Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Int J Paediatr Dent. 2019 Sep;29(5):624-634. doi: 10.1111/ipd.12506. Epub 2019 May 21.
Child maltreatment is a complex social and public health problem.
To evaluate the frequency of the recognition by Brazilian health professionals in primary care of child physical abuse (CPA) and associated factors.
A representative cross-sectional study was conducted with dentists, nurses, family physicians, and pediatricians who participated in the network of the Family Health Strategy in the city of Belo Horizonte, Brazil. Data collection involved in the administration of a questionnaire validated for use in Brazil. Data were collected from 181 dentists, 235 nurses, 203 family physicians, and 96 pediatricians.
Among the 715 health professionals, 499 (69.8%) had some type of postgraduate degree and 414 (57.9%) recognized suspected or proved cases of CPA. The recognition was associated with occupation, as pediatricians recognized 14.11-fold [OR = 14.11 (95% CI: 3.73 to 53.43)] more cases of CPA compared with dentists. The recognition was also associated with a longer period of time working in the city [OR = 2.79 (95% CI: 1.24 to 6.29)].
The recognition of cases was positively associated with the longer working time in the municipal network and with pediatricians. The dentist was the category that was least associated with the recognition of CPA.
儿童虐待是一个复杂的社会和公共卫生问题。
评估巴西初级保健专业人员识别儿童躯体虐待（CPA）的频率及其相关因素。
对巴西贝洛奥里藏特市参与家庭健康战略网络的牙医、护士、家庭医生和儿科医生进行了一项具有代表性的横断面研究。数据收集涉及到对在巴西经过验证的问卷进行管理。共收集了 181 名牙医、235 名护士、203 名家庭医生和 96 名儿科医生的数据。
在 715 名卫生专业人员中，499 名（69.8%）具有某种类型的研究生学历，414 名（57.9%）识别出疑似或证实的 CPA 病例。识别与职业有关，与牙医相比，儿科医生识别出的 CPA 病例多 14.11 倍[比值比（OR）= 14.11（95%可信区间：3.73 至 53.43）]。识别还与在城市工作时间的长短有关[OR = 2.79（95%可信区间：1.24 至 6.29）]。
病例的识别与在市网络中工作时间的延长以及儿科医生呈正相关。牙医是与识别 CPA 相关性最小的类别。
