Child abuse: perception and knowledge by Public Health Dentistry teams in Brazil

Authors

DOI:

https://doi.org/10.20396/bjos.v14i3.8642875

Keywords:

Child abuse. Dentists. Public Health Dentistry

Abstract

Aim: To evaluate the experience, knowledge and attitudes of dentists and oral health technicians (OHTs) who work in Basic Health Units in the city of Curitiba, PR, Brazil, regarding cases of abuse against children and adolescents. Methods: In this observational study, three hundred eighty-three questionnaires (validated for Brazilian Portuguese) were sent to dentists and OHTs who work in public health units. The response rate was 38.12% (n = 146) for dentists and 40% (n = 77) for OHTs. Results: The mean age of the dentists was 40±8.29 years, and 53.43% treated more than 10 children per week. The OHTs’ mean age was 45.39±9.71 years, and 62.35% attended to more than 10 children per week. Although the dentists perceived 185 suspected cases of maltreatment, only 35.67% were reported to authorities. In the OHT group, 22.08% were reported to authorities. Sixty-eight dentists (47%) and 11 OHTs (14.28%) reported having treated at least one case of orofacial trauma in the previous 6 months, totalizing 166 orofacial traumas. About the mechanism for reporting suspected cases, 83% of the respondents knew how to report. Over 50% of the responses concerning why the professionals did not report cases of physical violence against children included fear of retaliation and difficulties in diagnosis. Conclusions: Suspected cases of maltreatment against children and adolescents are underreported. More information is required to recognize suspected maltreatment cases and notify authorities.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Mariana Dalledone, Universidade Positivo

Possui graduação em Odontologia pela Pontifícia Universidade Católica do Paraná (2009). Aperfeiçoamento em Cirurgia Oral Menor (ABO-PR 2009); Atualização em Ortodontia Preventiva e Interceptativa (ABO- São José dos Pinhais 2011); Especialização em Odontopediatria (PUC-PR 2011); Curso de Analgesia Relativa com Oxido Nitroso (PUC-PR 2011); Mestre em Odontologia Clínica pela Universidade Positivo (2013); Especialista em Saúde Coletiva-Gestão de Saúde Pública pela Universidade Positivo (2014).

Ana Paula Borges Paola, Universidade Positivo

Possui graduação em Odontologia pela Universidade Tuiuti do Paraná (2001), pós graduação em Analgesia Inalatória com Óxido Nitroso pela ABO/PR (2005), especialização em Odontopediatria pela Universidade Positivo (2012) e Mestrado em Odontologia Clinica com ênfase em Odontopediatria Universidade Positivo ( 2013). Tem experiência nas áreas de Odontopediatria, Endodontia, Periodontia , Analgesia Inalatória com Óxido Nitroso e atendimento clínico para gestantes.

Gisele Maria Correr, Universidade Positivo

Possui graduação em Odontologia pela Universidade Estadual de Campinas (2000) e Doutorado em Materiais Dentários pela Universidade Estadual de Campinas (2007). Pós-Doutorado em Odontopediatria na FOP/UNICAMP (2007-2008).

Eduardo Pizzatto, Universidade Positivo

Doutor em Odontologia Preventiva e Social pela Universidade Estadual Paulista Júlio de Mesquita Filho – UNESP (2003-2005); Mestre em Odontologia Preventiva e Social pela Universidade Estadual Paulista Júlio de Mesquita Filho – UNESP (2001-2002). Especialista em Odontologia do Trabalho e Saúde Coletiva (2004).

Juliana Feltrin Souza, Universidade Positivo

Possui graduação em Odontologia pela Universidade Estadual Paulista Júlio de Mesquita Filho (2007) e mestrado em Ciências Odontológicas pela Universidade Estadual Paulista Júlio de Mesquita Filho (2010). Doutorado em Ciências Odontológicas pela Universidade Estadual Paulista Júlio de Mesquita Filho (2013). 

Estela Maris Losso, Universidade Positivo

Possui graduação em Odontologia pela Universidade Federal do Paraná (1981), mestrado (1987) e doutorado (1994) em Odontopediatria pela Universidade de São Paulo. Atualmente é coordenadora do Curso de Especialização em Odontopediatria-UP e professora titular da disciplina de Odontopediatria da Universidade Positivo - UP. Professora do curso de Mestrado e Doutorado em Clínicas Odontológicas da Universidade Positivo-UP. Tem experiência na área de Odontologia, com ênfase em Odontopediatria, atuando principalmente nos seguintes temas: ansiedade, violência infantil, hábitos bucais e cariologia.

References

Brazil. Ministry of Health, Department of Health Policy. Family violence guidelines for the practice in service. Brasília: Ministry of Health; 2002 [cited 2015 Oct 19]. (Cadernos de Atenção Básica, 8). Available from: http://bvsms.saude.gov.br/bvs/publicacoes/cd05_19.pdf.

Brazil. Ministry of Health. DATASUS. TabNet Linux 2.4: Domestic violence, sexual and/or other violence - Sinan [cited 2015 Oct 19]. Available from: http://dtr2004.saude.gov.br/sinanweb/tabnet/tabnet?sinannet/ violencia/bases/violebrnet.def.

Muraro HMS. Network for the protection of children and adolescents at risk for violence. Curitiba: Secretary of Helth; 2012 [cited 2015 Oct 15].

Available from: http://www.crianca.mppr.mp.br/arquivos/File/ curso_de_atualizacao/2012/a3_rede_de_protecao_mp_2012.pdf.

Valente LA, Dalledone M, Pizzatto E, Zaiter W, de Souza JF, Losso EM.

