预防儿童虐待的初级保健干预措施:美国预防服务工作组的最新证据报告和系统审查
Meera Viswanathan1,2, Jenifer Goldman Fraser3, Huiling Pan1,2
1RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center.
主要医疗干预措施并没有始终防止虐待和忽视儿童. 需要进一步研究以确定预防虐待儿童的有效策略, 并评估潜在的危害.
科学领域:
- 公共卫生
- 儿童医学
- 预防医学
背景情况:
- 虐待儿童,包括虐待和忽视,有深远而持久的负面影响.
- 提供早期干预和预防虐待儿童的机会.
研究的目的:
- 评估通过初级保健提供或转介的预防虐待儿童的干预措施的有效性.
- 更新美国预防服务工作组的证据库.
主要方法:
- 截至2018年7月发表的英语随机临床试验 (RCT) 的系统审查和元分析.
- 包括的RCT集中在没有先前虐待的儿童身上,并评估了在初级保健中可行的干预措施.
- 结果包括虐待的直接措施 (例如,儿童保护服务报告,从家中移除) 和代理措施.
主要成果:
- 分析了22项试验 (N=11132).
- 没有发现干预措施与向儿童保护服务或从家里带走儿童的报告之间有显著的关联.
- 对于其他结果,包括急诊室访问,住院,儿童发育,学校表现和预防死亡,证据不足. 没有发现任何危害.
结论:
- 由初级保健机构提供或转介的干预措施在预防虐待儿童方面没有表现出一致的有效性.
- 关于这些干预措施的危害缺乏证据.
- 需要进一步研究以确定有效的初级保健策略来预防虐待儿童.
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