Febbraio 1998 - Volume XVII - numero 2

Medico e Bambino


Problemi correnti

È possibile prevenire l’abuso?

SILVIA PIVETTA1, ANNA MACALUSO1, PAOLA MATERASSI1, CHIARA CUOGHI2, GIORGIO TAMBURLINI3

1ASS n.1 Triestina, Unità Distrettuale per i Minori
2Servizio di Medicina Materno-Infantile ASL Ferrara
per la Cooperazione Internazionale (Centro collaboratore dell’OMS), IRCCS “Burlo Garofolo”, Trieste

IS PREVENTION OF CHILD ABUSE POSSIBLE? A REVIEW OF INTERVENTION STUDIES

Key words: Child abuse and neglect, Prevention, Child health, Home visiting

The Authors reviewed all available intervention studies that included child abuse among the endpoints. 9 published trials were analyzed. Most of them were carried out in US, a few in UK, Ireland and Canada. The studies evaluated a wide variety of antenatal and/or postnatal programmes targeted to at risk mothers and included one or more of the following interventions: emotional and social support, information, linkage to health, social and community services. Home visits were made by professional or non professional people. Many trials showed a trend towards a protective effect but results rarely reached statistical significance due to insufficient sample size or follow-up. The best results on prevention of child abuse and neglect were shown by the largest trial (324 mothers) with the longest follow-up (15 years). It is practically impossible to draw conclusions from studies that were so etherogeneous. Preventive interventions should have a much wider scope that just prevention of child abuse, should be non selective and multidimensional, but this makes very difficult to evaluate results on specific endpoints.

Vuoi citare questo contributo?

S. Pivetta, A. Macaluso, P. Materassi e coll. È possibile prevenire l’abuso?. Medico e Bambino 1998;17(2):114-118 https://www.medicoebambino.com/?id=9802_114.pdf


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