Aldukhayel Abdulrhman, Aljarbou Emad, Alturki Fatima M, Almazyad Nouf S, Alsaqer Ohud M, Almutairi Raghad
Department of Family and Community Medicine, Qassim University, College of Medicine, Buraidah, SAU.
Medicine, Qassim University, College of Medicine, Buraidah, SAU.
Cureus. 2020 Dec 25;12(12):e12270. doi: 10.7759/cureus.12270.
Introduction Child abuse can include physical abuse, psychological abuse, sexual assault, neglect, or failure to meet the child's basic needs. It can lead to major psychosocial problems resulting in long-lasting consequences for the child. Objective This study aimed to assess the knowledge and attitude (KA) of primary healthcare physicians and interns regarding child abuse in Al Qassim, Saudi Arabia. Materials and methods This multicenter, cross-sectional study was conducted among primary healthcare physicians and interns in the Qassim region, Saudi Arabia, from July to October 2020. A self-administered questionnaire was distributed among the targeted physicians using either an online platform or face-to-face interviews. The questionnaire was devised from the pre-tested literature and formal discussions with experts. A total of 292 primary healthcare physicians and interns participated in our study. A consent form and brief details of the study were given ahead of the recruitment. Data were tabulated in a Microsoft Excel spreadsheet (Microsoft Corporation, Redmond, WA); a separate codebook was prepared with a description of the variables and corresponding codes, and all statistical analyses were performed using IBM SPSS Statistics for Windows, Version 21.0 (IBM Corp., Armonk, NY). Results A total of 292 respondents were involved in the study. Among them, 45% (n=131) were medical interns, 39.4% (n=115) were residents, and the rest were either specialists (n=34; 11.6%) or consultants (n=12; 4.1%). Among the respondents, the KA level was found to be moderate, high, and low in 68.8%, 28.4%, and 2.7%, respectively. The overall mean KA score was 81.1 [standard deviation (SD): 9.56] out of a possible 115 points. Factors associated with high KA were age (>30 years), non-Saudi nationality, having children, and having studied outside Saudi Arabia; The only factor significantly associated with low levels of KA was being a pediatrician (p<0.001). Conclusion Overall, the participants displayed adequate levels of KA regarding child abuse. Better KA was observed among expatriate physicians who were parents themselves and had earned their degrees outside the Kingdom of Saudi Arabia. However, pediatricians demonstrated poor knowledge with regard to child abuse.
引言
虐待儿童包括身体虐待、心理虐待、性侵犯、忽视或未能满足儿童的基本需求。这可能导致严重的心理社会问题，给儿童带来长期后果。
目的
本研究旨在评估沙特阿拉伯卡西姆地区基层医疗医生和实习生对虐待儿童的知识和态度（KA）。
材料与方法
本多中心横断面研究于2020年7月至10月在沙特阿拉伯卡西姆地区的基层医疗医生和实习生中进行。使用在线平台或面对面访谈的方式，向目标医生发放自填式问卷。该问卷是根据预先测试的文献和与专家的正式讨论设计的。共有292名基层医疗医生和实习生参与了我们的研究。在招募之前，提供了一份同意书和研究的简要细节。数据记录在Microsoft Excel电子表格（微软公司，华盛顿州雷德蒙德）中；编制了一个单独的编码本，对变量和相应代码进行了描述，所有统计分析均使用IBM SPSS Statistics for Windows，版本21.0（IBM公司，纽约州阿蒙克）进行。
结果
共有292名受访者参与了该研究。其中，45%（n = 131）是医学实习生，39.4%（n = 115）是住院医生，其余为专科医生（n = 34；11.6%）或顾问医生（n = 12；4.1%）。在受访者中，KA水平分别为中等、高和低的比例为68.8%、28.4%和2.7%。在可能的115分中，总体平均KA得分为81.1[标准差（SD）：9.56]。与高KA相关的因素包括年龄（>30岁）、非沙特国籍、有孩子以及在沙特阿拉伯境外学习；与低KA水平显著相关的唯一因素是儿科医生（p < 0.001）。
结论
总体而言，参与者对虐待儿童表现出了足够的KA水平。在身为父母且在沙特阿拉伯王国境外获得学位的外籍医生中，观察到了更好的KA。然而，儿科医生对虐待儿童的知识掌握较差。
