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家庭医による家庭医のためのプライマリケア上達術 » 親密なパートナーによる暴力　Intimate Partner Violence

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親密なパートナーによる暴力　Intimate Partner Violence

親密なパートナーによる暴力　Intimate Partner Violence

http://www.aafp.org/afp/2011/0515/p1165.html

IPVはDVの一種だが、配偶者のみならず、広義の意味を持っている言葉として最近よく使われているらしい。米国だけでなく、日本でも相当数のIPVが報告されている。（ウィキペディア参照）女性だけでなく、男性への暴力も深刻になっている。一昔前までは女性シェルターという言葉しかなかったが、男性シェルターもでき始めている。

家庭医外来でも１０－２０％の女性がIPVの経験があるらしいので、IPVのスクリーニングをAAFPは推奨しているが、USPSTFでは I statementらしい。カナダで大規模なスクリーニングのRCTが行われたが、有効性を示せなかった。しかし、害もなかったので積極的に介入してよいのでは、という学会が多い。

質問の仕方はnon judgementalに具体的にすることがポイント、表の質問例がとても参考になる。家庭医がしっかりと介入することが求められているが、その前提として家庭医自身の道徳観や倫理観が正しいことが大前提だろうか？難しい問題であろう。

update: 2011/05/24 | 家庭医プライマリケアアップデート
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家庭医プライマリケアリンク学会編

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