本文由小咖机器人翻译整理

期刊来源：JAMA

原文链接：https://doi.org/10.1001/jama.2024.1869

摘要内容如下：

重要性

虐待儿童，包括虐待和忽视儿童，可对整个童年和成年期的健康、发展、生存和福祉产生深远影响。在美国，虐待儿童的发生率是不确定的，而且很可能被低估了。2021年，估计有60万名儿童被儿童保护机构认定为遭受虐待或忽视，估计有1820名儿童死于虐待和忽视。

目的

美国预防服务工作组（USPSTF）委托进行了一项系统审查，以评估初级保健可行或可参考的行为咨询干预措施的益处和危害，以防止18岁以下没有虐待迹象或症状的儿童和青少年受到虐待。

人口

18岁以下的儿童和青少年，没有受虐待的迹象或症状或已知遭受过虐待。

证据评估

USPSTF的结论是，证据不足以确定初级保健干预措施的利弊平衡，以防止18岁以下没有虐待迹象或症状或已知遭受虐待的儿童和青少年遭受虐待。

推荐

USPSTF的结论是，目前的证据不足以评估预防儿童虐待的初级保健干预措施的利弊平衡。（一）声明。

英文原文如下：

Abstracts

Importance  Child maltreatment, which includes child abuse and neglect, can have profound effects on health, development, survival, and well-being throughout childhood and adulthood. The prevalence of child maltreatment in the US is uncertain and likely underestimated. In 2021, an estimated 600 000 children were identified by Child Protective Services as experiencing abuse or neglect and an estimated 1820 children died of abuse and neglect.

Objective  The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate benefits and harms of primary care-feasible or referable behavioral counseling interventions to prevent child maltreatment in children and adolescents younger than 18 years without signs or symptoms of maltreatment.

Population  Children and adolescents younger than 18 years who do not have signs or symptoms of or known exposure to maltreatment.

Evidence Assessment  The USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of primary care interventions to prevent child maltreatment in children and adolescents younger than 18 years without signs or symptoms of or known exposure to maltreatment.

Recommendation  The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment. (I statement).

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