Jamaer Marjolijn, Van den Eynde Jef, Aertgeerts Bert, Toelen Jaan
Faculty of Medicine, KU Leuven, 3000 Leuven, Belgium.
Department of Cardiovascular Sciences, KU Leuven, 3000 Leuven, Belgium.
Children (Basel). 2023 Aug 22;10(9):1429. doi: 10.3390/children10091429.
Child abuse and neglect is a common, underreported, and worldwide problem. Health care providers play an important role in detecting and reporting this problem. This study examined the knowledge on the clinical signs and mimickers of child abuse among Belgian trainees in family medicine and pediatrics. Participants filled out an anonymous online survey of 15 fictional but realistic cases with either suspicious or non-suspicious signs of abuse or neglect in the context of primary or emergency care. The overall score on all cases, the number of correct answers per case, and the median score were calculated, and the association of the participant's demographic characteristics with their score was examined using regression analysis. A total of 70 participants completed the survey. The overall median score was 73.3% (IQR 20.0%). The suspicious cases were solved more correctly than the non-suspicious cases (median: 85.7% versus 62.5%, < 0.001). Regression analysis could not reveal a significant association of type and level of education with the performance on the survey. Knowledge of the clinical signs of child maltreatment among pediatricians and general practitioners in training is good, but there is still room for improvement.
虐待和忽视儿童是一个普遍存在、报告不足且在全球范围内的问题。医疗保健提供者在发现和报告这一问题方面发挥着重要作用。本研究调查了比利时家庭医学和儿科学实习生对虐待儿童的临床体征及相似情况的了解。参与者填写了一份针对15个虚构但真实的案例的匿名在线调查问卷，这些案例在初级或急诊护理背景下存在可疑或无可疑的虐待或忽视迹象。计算了所有案例的总分、每个案例的正确答案数量以及中位数分数，并使用回归分析研究了参与者的人口统计学特征与其分数之间的关联。共有70名参与者完成了调查。总体中位数分数为73.3%（四分位距20.0%）。可疑案例的解答正确率高于无可疑案例（中位数：85.7%对62.5%，<0.001）。回归分析未发现教育类型和教育水平与调查表现之间存在显著关联。儿科医生和实习全科医生对虐待儿童临床体征的了解良好，但仍有改进空间。
