Keywords
Dentistry
Violence
Facial injuries
Epidemiology
How to Cite
Abstract
Aim: This study aimed to investigate the prevalence of physical violence and head and neck injuries among children and adolescents who suffered physical aggression, firearm aggression, and white gun aggression referred to the Legal Medical Department in a southern city in Brazil. Methods: This study was performed at Legal Medical Department in the city of Pelotas, RS, Brazil, from January 2011 to December of 2015. Data were collected from medical reports of children and adolescents (0-19 years old). Demographic information such as sex, age, and skin color was collected. Data were submitted to Chi-square test and multivariate Poisson regression analysis. Results: In this study, 2,716 physical examination reports were analyzed, with a total of 2,171 exams resulting from violence; lesions that had physical aggression as their etiology (1,951) had a higher prevalence. The analysis of the exams revealed that the majority were adolescents (90,05%), white (84.09%), and female (50.21%). The head and neck regions were affected in most cases of violence (57.90%). In the adjusted model, the occurrence of injuries in the head and neck region was higher in males (PR 1.16, CI 95% 1.08 - 1.25), among adolescents (PR 1.28, CI 95% 1.10 - 1.48) and in victims of physical aggression compared to victims of the firearm (2.81, CI 95% 1.79 - 4.40). Conclusion: The results revealed a high prevalence of head and face injuries in victims of violence and that there was a greater prevalence of physical violence among adolescents compared to children and males.
References
Minayo MCS, Souza ER, Silva MMAD, Assis SG. Institutionalizing the theme of violence within Brazil's national health system: progress and challenges. Cien Saude Colet. 2018 Jun;23(6):2007-16. Portuguese, English. doi: 10.1590/1413-81232018236.04962018.
Lund RG, Manica S, Mânica G. Collateral issues in times of covid-19: child abuse, domestic violence and femicide. Rev Bras Odontol Leg. 2020 Jul,7(2):54-69. doi: 10.21117/rbol-v7n22020-318.
Hazar Bodrumlu E, Avşar A, Arslan S. Assessment of knowledge and attitudes of dental students in regard to child abuse in Turkey. Eur J Dent Educ. 2018 Feb;22(1):40-6. doi: 10.1111/eje.12242.
Mathur S, Chopra R. Combating child abuse: the role of a dentist. Oral Health Prev Dent. 2013;11(3):243-50. doi: 10.3290/j.ohpd.a29357.
Vidal HG, Caldas IM, de França Caldas A Jr, de Miranda Coelho Júnior LGT, de Souza EHA, Pereira ML. Physical violence against children and adolescents in porto: a 5-year study. J Interpers Violence. 2020 Jun;35(11-12):2297-2315. doi: 10.1177/0886260517700616.
World Health Organization. World report on violence and health: summary. Geneva: WHO; 2002. p.14-23.
Waiselfisz JJ. [Violence map 2012: children and adolescents in Brazil]. Rio de Janeiro: Cebela: Flasco; 2012. Portuguese.
Presidency of the Republic of Brazil. Civil House. [Law No. 8,069, of July 13, 1990. Provides for the Child and Adolescent Statute and other provisions] [cited 2022 Dec 2]. Available from: https://www.planalto.gov.br/ccivil_03/leis/l8069.htm. Portuguese.
da Silva-Júnior IF, Drawanz Hartwig A, Leão Goettems M, Sousa Azevedo M. Is dental trauma more prevalent in maltreated children? A comparative Study in Southern Brazil. Int J Paediatr Dent. 2019 May;29(3):361-8. doi: 10.1111/ipd.12466.
Massoni AC, Ferreira AM, Aragão AK, de Menezes VA, Colares V. [Orofacial aspects of childhood abuse and dental negligence]. Cien Saude Colet. 2010 Mar;15(2):403-10. Portuguese. doi: 10.1590/S1413-81232010000200016.
Özgür N, Ballıkaya E, Güngör HC, Ataç AS. Turkish paediatric dentists' knowledge, experiences and attitudes regarding child physical abuse. Int Dent J. 2020 Apr;70(2):145-51. doi: 10.1111/idj.12532.
Conceição LD, da Silveira IA, Nascimento GG, Lund RG, da Silva RHA, Leite FRM. Epidemiology and risk factors of maxillofacial injuries in brazil, a 5-year retrospective study. J Maxillofac Oral Surg. 2018 Jun;17(2):169-74. doi: 10.1007/s12663-016-0994-3.
- United Nations General Assembly. Convention on the rights of the child. United Nations, Treaty Series, vol. 1577. New York, United Nations; 1989. [cited 2022 Dec 2]. Available from: https://www.refworld.org/docid/3ae6b38f0.html.
WHO, World Health Organization. Young people's health - a challenge for society: report of a WHO Study Group on Young People and "Health for All by the Year 2000". Technical Report Series, no. 731. Geneva: WHO; 1986. [cited 2022 Dec 2]. Available from: https://iris.who.int/bitstream/handle/10665/41720/WHO_TRS_731.pdf?sequence=1&isAllowed=y.
Fisher-Owens SA, Lukefahr JL, Tate AR; American Academy of Pediatrics, Section on Oral Health; Committee on Child Abuse and Neglect; American Academy of Pediatric Dentistry, Council on Clinical Affairs, Council on Scientific Affairs; Ad Hoc Work Group on Child Abuse and Neglect. Oral and Dental Aspects of Child Abuse and Neglect. Pediatrics. 2017 Aug;140(2):e20171487. doi: 10.1542/peds.2017-1487.
