Intimate partner violence (IPV) exposure continues to be a pervasive problem for children. Although the impact of IPV exposure on children’s mental health has been well-documented, the impact of IPV exposure on children’s physical health, as well as families’ engagement with the medical system for their children’s physical health needs (e.g., contact with primary care pediatricians, emergency room visits) remains under-studied. The purpose of this systematic review was to synthesize quantitative studies examining the association between IPV exposure and (a) medical system engagement and (b) physical health outcomes, and to examine methodological factors that may influence findings. A systematic review was conducted using seven electronic bibliographic databases to identify research examining outcomes of IPV-exposed children up to August of 2020. Citations were coded by two independent researchers to determine inclusion and exclusion, and then coded again to identify studies examining medical system engagement and physical health outcomes. A total of 31 citations were included. Consistent results were found across studies in that, compared with non-exposed children, IPV-exposed children were less likely to be up to date on immunizations, had an increased rate of emergency room visits, had more contact with primary care pediatricians, were more likely to have an increased risk of poor lung functioning, obesity, and nutritional deficiencies, and reported more general physical health problems. In addition to further research in this area, this study identifies the need for training healthcare providers to implement consistent IPV screening and provide IPV-exposed children and families with referrals to trauma-informed, community-based interventions.

亲密伴侣暴力 (IPV) 暴露仍然是儿童普遍存在的问题。尽管 IPV 暴露对儿童心理健康的影响已得到充分证明，但 IPV 暴露对儿童身体健康的影响，以及家庭为了孩子的身体健康需求而与医疗系统的接触（例如，与初级保健儿科医生的接触） ，急诊室就诊）仍未得到充分研究。本系统评价的目的是综合定量研究，检查 IPV 暴露与 (a) 医疗系统参与和 (b) 身体健康结果之间的关联，并检查可能影响结果的方法学因素。使用七个电子书目数据库进行了系统评价，以确定截至 2020 年 8 月的 IPV 暴露儿童结果的研究。引用由两名独立研究人员编码以确定包含和排除，然后再次编码以确定检查医疗系统参与和身体健康结果的研究。共收录 31 篇文献。各项研究发现一致的结果是，与未接触过 IPV 的儿童相比，接触过 IPV 的儿童不太可能了解最新的免疫接种情况，急诊室就诊率增加，与初级保健儿科医生的接触更多，更多可能会增加肺功能不良、肥胖和营养缺乏的风险，并报告了更普遍的身体健康问题。除了对该领域的进一步研究，