1
|
Dolic O, Obradovic M, Kojic Z, Jankovic S, Davidovic B, Knezevic N, Sukara S. Attitudes and Knowledge of Dental Students in Bosnia and Herzegovina Towards Child Abuse and Neglect. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2024. [PMID: 39240032 DOI: 10.1111/eje.13038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 07/08/2024] [Accepted: 08/24/2024] [Indexed: 09/07/2024]
Abstract
INTRODUCTION Child abuse and neglect (CAN) are social and public health problems. Access to oral health care for abused and neglected children is a challenge. The aim of this study was to assess the attitudes and knowledge of dental students from Bosnia and Herzegovina towards CAN. MATERIALS AND METHODS A cross-sectional survey was conducted among 263 dental students from two public universities in Bosnia and Herzegovina. The students answered 31 questions about the topic of CAN. The study population was categorised by year of study into six groups. Pearson's chi-squared test was used to analyse differences among participants regarding the year of study. The level of significance was set at p < 0.05. RESULTS The results show that 10.26% of total participants had experienced some knowledge about the topic of CAN during their studies, 17.87% had read about it in professional dental literature and 8.74% had some form of education and training on the topic. Over 50% of participants answered all of the questions about social indicators of CAN correctly. The knowledge of the study participants was found to be deficient concerning some physical signs of CAN found in the orofacial region. For a significant number of questions 'I don't know' was a frequent answer. CONCLUSION The level of knowledge of dental students from Bosnia and Herzegovina regarding the challenge of CAN is insufficient. An important strategy this to improve this is to increase the education and training of child abuse and neglect in dental curriculums.
Collapse
Affiliation(s)
- Olivera Dolic
- Department of Preventive and Pediatric Dentistry, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Marija Obradovic
- Department of Preventive and Pediatric Dentistry, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Zeljka Kojic
- Department of Periodontics and Oral Medicine, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Svjetlana Jankovic
- Department of Preventive and Pediatric Dentistry, Faculty of Medicine Foča, University of East Sarajevo, Bosnia and Herzegovina
| | - Bojana Davidovic
- Department of Preventive and Pediatric Dentistry, Faculty of Medicine Foča, University of East Sarajevo, Bosnia and Herzegovina
| | - Natasa Knezevic
- Department of Endodontics and Restorative Dentistry, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Slava Sukara
- Department of Preventive and Pediatric Dentistry, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| |
Collapse
|
2
|
Birungi N, Berge KG, Åstrøm AN, Brattabø IV. Association of child abuse and neglect training with filing reports of concern to child welfare services: a cross-sectional study. BMC Oral Health 2024; 24:427. [PMID: 38582849 PMCID: PMC10999089 DOI: 10.1186/s12903-024-04222-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 04/02/2024] [Indexed: 04/08/2024] Open
Abstract
BACKGROUND The aptitude, knowledge, and competence of dental health personnel on child abuse and neglect (CAN) is not optimal for deciding when to file a report of concern to child welfare services (CWS). OBJECTIVES The aim of this study was, firstly, to assess the association of the public dental health personnel 's (PDHP) training on CAN received in the last three work years, i.e., in 2016 through 2018 with filing reports to the CWS in the same period and secondly to assess the association of expressed need of training on CAN with filing reports to the CWS. METHODS This cross-sectional study uses data from an electronic survey census of PDHP from Norway (n = 1791) conducted in 2019. The Pearson chi-square test, non-parametric tests, logistic, and negative binomial regression were used for unadjusted and adjusted analysis. Data was reported with proportions, odds ratios (OR), incidence rate ratios and 95% confidence intervals (CIs). RESULTS From 2016 to 2018, the prevalence estimate of filing reports to CWS was 50%, with a mean (standard deviation) of 1.39 (2.11) reports sent. The logistic regression analysis showed an association between filing reports of concern and CAN training in the last three years. Compared to those that had not received CAN training during the three previous years, the ORs (95% CI) for filing reports to the CWS during the same period was 2.5 (1.6-4.0) for one day CAN work training, 3.2 (2.0-5.1) for 2-4 days CAN training and 4.9 (2.6-9.4) for five or more days CAN training. Compared to workers who did not need training in reporting (routines of CAN), those who expressed the need for a little more and more training were less likely to file a report. The corresponding OR were 0.6 (0.4-0.9) and 0.6 (0.3-0.9), respectively. CONCLUSION CAN training during the last three years is associated with filing reports of concern to CWS in the same period among PDHP in Norway. The likelihood of filing CAN reports increased with the number of days of CAN training received. Secondly, the PDHP with an expressed need for training on CAN routines were less likely to report suspicions to CWS.