Domestic violence against children and adolescents: prevalence of physical injuries in a southern Brazilian metropolis. Braz Dent J. 2015; 26: 55-60.

American Academy of Pediatrics Committee on Child Abuse and Neglect; American Academy of Pediatric Dentistry; American Academy of Pediatric Dentistry Council on Clinical Affairs. Guideline on oral and dental aspects of child abuse and neglect. Pediatr Dent. 2008-2009; 30(7 Suppl): 86-9.

Lazenbatt A, Freeman R. Recognizing and reporting child physical abuse: a survey of primary healthcare professionals. J Adv Nurs. 2006; 56: 227-36.

Tsang A, Sweet D. Detecting child abuse and neglect—are dentists doing enough? J Can Dent Assoc. 1999; 65: 387-91.

Cairns AM, Mok JY, Welbury RR. Injuries to the head, face, mouth and neck in physically abused children in a community setting. Int J Paed Dent. 2005; 15: 310-8.

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.

; 26: 149-53.

Brazil. Status of children and adolescents. Law No. 8069 of July 13, 1990 [cited 2010 Aug 23]. Available from: http://www.planalto.gov.br/ccivil_03/ LEIS/L8069.htm.

Bsoul SA, Flint DJ, Dove SB, Senn DR, Alder ME. Reporting of child abuse: a follow-up survey of Texas dentists. Pediatr Dent. 2003; 25: 541-5.

Thomas JE, Straffon L, Inglehart MR. Knowledge and professional experiences concerning child abuse: an analysis of provider and student responses. Pediatr Dent. 2006; 28: 438-44.

Manea S, Favero GA, Stellini E, Romoli L, Mazzucato M, Facchin P.

Dentists’ perceptions, attitudes, knowledge, and experience about child abuse and neglect in northeast Italy. J Clin Ped Dent. 2007; 32: 19-25.

Granville-Gracia AF, Silva MJF, Menezes VA. Abuse of Children and Adolescent: A Study in the City of São Bento do Una, PE, Brazil. Pesqui Bras Odontopediatria Clin Integr. 2008; 8: 301-7.

Sonbol HN, Abu-Ghazaleh S, Rajab LD, Baqain ZH, Saman R, Al-Bitar ZB. Knowledge, educational experiences and attitudes towards child abuse amongst Jordanian dentists. Eur J Dent Educ. 2012; 16: e158-65.

Laud A, Gizani S, Maragkou S, Welbury R, Papagiannoulis L. Child protection training, experience, and personal views of dentists in the prefecture of Attica, Greece. Int J Paediatr Dent. 2013; 23: 64-71.

El Sarraf MC, Marego G, Correr GM, Pizzatto E, Losso EM. Physical child abuse: perception, diagnosis, and management by Southern Brazilian pediatric dentists. Pediat Dent. 2012; 34: e72-6.

Thomas JE, Straffon L, Inglehart MR. Child abuse and neglect: dental and dental hygiene students’ educational experiences and knowledge. J Dental Educ. 2006; 70: 558-65.

John V, Messer LB, Arora R, Fung S, Hatzis E, Nguyen T, et al. Child abuse and dentistry: a study of knowledge and attitudes among dentists in Victoria, Australia. Aust Dent J. 1999; 44: 259-67.

Uldum B, Christensen HN, Welbury R, Poulsen S. Danish dentists’ and dental hygienists’ knowledge of and experience with suspicion of child abuse or neglect. Int J Paediatr Dent. 2010; 20: 361-5.

Colucci E, Hassan G. Prevention of domestic violence against women and children in low-income and middle-income countries. Curr Opin Psychiatry. 2014; 27: 350-7.

Russell M, Lazenbatt A, Freeman R, Marcenes W. Child physical abuse: health professionals’ perceptions, diagnosis and responses. Brit J Community Nurs. 2004; 9: 332-8.

Marengo G, Paola AP, Ferreira FM, Pizzatto E, Correr GM, Losso EM.

Child abuse: validation of a questionnaire translated into Brazilian Portuguese. Braz Oral Res. 2013; 27:163-8.

Owais AI, Qudeimat MA, Qodceih S. Dentists’ involvement in identification and reporting of child physical abuse: Jordan as a case study. Int J Paediatr Dent. 2009; 19: 291-6.

Azevedo MS, Goettems ML, Brito A, Possebon AP, Domingues J, Demarco FF, et al. Child maltreatment: a survey of dentists in Southern Brazil. Braz Oral Res. 2012; 26: 5-11.

Cairns AM, Mok JY, Welbury RR. The dental practitioner and child protection in Scotland. Brit Dent J. 2005; 199: 517-20; discussion 512; quiz 30-1.

Gonçalves HS, Ferreira AL. Health professionals’ reporting of family violence against children and adolescents. Cad Saude Publica 2002; 18: 315-9.

Luna GL, Ferreira RC, Vieira LJES. Mandatory reporting of child abuse by professionals of Family Health Teams. Cienc Saude Colet. 2010; 15: 481-91.

Deshpande A, Macwan C, Poonacha KS, Bargale S, Dhillon S, Porwal P. Knowledge and attitude in regards to physical child abuse amongst medical and dental residents of central Gujarat: A cross-sectional survey.

J Indian Soc Pedod Prev Dent. 2015; 33: 177-82.

Published

2015-01-01

How to Cite

1.
Dalledone M, Paola APB, Correr GM, Pizzatto E, Souza JF, Losso EM. Child abuse: perception and knowledge by Public Health Dentistry teams in Brazil. Braz. J. Oral Sci. [Internet]. 2015 Jan. 1 [cited 2023 Feb. 6];14(3):224-9. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8642875

Issue

Section

Article

Most read articles by the same author(s)