Keywords
Violence
Students dental
Dental care for children
How to Cite
Abstract
The aim of the study was to estimate the prevalence of suspected child abuse (CA) in pediatric dentistry clinics of a Colombian public university. Descriptive study in 100 parent-child pairs aged 6 to 9 years and dental students. A questionnaire was designed and applied, inquiring about sociodemographic variables, general suspicion of CA and suspicion of CA was clinically evaluated according to injuries in the child. Descriptive statistics and bivariate analysis were performed using X2 test. The results show the prevalence of general suspicion of CA was 12% and of suspected CA according to orofacial lesions 24%; the most prevalent extraoral and intraoral lesion was laceration (10%). Significant relationships were found between general suspicion of CA with tearing of the labial frenulum, multiple scars, burns suggestive of CA, bite marks, contusions, and lip laceration (p<0.005) and between suspicion of CA according to orofacial injuries and inadequate clothing, evidence of pain in the body, inadequate management of bodily injuries among others (p<0.005). It is concluded that in pediatric dentistry clinics in the university setting, suspicious lesions of CA can be presented from the general and orofacial evaluation.References
Sofuoǧlu Z, Sarıyer G, Ataman MG. Child Maltreatment in Turkey: Comparison of parent and child reports. Cent Eur J Public Health. 2016; 24 (3): 217–22. Doi: https://doi.org/10.21101/cejph.a4155
Hendaus MA, Al-Khuzaei AM, Samarah O, Hamad SG, Selim BA, El Ansari W. Child abuse and neglect in a rapidly developing country: Parents' perspectives. J Family Med Prim Care. 2020; 9(6):3053-3059. Doi: https://doi.org/10.4103/jfmpc.jfmpc_971_19
Hillis S, Mercy J, Amobi A, Kress H. Global Prevalence of Past-year Violence Against Children: A Systematic Review and Minimum Estimates. Pediatrics. 2016; 137(3):e20154079. Doi: https://doi.org/10.1542/peds.2015-4079
Gardner MJ, Thomas HJ, Erskine HE. The association between five forms of child maltreatment and depressive and anxiety disorders: A systematic review and meta-analysis. Child Abuse Negl. 2019; 96:104082. Doi: https://doi.org/10.1016/j.chiabu.2019.104082
Asamblea General de las Naciones Unidas. Declaración de los Derechos del Niño. [internet]. [Consultado 2022 Nov 1]. Disponible en: https://www.unicef.es/sites/unicef.es/files/comunicacion/ConvencionsobrelosDerechosdelNino_0.pdf
Instituto colombiano de bienestar familiar (ICBF). Lineamiento técnico para la atención de niños, niñas y adolescentes con sus derechos inobservados, amenazados o vulnerados por causa de la violencia (2017). Disponible en: https://www.icbf.gov.co/el-instituto/sistema-integrado-de-gestion/lm21p-lineamiento-tecnico-atencion-nna-con-derechos
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):100-106. Doi: http:// 10.17796/1053-4625-44.2.6.
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):145-151. Doi: http://10.1111/idj.12532.
Pinto L, Lein A, Mahoque R, Wright DW, Sasser SM, Staton CA. A cross-sectional exploratory study of knowledge, attitudes, and practices of emergency health care providers in the assessment of child maltreatment in Maputo, Mozambique. BMC Emerg Med. 2018; 18(1):11. Doi: http://10.1186/s12873-018-0162-9
Arrieta Vergara KM, Díaz Cárdenas S, González Martínez F. Maltrato infantil: conocimientos, actitudes y prácticas de estudiantes de Odontología de Cartagena, Colombia. Rev Clin Med Fam. 2014; 7(2):103-111. Doi: https://dx.doi.org/10.4321/S1699-695X2014000200004.
Arrieta Vergara K, Díaz Cárdenas S, Ramos Martínez K. Conocimientos, actitudes y prácticas sobre maltrato infantil en odontólogos de Cartagena (Colombia). Salud Uninorte. 2017; 33 (2): 129-138. Disponible en: https://www.redalyc.org/articulo.oa?id=81753189007
Singh V, Lehl G. Child abuse and the role of a dentist in its identification, prevention and protection: A literature review. Dent Res J (Isfahan). 2020; 17(3):167-173. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7386370/
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; 22(1):40-46. Doi: http://10.1111/eje.12242.
