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印度班加罗尔市牙科学生、普通牙医和儿童牙医在处理虐待和忽视儿童案件中的意识与专业应对措施

Awareness and Professional Responses in Managing Cases of Child Abuse and Neglect (CAN) among Dental Students, General Dentists, and Pedodontists of Bengaluru City, India.

作者信息

Ramegowda Akshatha B Sampangi, Kumar Vivek D, Bhatnagar Sudhanshu, Chandregowda Kiran Y, Anandkumar Amitha H

机构信息

Department of Pedodontics and Preventive Dentistry, Vokkaligara Sangha Dental College and Hospital, V.V. Puram, Bengaluru, Karnataka, India.

Private Practitioner, Jaipur, Rajasthan, India.

出版信息

Int J Clin Pediatr Dent. 2023 Jul-Aug;16(4):619-625. doi: 10.5005/jp-journals-10005-2638.

Abstract

AIM

The aim is to assess the awareness and professional responsibilities of pedodontists, general dentists, and dental students concerning suspected child abuse and to explore their professional experiences with this issue.

MATERIAL AND METHODS

A cross-sectional questionnaire study was conducted among 400 conveniently selected general dentists, pedodontists, and dental students in Bengaluru city. Self-administered, structured, both open- and closed-ended questionnaires were used to elicit information about their experience (if any) with suspected/confirmed cases of Child Abuse and Neglect (CAN). Responses to open-ended items were grouped based on common responses. Descriptive statistics and Chi-squared tests were used to analyze the data.

RESULTS

About 15.6% suspected a case of CAN based on physical indicators, and 8% reported a confirmed case of CAN that was based on conflicting history from child to parent. Counseling of both child and parent, followed by a proper recording of history, was the action taken for suspected cases. In addition, counseling of parents followed by reporting to concerned authorities was done for confirmed cases. About 18.4% observed a change in the child's behavior that was predominantly scared and submissive. Counseling of the child/parent/caretaker was the preferred approach, followed by reporting to concerned authorities. Pedodontists preferred to create public awareness, and dental students preferred to report to concerned authorities.

CONCLUSION

The exposure to a suspected or confirmed case of CAN was very less in the present study. Not many participants who encountered a child abuse case opted to report it to higher authorities and rather focused on counseling the parent/family. The role of pedodontists was found to be crucial since most reported cases were from their end; however, dental students showed a greater interest in managing a case of CAN. There is a need to create more awareness regarding the management of CAN cases among dentists and students.

CLINICAL SIGNIFICANCE

CAN is a major problem around the world that can have long-term adverse effects on Children. The first step in intervention is awareness and identification of CAN cases.

HOW TO CITE THIS ARTICLE

Sampangi Ramegowda AB, Kumar VD, Bhatnagar S, Awareness and Professional Responses in Managing Cases of Child Abuse and Neglect (CAN) among Dental Students, General Dentists, and Pedodontists of Bengaluru City, India. Int J Clin Pediatr Dent 2023;16(4):619-625.

摘要

目的

评估儿童牙医、普通牙医和牙科学生对疑似虐待儿童情况的认知及职业责任,并探索他们在这个问题上的专业经历。

材料与方法

在班加罗尔市对400名方便选取的普通牙医、儿童牙医和牙科学生进行了一项横断面问卷调查研究。采用自行填写的结构化开放式和封闭式问卷,以获取他们在疑似/确诊虐待和忽视儿童(CAN)病例方面的经验(如有)信息。对开放式问题的回答根据常见回答进行分组。使用描述性统计和卡方检验分析数据。

结果

约15.6%的人根据身体指标怀疑有CAN病例,8%的人报告了一例基于儿童与家长说法矛盾的确诊CAN病例。对于疑似病例采取的行动是对儿童和家长进行咨询,随后妥善记录病史。此外,对于确诊病例,在对家长进行咨询后向相关当局报告。约18.4%的人观察到儿童行为发生变化,主要表现为恐惧和顺从。对儿童/家长/照顾者进行咨询是首选方法,其次是向相关当局报告。儿童牙医倾向于提高公众意识,牙科学生倾向于向相关当局报告。

结论

在本研究中,接触疑似或确诊CAN病例的情况非常少。遇到虐待儿童病例的参与者中,没有多少人选择向上级报告,而是更侧重于对家长/家庭进行咨询。发现儿童牙医的作用至关重要,因为大多数报告的病例来自他们那里;然而,牙科学生对处理CAN病例表现出更大的兴趣。有必要在牙医和学生中提高对CAN病例管理的认识。

临床意义

CAN是一个全球性的重大问题,可能对儿童产生长期不良影响。干预的第一步是认识和识别CAN病例。

如何引用本文

Sampangi Ramegowda AB, Kumar VD, Bhatnagar S, 印度班加罗尔市牙科学生、普通牙医和儿童牙医在管理虐待和忽视儿童(CAN)病例方面的认知和专业反应。《国际临床儿科牙科学杂志》2023;16(4):619 - 625。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba5f/10507301/4f900cff06f7/ijcpd-16-619-g001.jpg

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