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口腔专业人员在识别、报告和支持家庭暴力受害者方面的作用。

The role of dental professionals in identifying, reporting, and supporting domestic violence victims.

机构信息

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Macewan University, Edmonton, Alberta, Canada.

出版信息

Dent Traumatol. 2024 Mar;40 Suppl 2:3-9. doi: 10.1111/edt.12897. Epub 2023 Oct 15.

Abstract

Domestic violence is a pervasive social issue affecting individuals across all demographics and has severe consequences for both the victims and society. Domestic violence is commonly defined as the exertion of power by one individual over another within a relationship, aiming to establish a sense of fear, control, and authority. The connection between domestic violence and oral health is established, with common oral health issues associated with domestic violence, such as dental trauma, head and neck bruises and injuries as well as facial fractures. Dental professionals play a crucial role in detecting signs of domestic violence by closely examining the head and neck region and the oral cavity during routine examinations. The significance of approaching patients suspected of experiencing domestic violence with sensitivity and empathy is of utmost importance. Recommendations include establishing trust, maintaining confidentiality, using open-ended questions, and providing information about local resources. Legal and ethical considerations are paramount, highlighting the obligations of dental professionals in cases of suspected domestic violence, including mandatory reporting laws and the balance between patient autonomy and safety. Challenges faced by dental professionals in reporting and intervening are discussed as well in this narrative review, emphasizing the importance of collaboration with other healthcare professionals and support services. This review underscores the vital role of dental care providers in recognizing signs of domestic violence, promoting intervention and support, and contributing to the well-being and safety of individuals impacted by domestic violence.

摘要

家庭暴力是一个普遍存在的社会问题,影响着各个年龄段和背景的个人,对受害者和社会都有严重的后果。家庭暴力通常被定义为一个人在关系中对另一个人施加权力,旨在建立一种恐惧、控制和权威感。家庭暴力与口腔健康之间存在联系,常见的口腔健康问题与家庭暴力有关,如牙外伤、头颈部瘀伤和损伤以及面部骨折。牙科专业人员在常规检查中通过仔细检查头部和颈部区域以及口腔,在发现家庭暴力迹象方面发挥着至关重要的作用。以敏感和同情的态度对待疑似遭受家庭暴力的患者至关重要。建议包括建立信任、保持机密性、使用开放式问题以及提供有关当地资源的信息。法律和道德方面的考虑至关重要,强调了牙科专业人员在疑似家庭暴力案件中的义务,包括强制报告法律以及在患者自主权和安全之间取得平衡。本文还讨论了牙科专业人员在报告和干预方面面临的挑战,强调了与其他医疗保健专业人员和支持服务合作的重要性。这篇综述强调了牙科护理提供者在识别家庭暴力迹象、促进干预和支持以及为受家庭暴力影响的个人的福祉和安全做出贡献方面的重要作用。

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