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证据报告和系统审查
Meera Viswanathan1,2, Caroline Rains1,2, Laura C Hart3,4
1RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center.
JAMA
|March 19, 2024
概括
主要护理干预措施在防止虐待儿童的报告或移除方面没有显著的好处. 需要进一步研究潜在的危害以及社会决定因素对预防工作的影响.
科学领域:
- 公共卫生
- 儿童医学
- 预防医学
背景情况:
- 虐待孩子会对身体,心理和行为造成严重的后果.
- 对于识别和预防虐待儿童至关重要的是初级保健机构.
研究的目的:
- 审查关于预防虐待儿童的初级保健措施的证据.
- 根据美国预防服务工作组的建议.
主要方法:
- 随机临床试验 (RCT) 的系统审查
- 包括以英语出版的研究,并酌情进行数据提取和元分析.
- 搜索了PubMed,Cochrane图书馆和试验记录.
主要成果:
- 包括25个RCT (14,355名参与者);23个涉及家庭访问.
- 报告给儿童保护服务或儿童搬迁没有发现显著差异.
- 其他结果的证据,如急诊室访问和住院,是有限的或不确定的;伤害数据是最小的.
结论:
- 目前的证据表明,初级保健干预措施并不能显著减少虐待儿童的情况.
- 查和报告的做法各不相同,可能会有偏见.
- 解决健康的社会决定因素可能是有效预防的重要因素.
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