行为进行专业调查的数据进行审查.
主要成果:
- 谋杀和严重的袭击率有所下降, 但每年有超过16000起谋杀和160万起非致命伤害.
- 数以百万计的成年人和儿童遭受暴力,
- 暴露于暴力与长期的不良心理和身体健康结果有关,种族/民族差异显著.
结论:
- 虽然在减少人际暴力率方面取得了进展,但仍然存在巨大的负担.
- 有效的预防策略包括以家长为中心的计划,幼儿教育,学校干预和公共政策.
- 医疗保健提供者在识别,预防和应对人际暴力方面至关重要.
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