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从系统评价到行动呼吁。

From Systematic Review to Call for Action.

作者信息

Sawin Erika Metzler, Sobel Linda L, Annan Sandra L, Schminkey Donna L

机构信息

1 James Madison University, Harrisonburg, VA, USA.

2 University of Virginia School of Nursing, Charlottesville, VA, USA.

出版信息

Hisp Health Care Int. 2017 Jun;15(2):79-87. doi: 10.1177/1540415317698947. Epub 2017 Apr 9.

DOI:10.1177/1540415317698947
PMID:28558498
Abstract

INTRODUCTION

Intimate partner violence (IPV) is a global public health and criminal justice concern with significant impacts; especially high rates are seen among rural Hispanic American (HA) communities, the fastest growing population in the United States. They experience additional barriers to care including extreme poverty, lesser education, gender norms, and language and immigration issues.

METHOD

A systematic literature review was conducted using Cooper's framework to identify evidence supporting associations between interventions and prevention, reduction, and elimination of IPV among rural HA women. Searches conducted on databases including CINAHL, PubMed, Medline, Women's Studies International, MedicLatina, and JSTOR used the MeSH terms Hispanic Americans (Latino/a and Hispanic), domestic violence, and intimate partner violence. Selected studies were published between January 1, 2000, and January 1, 2014.

RESULTS

Of the 617 yielded articles, only 6 met the inclusion criteria. Of these, none closely examined rurality or provided valid and reliable measures of outcomes, instead reporting program descriptions and suggested interventions. We identify key findings to guide program, screening, and tool development.

CONCLUSION

Our study identifies a gap in knowledge, research, and effective practices and issues a call for action to create evidence-based tools to prevent, reduce, and eliminate IPV in these underserved populations.

摘要

引言

亲密伴侣暴力(IPV)是一个全球性的公共卫生和刑事司法问题,具有重大影响;在美国增长最快的农村西班牙裔(HA)社区中,这一比例尤其高。他们在获得医疗服务方面面临额外障碍,包括极端贫困、教育程度较低、性别规范以及语言和移民问题。

方法

采用库珀的框架进行系统的文献综述,以确定支持干预措施与预防、减少和消除农村HA妇女亲密伴侣暴力之间关联的证据。在包括护理学与健康领域数据库(CINAHL)、医学期刊数据库(PubMed)、医学文摘数据库(Medline)、国际妇女研究数据库、拉丁医学数据库和JSTOR在内的数据库中进行检索,使用的医学主题词为西班牙裔美国人(拉丁裔和西班牙裔)、家庭暴力和亲密伴侣暴力。所选研究发表于2000年1月1日至2014年1月1日之间。

结果

在检索出的617篇文章中,只有6篇符合纳入标准。其中,没有一篇深入研究农村地区情况或提供有效可靠的结果衡量指标,而是报告了项目描述和建议的干预措施。我们确定了关键发现,以指导项目、筛查和工具开发。

结论

我们的研究发现了知识、研究和有效实践方面的差距,并呼吁采取行动,创建基于证据的工具,以预防、减少和消除这些服务不足人群中的亲密伴侣暴力。

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