Mogaddam Meaad, Kamal Iman, Merdad Leena, Alamoudi Najlaa
Faculty of Medicine, King Abdulaziz University, Saudi Arabia.
Faculty of Medicine, King Abdulaziz University, Saudi Arabia; Faculty of Medicine, AlAzhar University, Egypt.
Child Abuse Negl. 2016 Apr;54:43-56. doi: 10.1016/j.chiabu.2016.02.004. Epub 2016 Mar 15.
A large proportion of child physical abuse cases go undocumented and unreported. Dentists can play an important role in identifying and reporting these cases, but little has been reported about this issue in Saudi Arabia. The aims of the study were to (1) assess dentists' knowledge of child physical abuse, (2) assess dentists' attitudes towards child physical abuse, and (3) assess the behaviors of dentists in identifying and reporting child physical abuse. A cross-sectional survey of pediatric dentists, pediatric dentistry residents, and dental interns practicing at all of the dental schools in Jeddah, Saudi Arabia was conducted using an anonymous, self-administered questionnaire. The participants in current study demonstrated insufficient knowledge of the signs and symptoms of child physical abuse, actions that should be taken in suspected cases, circumstances in which to report such cases, and the legal authorities to which they should be reported. The attitudes of participants towards detecting and reporting cases were generally positive. Only 11% of the participants had suspected a case of child abuse, and only 3% of them reported it. Lack of knowledge about referral procedures and fear of anger from family members were the main causes of underreporting. In conclusion, this study showed that dentists have insufficient knowledge about child physical abuse but positive attitudes towards their role in detecting and reporting it. This topic should be covered and emphasized in dental schools' curricula, and healthcare and academic institutes must have a clear protocol to be followed if a case of abuse is suspected.
很大一部分儿童身体虐待案件没有记录在案,也未被报告。牙医在识别和报告这些案件方面可以发挥重要作用,但沙特阿拉伯在这方面的报道很少。本研究的目的是:(1)评估牙医对儿童身体虐待的了解;(2)评估牙医对儿童身体虐待的态度;(3)评估牙医在识别和报告儿童身体虐待方面的行为。采用匿名自填问卷的方式,对沙特阿拉伯吉达所有牙科学校的儿科牙医、儿科牙科住院医师和牙科实习生进行了横断面调查。本研究的参与者对儿童身体虐待的体征和症状、疑似病例应采取的行动、报告此类病例的情况以及应报告的法律当局了解不足。参与者对发现和报告病例的态度总体上是积极的。只有11%的参与者怀疑过虐待儿童的案件,其中只有3%的人进行了报告。对转诊程序缺乏了解以及害怕激怒家庭成员是报告不足的主要原因。总之,本研究表明,牙医对儿童身体虐待了解不足,但对其在发现和报告方面的作用持积极态度。牙科学校的课程应涵盖并强调这一主题,并且如果怀疑有虐待案件,医疗保健和学术机构必须有明确的协议可循。