Cavalcanti AL. Prevalence and characteristics of injuries to the head and orofacial region in physically abused children and teenagers--a retrospective study in a city of the Northeast of Brazil. Dent Traumatol. 2010 Apr, 26(2) 149-53. doi: 10.1111/j.1600-9657.2009.00859.x.
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 Jan-Feb;26(1):55-60. doi: 10.1590/0103-6440201300137.
Vidal HG, Caldas IM, de França Caldas A Jr, Toledo de Miranda Coelho LG, Alvim de Souza EH, Pereira ML. Physical violence against children and adolescents in Recife: a 5-year retrospective study. J Forensic Odontostomatol. 2019 May 1;37(1):20-5.
Barbosa KGN, Bernardino ÍM, Cavalcante GMS, Ferreira EFE, Martins RC, d'Avila S. Patterns of oral-maxillofacial trauma and determinant factors among brazilian victims of physical aggression: a 4-year study. Oral Health Prev Dent. 2018;16(6):483-9. doi: 10.3290/j.ohpd.a41545.
Naidoo S. A profile of the oro-facial injuries in child physical abuse at a children's hospital. Child Abuse Negl. 2000 Apr;24(4):521-34. doi: 10.1016/s0145-2134(00)00114-9.
Rabello PM, Caldas Júnior AF. [Facial Lesions of woman who have been physically attacked – Paraíba – Brazil]. Odontol Clin-Cient. 2006 Oct/Dec;5(4):321-5. Portuguese. doi: 10.1590/1413-81232015209.19012014.
Kostakis G, Stathopoulos P, Dais P, Gkinis G, Igoumenakis D, Mezitis M & Rallis G. An epidemiologic analysis of 1,142 maxillofacial fractures and concomitant injuries. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Nov, 114 (5): 69-73. doi: 10.1016/j.tripleo.2011.08.029.
da Fonseca MA, Feigal RJ, ten Bensel RW. Dental aspects of 1248 cases of child maltreatment on file at a major county hospital. Pediatr Dent. 1992 May-Jun;14(3):152-7.
Pimenta RMC, Matos FRRO, da Silva MLCA, Rodrigues AAAO, Marques JAM, Musse JO. [Survey of oral and maxillofacial injuries in victims of violence who were subjected to forensic dental expertise at Feira de Santana's Forensic Medicine Institute, Bahia, between 2007 and 2009]. Arq Odontol. 2013;49(4):154-61. Portuguese. doi: 10.7308/aodontol/2013.49.4.01.
Rates SM, de Melo EM, Mascarenhas MD, Malta DC. Violence against children: an analysis of mandatory reporting of violence, Brazil 2011. Cien Saude Colet. 2015 Mar;20(3):655-65. doi: 10.1590/1413-81232015203.15242014.
Bernardino IM, Barbosa KGN, da Nóbrega LM, Cavalcante GMS, Silva JAL, D’Avila S. Physical violence against brazilian children and adolescentes: a 4-year study. J Public Health. 2016 Apr;24:135-40. doi: 10.1007/s10389-016-0707-x.
Bäckman PB, Riddez L, Adamsson L, Wahlgren CM. Epidemiology of firearm injuries in a Scandinavian trauma center. Eur J Trauma Emerg Surg. 2020 Jun;46(3):641-7. doi: 10.1007/s00068-018-1045-1.
Trindade RFC, Correia MAA. [Epidemiological profile victims of white gun and fire in a hospital emergency]. Rev Enferm Atencao Saude, 2015 Jan/Jun;4(1):55- 64. Portuguese.
United Nations Children’s Fund. A familiar face: violence in the lives of children and teenagers. New York: UNICEF; 2017.
Barbosa KGN, Walker BB, Schuurman N, Cavalcanti SDLB, Ferreira E Ferreira E, et al. Epidemiological and spatial characteristics of interpersonal physical violence in a Brazilian city: a comparative study of violent injury hotspots in familial versus non-familial settings, 2012-2014. PLoS One. 2019 Jan;14(1):e0208304. doi: 10.1371/journal.pone.0208304.
Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, editors. World report on violence and health. Geneva: World Health Organization; 2002. [cited 2022 Dec 2]. Available from: https://www.who.int/publications/i/item/9241545615.
Cavalcanti AL, Martins VM, Lucena RN, Granville-Garcia AF, Menezes VA. [Morbidity due to external causes against children and adolescents in Campina Grande - Paraíba]. ACM Arq Catarin Med. 2008;37(3):27-31. Portuguese.
Augustin AC, Menezes DB, Oliveira LLS, Agranonik M, Oliveira Júnior RCG, et al. Panorama das desigualdades de raça/cor no Rio Grande do Sul. Relatório técnico. Porto Alegre: DEE- SPGG; 2021 Nov [cited 2022 Dec 2]. Available from: https://dee.rs.gov.br/upload/arquivos/202111/18175612-relatorio-tecnico-dee-panorama-das-desigualdades-de-raca-cor-no-rio-grande-do-sul.pdf. Portuguese.
de Oliveira SMT, Galdeano EA, da Trindade EMGG, Fernandez RS, Buchaim RL, Buchaim DV, et al. epidemiological study of violence against children and its increase during the COVID-19 pandemic. Int J Environ Res Public Health. 2021 Sep;18(19):10061. doi: 10.3390/ijerph181910061.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Isadora Augusta da Silveira, Tomaz Alves da Silva Neto , Luciana Domingues Conceição, Gustavo Giacomelli Nascimento, Marina Sousa Avezedo, Rafael Guerra Lund
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