Collapse
Affiliation(s)
- Nancy Birungi
- Oral Health Centre of Expertise in Vestland County, Bergen, Norway.
| | | | - Anne Nordrehaug Åstrøm
- Oral Health Centre of Expertise in Vestland County, Bergen, Norway
- Institute of Clinical Dentistry, University of Bergen, Bergen, Norway
| | | |
Collapse
|
3
|
Meyer LM, Lehmann T, Schüler IM. Child abuse and neglect: A comparative study between dental and medical students' competencies in Germany. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2024; 28:302-312. [PMID: 37661599 DOI: 10.1111/eje.12950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 03/02/2023] [Accepted: 07/30/2023] [Indexed: 09/05/2023]
Abstract
INTRODUCTION Despite children's right to a non-violent upbringing, they become daily victims of violence. Physical violence concerns mostly the head-especially the orofacial area. Therefore, dentists and paediatricians should be able to suspect possible abuse and to initiate child protection. This study aimed to record and compare the training situation and competencies of dental and medical students at Jena University Hospital regarding child abuse and neglect (CAN). MATERIALS AND METHODS Using a three-part questionnaire about CAN, 123 medical and 77 dental students were surveyed anonymously after completing all courses on the topic. The question sets included as follows: (1) educational experiences, training content and satisfaction; (2) current knowledge regarding diagnostic, management and legal concerns; (3) self-evaluation, needs of further education and wishes. Reliability of the questionnaire was tested with kappa-statistics and assessed as good. RESULTS Dental and medical students' overall satisfaction with CAN-related training is low. Although medical students had more knowledge on CAN, all participants showed large deficits. Better diagnostic than management skills were reported in both groups. Only 1.3% dental and 16.3% medical students felt adequately prepared to deal with CAN. 7% of all study participants stated that they can report CAN without any help. 87.0% of medical and 79.2% of dental students expressed a desire for further education. To improve their knowledge, both courses prefer seminars, followed by expert talks, lectures and simulation-based training (SkillsLab). CONCLUSION Dental and medical students are inadequately prepared to suspect possible abuse and to deal with possible signs of CAN. Mandatory interdisciplinary courses and lectures addressing CAN are recommendable for both medical and dental curricula.
