Training and competencies of Chilean dentists in addressing child abuse.
A qualitative study.
DOI:
https://doi.org/10.47990/0sg9n530Keywords:
Child Abuse , Dental Education, Proffesional performanceAbstract
Introduction: Worldwide, head and neck injuries are present in more than 50% of child abuse cases, meaning dentists could play a crucial role in their identification and management. However, this opportunity appears to be underutilized. Objectives: To explore the experiences of general and specialist dentists in identifying and managing child abuse, as well as te perceptions of social workers regarding the role of dentists and the importance of interdisciplinary work in these cases. Materials and methods: A qualitative-exploratory study using convenience sampling. In-depth, semi-structured interviews were conducted via Zoom with 18 individuals divided into three groups: (1) General dentists (n=8), (2) Specialist dentists (n=7), and (3) Social workers with experience in child abuse cases (n=3). Results: General dentists (Group 1) perceived themselves as lacking adequate preparation to address child abuse, whereas specialists (Group 2) acquired this training through postgraduate studies or professional practice. The main barriers preventing dentists from reporting child abuse include a lack of knowledge about the reporting process, fear, and the absence of this topic in undergraduate training. The experiences of Group 3 emphasize the necessity of interdisciplinary collaboration to effectively address child abuse. Conclusions: There is a lack of adequate training for dentists to handle child abuse cases. Chilean universities should review their curricula and assess the need to reinforce this content, as well as promote interdisciplinary collaboration to ensure a more comprehensive approach.
References
1. Butchart A, Harvey AP. Preventing child maltreatment: A guide to taking action and generating evidence. Geneva: World Health Organization; 2006; 9–10.
2. American Academy of Pediatric Dentistry. Definition of dental neglect. The Reference Manual of Pediatric Dentistry. 2020; p.18.
3. National Research Council (US) and Institute of Medicine (US) Committee on Integrating the Science of Early Childhood Development. From neurons to neighborhoods: The science of early childhood development. Shonkoff JP, Phillips DA, editors. Washington (DC): National Academies Press (US); 2000; 230–234.
4. Lamont A, Bromfield L. Effects of child abuse and neglect for children and adolescents. National Child Protection Clearinghouse, Australian Institute of Family Studies; 2010; 1–7.
5. Fergusson DM, Boden JM, Horwood LJ. Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse and Negl. 2008;32(6):607–19.
6. World Health Organization (WHO). Child maltreatment [Internet]. 2022 [citado 2022 feb 28]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/child-maltreatment
7. UNICEF. 4° estudio de maltrato infantil en Chile. Análisis comparativo 1994-2000-2006-2012. UNICEF. 2012; 22–43.
8. Cifuentes-Harris C, Contreras-Reyes C, Torres MA, Gonzales-Alegría S. Maltrato Infantil: Conocimiento y actitud del cirujano dentista. Marco legal y revisión de la literatura. Int J Odontostomatol. 2020;14(2):160–6.
9. Herbert JL, Bromfield L. Multi-disciplinary teams responding to child abuse: Common features and assumptions. Child Youth Serv Rev. 2019;106:104472. .
10. Cavalcanti AL. Prevalence and characteristics of injuries to the head and orofacial region in physically abused children and adolescents: A retrospective study in a city of the Northeast of Brazil. Dent Traumatol. 2010;26(2):149–53.
11. American Academy of Pediatrics Committee on Child Abuse and Neglect, American Academy of Pediatric Dentistry. Guideline on oral and dental aspects of child abuse and neglect. Clinical Guidelines, Reference Manual. 2010;32(6):137–40.
12. Markovic N, Muratbegovic AA, Kobaslija S, Bajric E, Selimovic-Dragas M, Huseinbegovic A, et al. Knowledge and attitudes regarding child abuse and neglect. Mater Sociomed. 2015; 27(6): 372–5.
13. Mogaddam M, Kamal I, Merdad L, Alamoudi N. Knowledge, attitudes, and behaviors of dentists regarding child physical abuse in Jeddah, Saudi Arabia. Child Abuse and Negl. 2016;54:43–56.
14. Hussein AS, Ahmad R, Ibrahim N, Yusoff A, Ahmad D. Dental health care providers’ views on child physical abuse in Malaysia. Eur Arch Paediatr Dent. 2016;17(5):387–95.
15. Kural D, Abbasoglu Z, Tanboga İ. Awareness and experience regarding child abuse and neglect among dentists in Turkey. J Clin Pediatr Dent. 2020;44(2):100–6.
16. Özgür N, Ballıkaya E, Güngör HC, Ataç AS. Turkish paediatric dentists’ knowledge, experiences and attitudes regarding child physical abuse. Int Dent J. 2020;70(2):145–51.
17. Dalledone M, de Paola APB, Correr GM, Pizzatto E, de Souza JF, Losso EM. Child abuse: Perception and knowledge by public health dentistry teams in Brazil. Braz J Oral Sci. 2015;14(3):224–9.
18. Jahanimoghadam F, Kalantari M, Horri A, Ahmadipour H, Pourmorteza E. A Survey of knowledge, attitude and practice of iranian dentists and pedodontists in relation to child abuse. J Dent (Shiraz). 2017;18(4):282–8.
19. Clarke L, Chana P, Nazzal H, Barry S. Experience of and barriers to reporting child safeguarding concerns among general dental practitioners across Greater Manchester. Br Dent J. 2019;227(5):387–91.
20. Kaur H, Chaudhary S, Choudhary N, Manuja N, Chaitra TR, Amit SA. Child abuse: Cross-sectional survey of general dentists. J Oral Biol Craniofac Res. 2016;6(2):118–23.
21. Al Hajeri H, Al Halabi M, Kowash M, Khamis AH, Welbury R, Hussein I. Assessment of the knowledge of United Arab Emirates dentists of child maltreatment, protection and safeguarding. Eur J Paediatr Dent. 2018;19(2):105–18.
22. Da Silva RA, Goncalves LM, Rodrigues ACA, Da Cruz MCFN. The dentist’s role in identifying child abuse: An evaluation about experiences, attitudes, and knowledge. Gen Dent. 2014;62(1):62–6.
23. Fierro Monti C, Salazar Salazar E, Ruiz Salazar L, Luengo Machuca L, Pérez Flores A. Maltrato infantil: Actitud y conocimiento de odontólogos en Concepción, Chile. Int J Odontostomatol. 2012;6(1):105–10.
24. Fonseca GM, Letelier-Acevedo N, Lozano-Gómez R. Odontólogos y obligación de denuncia del abuso sexual infantil en Chile: Oportunidades perdidas. Int J Odontostomatol. 2018;12(4):431–6.
25. Numasawa M, Nawa N, Funakoshi Y, Noritake K, Tsuruta J, Kawakami C, et al. A mixed methods study on the readiness of dental, medical, and nursing students for interprofessional learning. PLoS ONE. 2021;16 (7).
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