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儿童和青少年遭受的身体虐待:医疗专业人员能察觉并举报吗?

Physical abuse of children and adolescents: do health professionals perceive and denounce?

作者信息

Martins-Júnior Paulo Antônio, Ribeiro Deborah Corrêa, Peruch Gabriela Santos de Oliveira, Paiva Saul Martins, Marques Leandro Silva, Ramos-Jorge Maria Leticia

机构信息

Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Presidente Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.

Departamento de Odontopediatria e Ortodontia, Universidade Federal dos Vales do Jequitinhonha e Mucuri. Diamantina MG Brasil.

出版信息

Cien Saude Colet. 2019 Jul 22;24(7):2609-2616. doi: 10.1590/1413-81232018247.19482017.

DOI:10.1590/1413-81232018247.19482017
PMID:31340278
Abstract

Physical abuse of children is defined as any non-accidental injury or omission of their caregivers that causes risk to the child's integrity. This study aimed to evaluate whether health professionals perceive and report physical abuse in children/adolescents. A total of 62 health professionals (dentists, physicians and nurses) from Diamantina/MG who attend to children and adolescents answered a questionnaire. The collected variables were related to the identification of abuse; denunciation to the authorities and difficulties in making the complaint. Frequency analysis, chi-square test and content analysis were performed. All professionals had identified and reported the occurrence of physical abuse in children/adolescents. Significant association was observed between the specialty of the professional and the recognition of abuse as well as denunciation to the authorities. The main difficulties presented to denounce the cases to the authorities were lack of knowledge in identifying the abuse and how to make the complaint. Most participants expressed that they would like to receive training in identifying and reporting abuse. Health professionals perceive child abuse, and physicians are the ones who most report the cases.

摘要

儿童身体虐待被定义为其照顾者的任何非意外性伤害或疏忽行为,这些行为会对儿童的健全造成风险。本研究旨在评估卫生专业人员是否能识别并报告儿童/青少年遭受的身体虐待情况。来自米纳斯吉拉斯州迪亚曼蒂纳市的62名从事儿童和青少年医疗服务的卫生专业人员(牙医、医生和护士)回答了一份问卷。收集的变量涉及虐待行为的识别、向当局举报以及举报过程中遇到的困难。进行了频率分析、卡方检验和内容分析。所有专业人员都识别并报告了儿童/青少年遭受身体虐待的情况。观察到专业人员的专业领域与虐待行为的识别以及向当局举报之间存在显著关联。向当局举报此类案件的主要困难在于缺乏识别虐待行为及如何进行举报的知识。大多数参与者表示希望接受识别和报告虐待行为的培训。卫生专业人员能够识别儿童虐待行为,其中医生报告此类案件的比例最高。

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