Collapse
Affiliation(s)
- Lisa-Marie Meyer
- Department of Orthodontics, Section of Preventive and Pediatric Dentistry, Jena University Hospital, Jena, Germany
| | - Thomas Lehmann
- Institute of Medical Statistics, Computer Sciences and Documentation, Jena University Hospital, Jena, Germany
| | - Ina Manuela Schüler
- Department of Orthodontics, Section of Preventive and Pediatric Dentistry, Jena University Hospital, Jena, Germany
| |
Collapse
|
4
|
Alabdulaziz HM, Dawood TH, Baswaid SF, Zabarmawi KA, Baswid HA, Baloush NA. Child Abuse and Neglect Awareness Among Healthcare Students in Saudi Arabia. Cureus 2024; 16:e51470. [PMID: 38298276 PMCID: PMC10829888 DOI: 10.7759/cureus.51470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/28/2023] [Indexed: 02/02/2024] Open
Abstract
Background Healthcare workers are responsible for dealing with pediatric victims of violence. While the awareness and reporting of suspected cases are rising, there is a lack of research that proves the awareness, knowledge, and attitude of healthcare students. Objectives We evaluated the awareness of child abuse and neglect and examined the demographic factors associated with them. Participants and setting The study was conducted at King Abdulaziz University in Jeddah with a sample of 237 undergraduate healthcare students. Methods We utilized the quantitative design and surveyed a convenience sample of 237 healthcare students from March to May 2021. The survey contains questions on child abuse and neglect. Results The respondents' overall mean on the scale was 82.90 (SD = 14.00). The students rated the subscale "Actions considered as child neglect" as the highest (M = 4.18, SD = 1.08), followed by "Actions considered as child abuse" (M = 4.04, SD = 1.21), "Reasons for under-reporting child abuse and neglect cases in Saudi Arabia" (M = 3.34, SD = 0.68), and "Knowledge regarding child abuse and neglect" (M = 3.13, SD = 0.53). The analyses showed that gender (t= -3.88, p< 0.001) and year level (F= 5.98, p= 0.003) were associated with the students' "knowledge regarding child abuse and neglect." Conclusion The findings revealed a good awareness of child maltreatment among healthcare students. However, the students reported a lower awareness of the different reasons for under-reporting child violence cases in Saudi Arabia.
Collapse
Affiliation(s)
- Hawa M Alabdulaziz
- Maternity and Children Department/Pediatric Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, SAU
| | - Teif H Dawood
- Faculty of Nursing, King Abdulaziz University, Jeddah, SAU
| | | | | | | | | |
Collapse
|
5
|
Girgla JK, Mahadeva S, Srivastava M, Sharma L, Kedia S, Singh SS. Exploring the Connection Between Domestic Violence and Masticatory Outcomes in the Pediatric Population: A Systematic Review. Cureus 2023; 15:e46764. [PMID: 37954731 PMCID: PMC10632739 DOI: 10.7759/cureus.46764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 10/09/2023] [Indexed: 11/14/2023] Open
Abstract
The potential interplay between domestic violence and masticatory outcomes in children and adolescents has garnered increasing attention. Understanding the association between domestic abuse and specific oral health parameters, such as biting habits, temporomandibular disorders (TMDs), and bruxism, holds implications for holistic healthcare interventions. This systematic review aims to synthesize the available evidence to elucidate the potential relationships between domestic abuse and targeted oral health outcomes in the pediatric population. A comprehensive search strategy was conducted across eight databases, namely, PubMed, Embase, Scopus, PsycINFO, Web of Science, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane Library, and Google Scholar. Boolean operators and Medical Subject Headings (MeSH) keywords were strategically employed to optimize search precision. Clinical studies investigating the relationships between domestic abuse and TMDs, or bruxism, in children and adolescents were included. Two reviewers extracted the data independently. The methodological quality and risk of bias of the selected studies were critically appraised using the Newcastle-Ottawa scale. The systematic search identified three papers investigating the associations between domestic abuse and the targeted oral health parameters. Children in the age group of 6-19 years were assessed. The synthesized evidence revealed a consistent association between domestic abuse and masticatory outcomes. Individuals subjected to domestic abuse exhibited a greater percentage of masticatory anomalies. The methodological assessment of the included studies showed good quality. This systematic review provides a notable synthesis of evidence regarding the associations between domestic abuse and masticatory outcomes in children and adolescents. The complex nature of these relationships necessitates further research to unravel the underlying mechanisms and establish causality. The insights from this review highlight the significance of integrating abuse assessment within oral health evaluations and underscore the need for interdisciplinary collaborations to address the potential impact of abusive experiences on the oral health and well-being of the pediatric population.
