Kural Didem, Abbasoglu Zerrin, Tanboga İlknur
J Clin Pediatr Dent. 2020;44(2):100-106. doi: 10.17796/1053-4625-44.2.6.
: This study assessed the level of knowledge, attitudes, and awareness of child abuse and neglect (CAN) among dentists. : The sample, consisted of 20,298 Turkish Dental Association (TDA) members, which comprise about two thirds of all dentists, specialists, academics and dental PhD students in Turkey. Among the 20,298 emails sent, 1,020 responses were obtained Descriptive analysis was performed and correlations were tested using the Chi-square and Fischer's Exact tests. A p value of <0.05 was considered statistically significant. : Of the participating dentists, 32.7% were able to identify cases of CAN cases, while 17.1% had suspected cases of child abuse and only 1% of them, reported these, to the authorities. The most frequently cited reasons for hesitation to report CAN cases were lack of adequate history (45%), lack of knowledge about the healthcare worker's role in reporting CAN (18.3%), and considerations of the possible consequences against the child (18.8%). Only 11.6% of the participants had received undergraduate level training on the topic of CAN; The majority (86.5%) expressed the need for further education on this issue, and, also, 84.3% believed that it should be a part of postgraduate education. : Improvements in CAN education and continuing education courses are necessary to equip dentistry professionals with adequate knowledge about the physical and behavioral indicators of possible abuse, the current legislation regarding mandated reporting and the procedures for reporting suspected cases.
本研究评估了牙医对虐待和忽视儿童(CAN)的知识水平、态度及认知情况。样本由20298名土耳其牙科协会(TDA)成员组成,他们约占土耳其所有牙医、专科医生、学者及牙科博士生的三分之二。在发送的20298封电子邮件中,获得了1020份回复。进行了描述性分析,并使用卡方检验和费舍尔精确检验来测试相关性。p值<0.05被认为具有统计学意义。在参与调查的牙医中,32.7%能够识别CAN病例,而17.1%曾怀疑存在虐待儿童的情况,其中只有1%向当局报告了这些情况。对报告CAN病例犹豫不决的最常见原因是缺乏足够的病史(45%)、对医护人员在报告CAN中的作用缺乏了解(18.3%)以及考虑到对儿童可能产生的后果(18.8%)。只有11.6%的参与者接受过关于CAN主题的本科水平培训;大多数人(86.5%)表示需要在这个问题上接受进一步教育,并且,84.3%的人认为它应该成为研究生教育的一部分。有必要改进CAN教育和继续教育课程,以使牙科专业人员具备关于可能虐待的身体和行为指标、当前关于强制报告的立法以及报告疑似病例程序的充分知识。