Prakash Nirmala, Prevot Jennifer, Kola Bhargavi, Wood Sarah K
Assistant Professor & Director, Office for Diversity and Inclusion Schmidt College of Medicine, Florida Atlantic University, United States.
Charles E. Schmidt College of Medicine, Florida Atlantic University, United States.
Curr Probl Pediatr Adolesc Health Care. 2019 Jan;49(1):7-15. doi: 10.1016/j.cppeds.2018.11.007. Epub 2018 Dec 14.
Intimate partner violence (IPV) is a significant yet preventable public health problem affecting 1 in 15 children annually. Children exposed to IPV exhibit lifelong consequences including increased risks of social, emotional, psychological and behavioral problems (mood and anxiety disorders, post-traumatic stress disorders, substance abuse, and school-related problems). Limited research exists in identifying and assessing gaps in IPV screening and surveillance techniques for vulnerable populations such as immigrants, refugees, or in families where English is not spoken in the home. The U.S. Department of Health and Human Services recommends IPV screening and counseling as part of pediatric office visits, without providing culturally appropriate tools for use. The nature of the patient-physician relationship and opportunities for intervention occurring during well child visits uniquely positions pediatric health care providers to identify and provide support for IPV victims and children. IPV screening should be routine, culturally appropriate, administered to all caregivers and all providers should be trained in surveilling and screening for IPV in immigrant and vulnerable populations.
亲密伴侣暴力(IPV)是一个严重但可预防的公共卫生问题,每年影响着十五分之一的儿童。遭受亲密伴侣暴力的儿童会产生终身影响,包括社会、情感、心理和行为问题(情绪和焦虑障碍、创伤后应激障碍、药物滥用以及与学校相关的问题)的风险增加。在识别和评估针对弱势群体(如移民、难民或家中不讲英语的家庭)的亲密伴侣暴力筛查和监测技术方面,研究有限。美国卫生与公众服务部建议将亲密伴侣暴力筛查和咨询作为儿科门诊的一部分,但未提供适合不同文化背景使用的工具。医患关系的性质以及在儿童健康检查期间进行干预的机会,使儿科医疗服务提供者具有独特的优势,能够识别亲密伴侣暴力受害者和儿童并提供支持。亲密伴侣暴力筛查应该是常规的、适合不同文化背景的,应对所有照顾者进行筛查,并且所有医疗服务提供者都应接受针对移民和弱势群体亲密伴侣暴力监测和筛查的培训。