Collapse
Affiliation(s)
- Jyotsna Kaur Girgla
- Dentistry, Shiromani Gurudwara Prabandhak Committee, Sri Amritsar, Amritsar, IND
| | - Suganya Mahadeva
- Department of Pedodontics and Preventive Dentistry, People's College Of Dental Science and Research Center, People's University, Bhopal, IND
| | - Madhulika Srivastava
- Department of Pedodontics and Preventive Dentistry, Manav Rachna Dental College, Faridabad, IND
| | - Lokesh Sharma
- Public Health Dentistry, Maharana Pratap Dental College, Kanpur, IND
| | - Sameer Kedia
- Periodontics, VYWS (Vidarbha Youth Welfare Society) Dental College and Hospital, Amaravati, IND
- School of Dentistry, Karnavati University, Gandhinagar, IND
| | | |
Collapse
|
6
|
Singh RK, Singh A, Anand S, Kumar D, Ahmad A, Tanwar AS. Knowledge and Information Resources about Child Abuse among Government and Private Dental Practitioner in Uttar Pradesh, India. Niger J Clin Pract 2023; 26:674-679. [PMID: 37470638 DOI: 10.4103/njcp.njcp_296_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
Background and Aim To evaluate knowledge, attitude, and information sources about child abuse and neglect (CAN) among dentists in Varanasi district of Uttar Pradesh state, India. Subjects and Methods A cross-sectional online survey was carried out of dentist working in government and private hospitals in the Varanasi district, Uttar Pradesh State, India (n = 674). The structured questionnaire was sent through electronic mail that contained the consent form, instructions for filling, and returning the questionnaire. The data obtained were systematically compiled and the Chi-square test was applied to test the association. The significance level of P ≤ 0.05 was applied. Results A maximum number of dental practitioners from the government (81.97%) and private sector (85.98%) were aware of the child protection law. A significant number of government and private dental practitioners were satisfied with their knowledge (p = 0.0092); however, 83.79% suggested that the continuing education programs/courses were important tool to update their knowledge. The girl child was maximum sufferer (p = 0.0056) of CAN. Only 14.08% of practitioners acted on the suspected cases, and a statistical significant relation was observed between the government and private dental practitioners for not taking any action on child abuse and neglect (p = 0.0010). Conclusions Data from this study may provide a useful contribution to the current limited knowledge about the familiarity of dental practitioners with child maltreatment and their skills to recognize and manage CAN cases in their practice. The majority of dental practitioners knew about the child protection law in India, but they were reluctant to report such cases due to the fear of anger from the parents and family of the child. Continuing education programs/courses were the most preferred method for increasing the knowledge regarding CAN. They should report the CAN cases to local legislators and health authorities so to prevent child abuse and neglect from ever occurring.
Collapse
Affiliation(s)
- R K Singh
- Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Kankarbagh, Patna, Bihar, India
| | - A Singh
- Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Kankarbagh, Patna, Bihar, India
| | - S Anand
- Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Kankarbagh, Patna, Bihar, India
| | - D Kumar
- Department of Dentistry, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
| | - A Ahmad
- Department of Pedodontics and Preventive Dentistry, Kalka Dental College and Hospital, Meerut, Uttar Pradesh, India
| | - A S Tanwar
- Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Kankarbagh, Patna, Bihar, India
| |
Collapse
|
7
|
Arroyo-Bote S, Martínez-Arroyo C, Gallego-Álvarez MÁ, Arroyo-Bote C, Manzanares-Céspedes MC. Interpersonal violence education: An analysis of the Spanish oral health school's curricula and future requirements. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022. [PMID: 35908192 DOI: 10.1111/eje.12844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 03/04/2022] [Accepted: 06/13/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Interpersonal violence results in injuries that frequently affect oral, head and neck structures, the treatment of which must be carried out by Oral health practitioners with sufficient training to detect the problem and manage the victim's lesions and need for referral. The objective of this study is to know the academic preparation that Spanish dentistry students receive in learning outcomes related to interpersonal violence during undergraduate academic training. MATERIALS AND METHODS A survey was conducted through an online form with 9 questions (Survey Monkey platform). The link was sent by email to the deans of the 23 Spanish universities (public and private) offering dentistry degrees. The analysis of the results was carried out using Fisher's test and a chi-squared test. RESULTS 95.63% of the deans (n = 22) responded. 85.7% of the universities report to carry on training in violence, according with Spanish legislation. Currently 33.3% dedicate less than 5 h to this training, whereas in the future study plans only 19% would dedicate less than 5 h to these learning outcomes. 85.7% of the respondents agree in consider this training as mandatory. The subjects in which learning outcomes on interpersonal violence were reported to be included were: legal and forensic dentistry (78%), psychology (55%), medical ethics (33.3%), paediatric dentistry (39%), surgery (5.5%) and 22% respondents cited other specialties. In future curricula, the competence areas in which such training is proposed to be imparted are: legal and forensic dentistry (80.9%), psychology and medical ethics (57.1%), paediatric dentistry (38.1%), surgery (14.2%) and in 23.8% also in other specialties. Significant differences were found between public and private universities only in the number of hours that would be dedicated to interpersonal violence learning outcomes in the future. CONCLUSIONS Interpersonal violence encompasses situations of abuse and neglect inflicted to different patients (women, children, elderly) that are perceived both by Oral Health students and practitioners to require a comprehensive training. Most of the respondent deans consider that in the future curricula both the hours and areas that teach interpersonal violence learning outcomes must be increased. To respond to victim's need for help and care, the future requirements for the Oral health workforce education must encompass interprofessional undergraduate as well as postgraduate training in interpersonal violence.
