Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, United Arab Emirates.
School of Dentistry, University of Central Lancashire (UCLAN), England, United Kingdom.
Eur J Paediatr Dent. 2018 Jun;19(2):105-118. doi: 10.23804/ejpd.2018.19.02.04.
Child safeguarding is society's responsibility. Dentists are uniquely positioned to recognise Child Abuse and Neglect (CAN) in dental practice and the wider society. The United Arab Emirates (UAE) introduced a child protection law in 2016. We aimed to assess the awareness of UAE dentists of child maltreatment, protection and safeguarding. Study Design A cross-sectional survey.
We surveyed 381 UAE dentists about the knowledge and practice of CAN and safeguarding issues using a self-administered anonymous questionnaire. Statistical analysis was carried out using Chi-square, t-test, ANOVA and Pearson's correlation test and statistical significance was set as p <0.05.
Over 39 % (n=152) of the responders suspected CAN; male dentists suspected more CAN than females (p=0.015). Orthodontists, paediatric dentists (p<0.001) and female dentists (p=0.001) were more knowledgeable about diagnosing CAN. Paediatric dentists attended more CAN-related postgraduate training (p<0.001) than other specialties. Over 90% (n=346) believed that CAN should be addressed, 58.1% (n=224) and 54.1% (n=206) had CAN undergraduate and postgraduate training respectively but 53.5% (n=204) were unaware of local child protection guidelines. Dentists barriers to child protection reporting were; fear of family violence (59.6%, n=227), lack of knowledge of referral process (60.2%, n=228) and lack of diagnosis certainty (54.9%, n=206). UAE dentists qualified in Western and Asian countries had fewer barriers for child protection reporting (p=0.022) than the Arab and Gulf Cooperation Council qualified dentists.
A large minority of UAE dentists suspected CAN. Factors influencing child protection reporting were identified. Dentists' gender, specialty, and country of qualification affected their knowledge of CAN and practice of safeguarding. Child protection training is recommended.
儿童保护是社会的责任。牙医在牙科实践和更广泛的社会中具有独特的地位，可以识别儿童虐待、忽视和保护问题。阿拉伯联合酋长国 (UAE) 于 2016 年出台了儿童保护法。我们旨在评估阿联酋牙医对儿童虐待、保护和保护问题的认识。
横断面调查。
我们使用自我管理的匿名问卷对 381 名阿联酋牙医进行了关于 CAN 和保护问题的知识和实践的调查。使用卡方检验、t 检验、方差分析和皮尔逊相关检验进行统计分析，统计学意义设为 p<0.05。
超过 39%（n=152）的应答者怀疑存在 CAN；男牙医比女牙医更怀疑 CAN（p=0.015）。正畸医生、儿科牙医（p<0.001）和女牙医（p=0.001）对诊断 CAN 的知识更丰富。儿科牙医参加了更多与 CAN 相关的研究生培训（p<0.001）比其他专业。超过 90%（n=346）的人认为应该解决 CAN 问题，58.1%（n=224）和 54.1%（n=206）分别接受过 CAN 本科和研究生培训，但 53.5%（n=204）不知道当地的儿童保护指南。牙医报告儿童保护的障碍是：害怕家庭暴力（59.6%，n=227）、缺乏转介程序知识（60.2%，n=228）和缺乏诊断确定性（54.9%，n=206）。在阿联酋获得西方和亚洲国家资格的牙医在儿童保护报告方面的障碍较少（p=0.022），而在阿拉伯和海湾合作委员会获得资格的牙医则较少。
阿联酋的牙医中，怀疑 CAN 的人占少数。确定了影响儿童保护报告的因素。牙医的性别、专业和资格所在国家影响了他们对 CAN 的认识和保护实践。建议进行儿童保护培训。
