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儿童虐待——牙科专业人员向社会服务机构进行强制报告的发生率及特征

Child maltreatment - prevalence and characteristics of mandatory reports from dental professionals to the social services.

作者信息

Kvist Therese, Cocozza Madeleine, Annerbäck Eva-Maria, Dahllöf Göran

机构信息

Department of Dental Medicine, Division of Paediatric Dentistry, Karolinska Institutet, Huddinge, Sweden.

Division of Child and Adolescent Psychiatry, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.

出版信息

Int J Paediatr Dent. 2017 Jan;27(1):3-10. doi: 10.1111/ipd.12230. Epub 2016 Mar 15.

Abstract

BACKGROUND

Dental professionals are required to report suspicions of child maltreatment to the social services. As yet, no studies assess the prevalence of these mandated reports from dental care services or their content.

AIM

This study investigates the prevalence and characteristics of mandated reports from dental professionals to the social services. Furthermore, it analyses associations between dental professionals reporting suspicions of maltreatment with such reports from other sources.

DESIGN

The study collected dental mandatory reports from within one municipality of Sweden during 2008-2014. The material consisted of a total of 147 reports by dental professionals regarding 111 children.

RESULTS

The total prevalence of reports from dental care services to the social services was 1.5 per 1000 children with a significant increase between 2008 and 2011 (P < 0.001). The primary cause for a report concerned parental deficiencies in care (n = 93) and secondly, a concern for dental neglect (n = 52) (P < 0.001). Among all reports, 86% involved children with prior contacts with the social services.

CONCLUSION

Reports to the social services from dental care services on suspicions of child maltreatment concern parental deficiencies (failure to attend appointments) and neglect (dental neglect). Mandated reports from dental care services often co-occur with other mandated reports.

摘要

背景

牙科专业人员需要向社会服务机构报告对儿童虐待行为的怀疑。目前,尚无研究评估牙科护理服务机构这些法定报告的发生率及其内容。

目的

本研究调查牙科专业人员向社会服务机构进行法定报告的发生率及特征。此外,分析牙科专业人员报告虐待怀疑情况与其他来源此类报告之间的关联。

设计

该研究收集了瑞典一个城市在2008 - 2014年期间的牙科法定报告。材料包括牙科专业人员针对111名儿童的总共147份报告。

结果

牙科护理服务机构向社会服务机构报告的总发生率为每1000名儿童中有1.5例,2008年至2011年期间显著增加(P < 0.001)。报告的主要原因是父母在照料方面的缺陷(n = 93),其次是对牙齿忽视的担忧(n = 52)(P < 0.001)。在所有报告中,86%涉及此前与社会服务机构有过接触的儿童。

结论

牙科护理服务机构向社会服务机构报告对儿童虐待行为的怀疑涉及父母的缺陷(未按时就诊)和忽视(牙齿忽视)。牙科护理服务机构的法定报告常与其他法定报告同时出现。

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