Collapse
Affiliation(s)
- Sebastiana Arroyo-Bote
- ADEMA University School, Balearic Islands University, IUNICS, Palma, Spain
- Faculty of Medicine and Health Sciences, Barcelona University, IDIBELL, Barcelona, Spain
| | - Carolina Martínez-Arroyo
- Public law, Master in Ethics and Organizations, Theory and Philosophy of Law, Pompeu i Fabra University, Barcelona, Spain
| | | | | | | |
Collapse
|
8
|
Macpherson I, Roqué MV, Martín-Sánchez JC, Segarra I. Analysis in the ethical decision-making of dental, nurse and physiotherapist students, through case-based learning. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022; 26:277-287. [PMID: 34085360 DOI: 10.1111/eje.12700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 03/03/2021] [Accepted: 05/28/2021] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Training in ethical competencies is perceived with special interest among the objectives of health education. The dimensions of the person such as integrity, autonomy and dignity influence the choice of interventions, but the different specialties of the health sciences conceive these dimensions with different perspectives depending on the clinical setting. These divergences can be detected during the first years of undergraduate studies, and it is important to know the professional bias and its possible causes. MATERIALS AND METHODS A procedure was developed through case-based learning (CBL) to assess various characteristics of decision-making during the early stages of student training. A semi-quantitative method was designed based on the narrative responses of a case with ethical implications in the field of gender violence. The method was applied to 294 undergraduate students in nursing (95), physiotherapy (109) and dentistry (90) from the Faculty of Health Sciences of a Spanish university. A frequency analysis of the narrative responses of the students to the proposed case was carried out, using the chi-square test to determine any association between the variables studied: gender, specialty and ethical knowledge. RESULTS Four types of response categories were detected, as a result of combining the personal conversation, report to legal authority or require assistance of other teams. The most common option in dentists is conversation only, while physical therapists include the assistance of other teams. In nursing, a balance is observed between both possibilities. The results show that student responses differ significantly among specialties and also differ significantly according to test scores on ethical knowledge. However, no significant differences were found between the responses provided by men and women. CONCLUSION Most of the health sciences students highly valued their own capacity for dialogue and reflection to approach situations with complex ethical dimensions. We consider that case-based learning (CBL), in combination with narrative analysis is a valid means of evaluating the professional ethical competencies of students in health sciences careers applied to a common goal.
