Alsaleem Safar A, Alsaleem Mohammed A, Asiri Ahmed M, Alkhidhran Saif S, Alqahtani Waleed S S, Alzahrani Mohammad S, Assiri Huda A, Alshahrany Khadejah M, Alsamghan Awad S
Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Medical Intern, College of Medicine, King Khalid University, Abha, Saudi Arabia.
J Family Med Prim Care. 2019 Feb;8(2):706-710. doi: 10.4103/jfmpc.jfmpc_442_18.
Child abuse or child maltreatment is physical, sexual, or psychological maltreatment or neglect of a child or children, especially by a parent or other caregiver. Child abuse may include any act or failure to act by a parent or other caregiver that results in actual or potential harm to a child, and can occur in a child's home or in the organizations, schools, or communities the child interacts with. This study was conducted to assess the primary health care (PHC) centers' physicians' knowledge and attitude toward child abuse including its types, and child neglect with their behavior regarding reporting of abuse cases.
A cross-sectional study was conducted in Abha which is the capital of Aseer Province, including all PHC physicians (about 475) working in PHC centers. Data regarding physicians' demographic characteristics, perception, and awareness regarding child abuse and neglect were collected by self-administrative questionnaire in the PHC center during their time between patients' consultation.
The study included 300 PHC physicians whose ages ranged from 25 to 50 years old with mean age of 28 years. About 65% of the physicians were males and 69% of them were married with about 73% having at least one child. Overall, 96.3% of the physicians recorded good awareness level regarding types of child abuse and 97.3% recorded good awareness level regarding child neglect patterns. Underreporting of child abuse cases was recorded by about 64% of physicians.
Regarding child abuse and neglect, PHC physicians have good knowledge, optimal attitude, and positive perception. There was also the problem of underreporting of suspected child abuse cases among PHC physicians in Saudi Arabia, with many barriers to report, such as community traditions; unclear reporting strategy was identified.
虐待儿童或儿童受虐是指对一名或多名儿童进行身体、性或心理虐待或忽视，尤其是父母或其他照料者所为。虐待儿童可能包括父母或其他照料者的任何作为或不作为，这些行为导致对儿童造成实际或潜在的伤害，并且可能发生在儿童的家中或儿童与之互动的组织、学校或社区中。本研究旨在评估初级卫生保健（PHC）中心医生对虐待儿童（包括其类型）和儿童忽视的了解及态度，以及他们在报告虐待案件方面的行为。
在阿西尔省省会阿卜哈进行了一项横断面研究，纳入了在初级卫生保健中心工作的所有初级卫生保健医生（约475名）。在初级卫生保健中心，利用自填式问卷在医生看诊间隙收集有关医生人口统计学特征、对虐待儿童和忽视的认知及认识的数据。
该研究纳入了300名初级卫生保健医生，年龄在25至50岁之间，平均年龄为二十八岁。约65%的医生为男性，69%已婚，约73%育有至少一个孩子。总体而言，96.3%的医生对虐待儿童的类型有良好的认知水平，97.3%的医生对儿童忽视模式有良好的认知水平。约64%的医生存在虐待儿童案件报告不足的情况。
关于虐待儿童和忽视问题，初级卫生保健医生有良好的知识、最佳的态度和积极的认知。沙特阿拉伯的初级卫生保健医生中还存在疑似虐待儿童案件报告不足的问题，报告存在诸多障碍，如社区传统；且报告策略不明确。
