Haggerty Lois A, Hawkins Joellen W, Fontenot Holly, Lewis-O'Connor Annie
Boston College, Belmont, MA 02478, USA.
Violence Vict. 2011;26(6):725-37. doi: 10.1891/0886-6708.26.6.725.
In recent decades, the prevalence of abuse against women, older persons, and persons with disabilities has become a major public health problem. Health professionals, urged by their professional associations to universally screen these groups, have employed various tools in an effort to identify individuals in need of help. Yet many of the tools used widely in clinical settings have limitations in terms of empirical soundness. This article presents tools used to screen women, older persons, and persons with disabilities as well as data on the reliability and validity of these instruments. These properties and the resources needed to reduce harm are important factors to consider before implementing screening. The article concludes with a summary of the risk-benefit issues related to the use of these tools and universal screening in general.
近几十年来,针对妇女、老年人和残疾人的虐待行为盛行,已成为一个重大的公共卫生问题。受专业协会敦促对这些群体进行普遍筛查的卫生专业人员,已采用各种工具来努力识别需要帮助的个体。然而,许多在临床环境中广泛使用的工具在实证可靠性方面存在局限性。本文介绍了用于筛查妇女、老年人和残疾人的工具,以及这些工具的信度和效度数据。在实施筛查之前,这些特性以及减少伤害所需的资源是需要考虑的重要因素。本文最后总结了与使用这些工具及普遍筛查相关的风险效益问题。