Collapse
Affiliation(s)
- Ignacio Macpherson
- Bioethics Unit, Department of Humanities, International University of Catalonia, Sant Cugat del Vallés, Spain
| | - María Victoria Roqué
- Bioethics Unit, Department of Humanities, International University of Catalonia, Sant Cugat del Vallés, Spain
| | - Juan Carlos Martín-Sánchez
- Biostatistics Unit, Department of Basic Sciences, International University of Catalonia, Sant Cugat del Vallés, Spain
| | - Ignacio Segarra
- Department of Pharmacy, Faculty of Health Sciences, Catholic University of Murcia, Murcia, Spain
| |
Collapse
|
9
|
BULDUR B, BÜYÜKKÖK Ç, CAVALCANTI AL. Knowledge, attitudes, and perceptions regarding child abuse and neglect among dentists in Turkey. Braz Oral Res 2022; 36:e001. [PMID: 35081219 DOI: 10.1590/1807-3107bor-2022.vol36.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 04/05/2021] [Indexed: 11/22/2022] Open
|
10
|
Duman C, Al-Batayneh OB, Ahmad S, Durward CS, Kobylińska A, Vieira AR, Tredoux S, Okutan AE, Egil E, Kalaoglu EE, Sirinoglu Capan B, Aksit Bicak D, Zafar S. Self-reported knowledge, attitudes, and practice of final-year dental students in relation to child abuse: A multi-centre study. Int J Paediatr Dent 2021; 31:801-809. [PMID: 33730406 DOI: 10.1111/ipd.12781] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/21/2021] [Accepted: 03/01/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND The number of child abuse cases is increasing worldwide; therefore, it is important to educate individuals having contact with children about it. This includes dentists who play a pivotal role in detecting and reporting child abuse. AIM To identify and compare the final- year dental student's knowledge, attitudes, and practice in relation to child abuse. DESIGN A 38- item and four- part online questionnaire was distributed to students of 11 dental schools in 10 countries. SPSS and GraphPad Prism were used for data analysis. The levels of statistical significance were determined using a chi- square test. P ≤ .05 was considered to be statistically significant. RESULTS A total of 660 students completed the survey. Fifty- six percent of the students received formal training on child abuse, and 86% wanted additional training. The knowledge of child abuse was significantly higher in Australia, the United States, and Jordan compared with other countries. Internet (60.3%) was commonly used as an information source for child abuse. CONCLUSIONS The study showed that dental students lack knowledge and experience in recognizing and reporting child abuse. Most respondents indicated a desire for additional training; therefore, dental schools should review what they are currently teaching and make changes as appropriate.
Collapse
Affiliation(s)
- Canan Duman
- School of Dentistry, Istanbul Atlas University, Istanbul, Turkey
| | | | - Sajjad Ahmad
- Khyber College of Dentistry Peshawar, Peshawar, Pakistan
| | - Callum S Durward
- Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia
| | - Angelika Kobylińska
- Department of Pediatric Dentistry, Medical University of Warsaw, Warsaw, Poland
| | - Alexandre R Vieira
- School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - Sheree Tredoux
- Department of Odontology, School of Dentistry, University of Pretoria, Pretoria, Republic of South Africa
| | - Alev Eda Okutan
- Department of Pediatric Dentistry, Marmara University, Istanbul, Turkey
| | - Edibe Egil
- Department of Pediatric Dentistry, Istanbul Gelisim University, Istanbul, Turkey
| | - Elif Ece Kalaoglu
- Department of Pediatric Dentistry, Biruni University, Istanbul, Turkey
| | | | - Damla Aksit Bicak
- Department of Pediatric Dentistry, Near East University, Nicosia, Turkish Republic of Northern Cyprus
| | - Sobia Zafar
- Discipline Lead Paediatric Dentistry, School of Dentistry, The University of Queensland, Brisbane, QLD, Australia
| |
Collapse
|
11
|
Bradbury-Jones C, Isham L, Morris AJ, Taylor J. The "Neglected" Relationship Between Child Maltreatment and Oral Health? An International Scoping Review of Research. TRAUMA, VIOLENCE & ABUSE 2021; 22:265-276. [PMID: 31043121 DOI: 10.1177/1524838019841598] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Globally, the oral health needs of children who have, or are suspected of having, experienced abuse or neglect has become a focus of concern. It is thus valuable and timely to map the contemporary nature of the research landscape in this expanding field. This review reports the findings of a scoping review of the international empirical literature. The aim was to explore the relationship between child maltreatment and oral health and how this complex issue is addressed in contemporary dental, health, and social work practice. The review identified 68 papers, analysis of which identified three themes: (1) There is a relationship between poor oral health and child maltreatment that is well evidenced but conceptually underdeveloped. (2) There are discrepancies between the knowledge of members of the dental team about child maltreatment and their confidence and aptitude to identify and report child protection concerns. (3) There are areas of local-level policy and practice development that seek to improve working relationships between dentists and health and social work practitioners; however, there is widespread evidence that the oral health needs of this group of vulnerable children are not consistently met. To orientate critical discussion and planning for future research and practice, we present the Patterns, Advances, Gaps, Evidence for practice and Research recommendations (PAGER) framework. The review's findings are likely to be of interest to researchers, practitioners, and policy makers working across dentistry, health and social work.
