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Viswanathan M, Fraser JG, Pan H, et al. Primary Care Interventions to Prevent Child Maltreatment: An Evidence Review for the U.S. Preventive Services Task Force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Nov. (Evidence Synthesis, No. 170.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

Cover of Primary Care Interventions to Prevent Child Maltreatment: An Evidence Review for the U.S. Preventive Services Task Force

Primary Care Interventions to Prevent Child Maltreatment: An Evidence Review for the U.S. Preventive Services Task Force [Internet].

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The framework begins on the left with the population of interest: children or adolescents without signs or symptoms of current or past abuse or neglect. To the right is an overarching arrow for the framework representing KQ1. It begins with “Primary care–relevant preventive interventions” of child maltreatment on the left and ends with a box on the far right that represents the final outcomes: “Reduced exposure to abuse or neglect; behavioral, emotional, mental, or physical well-being; and reduced mortality.” From this main arrow is a second arrow descending to an oval with the text “Harms” to illustrate the focus of KQ2. A footnote at the bottom of the figure reads “The World Health Organization and International Society for Prevention of Child Abuse and Neglect define child maltreatment as including ‘all forms of physical and/or emotional ill-treatment, sexual abuse, neglect, or negligent treatment or commercial or other exploitation, resulting in actual or potential harm to the child’s health, survival, development, or dignity in the context of a relationship of responsibility, trust, or power.’ Maltreatment includes physical abuse, neglect, sexual abuse/exploitation, emotional abuse, parental substance abuse, and abandonment.”

Figure 1Analytic Framework

*The World Health Organization and International Society for Prevention of Child Abuse and Neglect define child maltreatment as including “all forms of physical and/or emotional ill-treatment, sexual abuse, neglect, or negligent treatment or commercial or other exploitation, resulting in actual or potential harm to the child’s health, survival, development, or dignity in the context of a relationship of responsibility, trust, or power” (1). Maltreatment includes physical abuse, neglect, sexual abuse/exploitation, emotional abuse, parental substance abuse, and abandonment.”3

Abbreviations: KQ=key question.

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