Child physical abuse: Perception and responsibility of dentists living in the United Arab Emirates

Abstract

Aims: The aims of this study were to investigate dentists’ level of knowledge and experience regarding child physical abuse in the United Arab Emirates, to identify barriers that prevent the reporting of suspected cases by dental practitioners, and to assess the need for training dentists in child protection. Materials and Methods: A cross-sectional survey was conducted among 124 dentists working in private practice in the Emirate of Dubai; the data were collected by self-administered structured questionnaires. Data were analyzed using descriptive analyses for responses to each question. Results: Of all general dental practitioners invited to participate, only 70% have responded. Almost one-quarter of the dentists encountered a suspicious child abuse case at least once in their career, but only 30% of those reported their suspicion. The most common barriers that preclude the dentists from reporting child abuse cases were uncertainty about their diagnosis, lack of knowledge regarding referral procedures, followed by the fear of violence in the family toward the child. However, the majority of the participants were aware of their legal responsibilities toward protecting children from abuse and they expressed their need for further training in this area. Conclusions: Based on the results of this study, it appears that the level of knowledge among the respondents regarding the recognition and reporting of child physical abuse was lacking. Therefore, specialized training in this area is highly recommended.

Keywords

Attitudes - child abuse - dentists - knowledge - training

Financial support and sponsorship

Nil.

Publication History

Article published online:
01 November 2021

• References

• 1 Kaur H, Vinod KS, Singh H, Arya L, Verma P, Singh B, et al. Child maltreatment: Cross-sectional survey of general dentists. J Forensic Dent Sci 2017;9:24-30.
• 2 World Health Organization. Report of the Consultation on Child Abuse Prevention. Geneva: World Health Organization; 1999.
• 3 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.
• 4 Cairns AM, Mok JY, Welbury RR. The dental practitioner and child protection in Scotland. Br Dent J 2005;199:517-20.
• 5 Manea S, Favero GA, Stellini E, Romoli L, Mazzucato M, Facchin P, et al. Dentists’ perceptions, attitudes, knowledge, and experience about child abuse and neglect in Northeast Italy. J Clin Pediatr Dent 2007;32:19-25.
• 6 Al-Jundi SH, Zawaideh FI, Al-Rawi MH. Jordanian dental students’ knowledge and attitudes in regard to child physical abuse. J Dent Educ 2010;74:1159-65.
• 7 Rai S, Kaur M, Kaur S. Dental perspective: Recognition and response to child abuse and neglect in Indian setting. J Indian Acad Oral Med Radiol 2011;23:57-60.
• 8 Cukovic-Bagic I, Welbury RR, Flander GB, Hatibovic-Kofman S, Nuzzolese E. Child protection: Legal and ethical obligation regarding the report of child abuse in four different countries. J Forensic Odontostomatol 2013;31:15-21.
• 9 Dupare R, Kumar P, Datta SS, Dupare A. Identifying the dirty secret of child abuse through dentistry. Indian J Forensic Odontol 2012;5:11-6.
• 10 Ferrara P, Gatto A, Manganelli NP, Ianniello F, Amodeo ME, Amato M, et al. The impact of an educational program on recognition, treatment and report of child abuse. Ital J Pediatr 2017;43:72.
• 11 Harris JC, Elcock C, Sidebotham PD, Welbury RR. Safeguarding children in dentistry: 1. Child protection training, experience and practice of dental professionals with an interest in paediatric dentistry. Br Dent J 2009;206:409-14.
• 12 Bhatia SK, Maguire SA, Chadwick BL, Hunter ML, Harris JC, Tempest V, et al. Characteristics of child dental neglect: A systematic review. J Dent 2014;42:229-39.
• 13 AlBuhairan FS, Inam SS, AlEissa MA, Noor IK, Almuneef MA. Self reported awareness of child maltreatment among school professionals in Saudi Arabia: Impact of CRC ratification. Child Abuse Negl 2011;35:1032-6.
• 14 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.
• 15 Sonbol HN, Abu-Ghazaleh S, Rajab LD, Baqain ZH, Saman R, Al-Bitar ZB, et al. Knowledge, educational experiences and attitudes towards child abuse amongst Jordanian dentists. Eur J Dent Educ 2012;16:e158-65.
• 16 Al-Dabaan R, Newton JT, Asimakopoulou K. Knowledge, attitudes, and experience of dentists living in Saudi Arabia toward child abuse and neglect. Saudi Dent J 2014;26:79-87.
• 17 Habib HS. Pediatrician knowledge, perception, and experience on child abuse and neglect in Saudi Arabia. Ann Saudi Med 2012;32:236-42.
• 18 Al-Habsi SA, Roberts GJ, Attari N, Parekh S. A survey of attitudes, knowledge and practice of dentists in London towards child protection. Are children receiving dental treatment at the Eastman dental hospital likely to be on the child protection register? Br Dent J 2009;206:E7.
• 19 Hashim R, Al-Ani A. Child physical abuse: Assessment of dental students’ attitudes and knowledge in United Arab Emirates. Eur Arch Paediatr Dent 2013;14:301-5.
• 20 Newton AS, Zou B, Hamm MP, Curran J, Gupta S, Dumonceaux C, et al. Improving child protection in the emergency department: A systematic review of professional interventions for health care providers. Acad Emerg Med 2010;17:117-25.
• 21 American Academy of Pediatrics Committee on Child Abuse and Neglect and the American Academy of Pediatric Dentistry. Guideline on oral and dental aspects of child abuse and neglect. Ref Man 2010;37:172-5.
• 22 Kemoli AM, Mavindu M. Child abuse: A classic case report with literature review. Contemp Clin Dent 2014;5:256-9.