Ministerio de Salud y Protección Social. Encuesta Nacional de Violencia contra Niños, Niñas y Adolescentes EVCNNA 2019. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/evcnna-presentacion.pdf
Instituto Nacional de Medicina Legal y Ciencias Forenses—INMLCF/ Grupo Centro de Referencia Nacional sobre Violencia—GCRNV. Violencia intrafamiliar según ciclo vital y contexto. Colombia, año 2021 (enero-abril). Disponible en: https://www.medicinalegal.gov.co/documents/20143/628335/Boletin+enero+2021+crnv.pdf
Valente L, Dalledone M, Pizzatto E, Zaiter W, Feltrin de Souza J, Losso E. Domestic Violence Against Children and Adolescents: Prevalence of Physical Injuries in a Southern Brazilian Metropolis. Braz. Dent. J. 2015; 26(1): 55-60 Doi: https://doi.org/10.1590/0103-6440201300137
Organización Panamericana de la Salud, Organización Mundial de la Salud. AIEPI- Atención Integrada a las Enfermedades Prevalentes de la Infancia [internet]. [Citado 2022 Nov 1]. Disponible en: https://www3.paho.org/hq/index.php?option=com_content&view=article&id=13849:imci-integrated-child-h ealth&Itemid=40283&lang=es
Esser MB et al. Physical abuse, psychological abuse and neglect: Evidence of alcohol-related harm to children in five states of India. Drug Alcohol Rev. 2016; 35(5):530-8. https://onlinelibrary.wiley.com/doi/10.1111/dar.12377
Henry MK, Wood JN. What's in a name? Sentinel injuries in abused infants. Pediatr Radiol. 2021; 51(6):861-865. Doi: http://10.1007/s00247-020-04915-7.
República de Colombia - Gobierno nacional. Ley 2089 de 2021. [internet]. [Consultado 2022 nov 3]. Disponible en: https://www.suin-juriscol.gov.co/viewDocument.asp?id=30041715#:~:text=(mayo%2014)-,por%20medio%20de%20la%20cual%20se%20proh%C3%ADbe%20el%20uso%20del,y%20se%20dictan%20otras%20disposiciones.
Sege RD, Siegel BS. Effective Discipline to Raise Healthy Children. Pediatrics. 2018; 142(6):e20183112. Doi: https://doi.org/10.1542/peds.2018-3112
Lefebvre R, Fallon B, Van Wert M, Filippelli J. Examining the Relationship between Economic Hardship and Child Maltreatment Using Data from the Ontario Incidence Study of Reported Child Abuse and Neglect-2013 (OIS-2013). Behav Sci (Basel). 2017; 7(1):6. Doi: http://10.3390/bs7010006
Tamutienė I. Alcohol-related child maltreatment: Reports to the Child Rights Protection Service in Kaunas municipality. Nordisk Alkohol Nark. 2018; 35(1):9-23. Doi: http://10.1177/1455072517749132.
Sheets LK, Leach ME, Koszewski IJ, Lessmeier AM, Nugent M, Simpson P. Sentinel injuries in infants evaluated for child physical abuse. Pediatrics. 2013 Apr;131(4):701-7. Doi: http://10.1542/peds.2012-2780.
Scorca A, Santoro V, De Donno A, Grattagliano I, Tafuri S, Introna F. Early childhood caries (ECC) and neglect in child care: analysis of an Italian sample. Clin Ter. 2013; 164(5):e365-71. Doi: http://10.7417/CT.2013.1614.
Fisher-Owens SA, Lukefahr JL, Tate AR. Oral and Dental Aspects of Child Abuse and Neglect. Pediatr Dent. 2017; 39(4):278-283. Doi: https://doi.org/10.1542/peds.2017-1487
Sarkar R, Ozanne-Smith J, Bassed R. Systematic Review of the Patterns of Orofacial Injuries in Physically Abused Children and Adolescents. Trauma Violence Abuse. 2021; 22(1):136-146. Doi: http://10.1177/1524838019827617.
Vidal S, Prince D, Connell CM, Caron CM, Kaufman JS, Tebes JK. Maltreatment, family environment, and social risk factors: Determinants of the child welfare to juvenile justice transition among maltreated children and adolescents. Child Abuse Negl. 2017 Jan;63:7-18. Doi: http://10.1016/j.chiabu.2016.11.013.
Stritzke A, MacPherson J. Split frenulum: Nonaccidental trauma or frenotomy? Paediatr Child Health. 2019; 24(2):72-73. Doi: http://10.1093/pch/pxy087
Maguire S, Hunter B, Hunter L. Diagnosing abuse: a systematic review of torn frenum and other intra-oral injuries. Arch Dis Child. 2007; 92(12):1113-1117. Doi: http://10.1136/adc.2006.113001
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):145-151. Doi: http://10.1111/idj.12532.
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 May-Aug;6(2):118-23. Doi: http://10.1016/j.jobcr.2015.08.002.
Kaur H, Vinod KS, Singh H, Arya L, Verma P, Singh B. Child maltreatment: Cross-sectional survey of general dentists. J Forensic Dent Sci. 2017 Jan-Apr;9(1):24-30. Doi: http://10.4103/jfo.jfds_6_15.
Guterman K. Unintended pregnancy as a predictor of child maltreatment. Child Abuse Negl. 2015; 48:160-9. Doi: http://10.1016/j.chiabu.2015.05.014
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