Collapse
Affiliation(s)
| | - Louise Isham
- 1724University of Birmingham, Birmingham, United Kingdom
| | | | - Julie Taylor
- 1724University of Birmingham, Birmingham, United Kingdom
- Birmingham Children's Hospital, NHS Foundation Trust, Birmingham, United Kingdom
| |
Collapse
|
12
|
Saleem MN, Raja HZ, Shakoor A, Rashid H, Nasir H, Yusuf E. Knowledge, Attitude, and Practices of Dental Practitioners Regarding Domestic Violence in Pakistan. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2021; 58:469580211060799. [PMID: 34915749 PMCID: PMC8725044 DOI: 10.1177/00469580211060799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Domestic violence is a complex social issue worldwide that includes a wide range of physical, sexual, psychological, economic, or emotional trauma to a child or adult. A large proportion of domestic violence cases remain unreported or undocumented. Dentists can play an important role in identifying and reporting these cases, but no such local study is available assessing the dental practitioners' attitudes and knowledge of evaluating physical abuse in Pakistan. The objective of this study was to assess the knowledge and practices of dental practitioners of Pakistan about domestic violence. This cross-sectional study was carried out over 2 months, among 330 dentists across Pakistan, selected by convenience sampling technique. Data was collected via a pre-validated online questionnaire, filled anonymously after taking informed consent. The survey questionnaire collected data about dentists' demographics, awareness, and experiences about domestic violence cases via close-ended questions. Only 10.6% of participating dentists received formal training in the management of domestic violence cases. Approximately 55% of participants knew that physical abuse should be reported in all circumstances; however, half of them could not accurately identify the legal authorities where suspected cases should be reported. Only 20% of the participating dentists had ever suspected a case of physical abuse and 30% of those actually reported it to legal authorities. Participants characterized fear of anger from relatives as the most significant barrier toward reporting suspected cases. The analysis revealed that Pakistan's dentists lack adequate knowledge regarding domestic violence in terms of identification, relevant physical signs/symptoms, and social indicators. Dentists of Pakistan had insufficient knowledge about the identification, management, and reporting of domestic violence cases. However, formal training and dentists' qualification were positively associated with overall awareness and practices regarding domestic violence case management.
Collapse
Affiliation(s)
- Muhammad Nasir Saleem
- Professor of Operative Dentistry, 462516Institute of Dentistry CMH Lahore Medical College, NUMS, Lahore, Pakistan
| | - Hina Zafar Raja
- Professor Prosthodontics, 462516Institute of Dentistry CMH Lahore Medical College, NUMS, Lahore, Pakistan
| | - Asma Shakoor
- Associate Professor, 462516Institute of Dentistry CMH Lahore Medical College, NUMS, Lahore, Pakistan
| | - Haroon Rashid
- Vice President and Dy Chief Executive, 462516CMH Lahore Medical College, NUMS, Lahore, Pakistan
| | - Haiqa Nasir
- 462516Institute of Dentistry CMH Lahore Medical College, Lahore, Pakistan
| | - Elyon Yusuf
- Deceased, Former student 462516Institute of Dentistry CMH Lahore Medical College, Lahore, Pakistan
| |
Collapse
|