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针对亲密伴侣暴力,老年人虐待和弱势成年人的查:美国预防服务工作组的最终建议声明

, Susan J Curry¹, Alex H Krist^2,3

¹University of Iowa, Iowa City.

|October 26, 2018

概括

医疗保健提供者应对生育年龄的妇女进行亲密伴侣暴力 (IPV) 查,并提供持续支持. 对老年人进行虐待查的证据仍然不足以确定益处和危害.

科学领域:

公共卫生
预防医学
临床实践指南

背景情况:

亲密伴侣暴力 (IPV) 和虐待老年人/弱势成年人是美国普遍存在但往往未被发现的公共卫生问题.
这些形式的虐待会导致严重的长期健康后果,包括精神疾病,慢性疼痛,残疾和死亡率的增加.
现有的IPV,老年人虐待和弱势成年人的查建议需要根据当前的证据进行更新.

研究的目的:

更新美国预防服务工作组 (USPSTF) 关于所有成年人的IPV查和老年人或弱势成年人的虐待的建议.
审查针对IPV和老年人/弱势成年人的查工具和干预措施的有效性.
为发现和处理人际暴力和虐待提供临床实践指南.

主要方法:

美国PSTF委托对青少年,妇女和男性进行IPV查的系统证据审查.
该审查还评估了针对老年人虐待和弱势成年人虐待的查证据.
美国公共卫生服务委员会评估了查和干预措施的益处和危害的证据的确定性.

主要成果:

在生育年龄的妇女中进行IPV查,加上持续的支持服务,提供了适度的净益.
查仪器足以识别女性的IPV,但短暂的干预措施是无效的.
对老年人虐待和弱势成年人虐待查的好处和危害的证据不足以确定净益处.

结论:

建议临床医生对生育年龄的妇女进行IPV查,并为他们提供或转介持续支持服务 (USPSTF B建议).
美国公务员调查委员会 (USPSTF) 认为,没有足够的证据来评估对所有老年人或弱势群体的虐待和忽视查的益处和危害 (USPSTF I声明).
需要进一步的研究来制定有效的老年虐待和弱势成年人的虐待查和干预策略.

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