儿童身体虐待：巴基斯坦医疗和牙科医生的认知与实践。

Child physical abuse: awareness and practices of medical and dental doctors in Pakistan.

机构信息

Final Year MBBS Student, Hamdard College of Medicine and Dentistry, Hamdard University, Karachi, Pakistan.

Department of Community Health Sciences, Hamdard College of Medicine Dentistry, Hamdard University, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2021 Jun;71(6):1704-1708. doi: 10.47391/JPMA.1233.

DOI:10.47391/JPMA.1233

PMID:34111106

Abstract

OBJECTIVE

To determine the awareness and practices of doctors and dentists in detecting and reporting suspected cases of child physical abuse.

METHODS

The cross-sectional study was conducted from November 2017 to June 2018 at the Hamdard College of Medicine and Dentistry, Karachi, and comprised doctors and dentists practising in public and private hospitals across Pakistan. Data was collected using a predesigned questionnaire to assess knowledge of the social indicators of child physical abuse, response to child physical abuse, and actions taken by the professionals when they believed a child abuse case had been detected. Data was analysed using SPSS 22.

RESULTS

Of the 575 healthcare professionals, 371(64.5%) were doctors and 204(35.5%) were dentists; 347(60.3%) were males; 446(77.6%) were working in private hospitals; 384(66.8%) had <10 years of experience; and 99(17.2%) had received formal training of child abuse. While 450(78.3%) subjects strongly agreed on the value of identifying and documenting child physical abuse, 336(58%) did not take any action in suspected cases.

CONCLUSIONS

Although doctors and dentists had a positive attitude regarding child physical abuse, the majority preferred to remain silent in suspected cases.

摘要

目的

确定医生和牙医在发现和报告疑似儿童身体虐待案件方面的意识和做法。

方法

本横断面研究于 2017 年 11 月至 2018 年 6 月在卡拉奇的哈马丹医学院和牙科学院进行，包括在巴基斯坦各地公立医院和私立医院执业的医生和牙医。使用预先设计的问卷收集数据，以评估对儿童身体虐待的社会指标的知识、对儿童身体虐待的反应以及专业人员在认为已发现虐待儿童案件时采取的行动。使用 SPSS 22 进行数据分析。

结果

在 575 名医疗保健专业人员中，371 名（64.5%）为医生，204 名（35.5%）为牙医；347 名（60.3%）为男性；446 名（77.6%）在私立医院工作；384 名（66.8%）有<10 年的工作经验；99 名（17.2%）接受过儿童虐待方面的正式培训。虽然 450 名（78.3%）受访者强烈认同识别和记录儿童身体虐待的价值，但 336 名（58%）在疑似病例中未采取任何行动。