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VOLUME 18 , ISSUE 2 ( February, 2017 ) > List of Articles

RESEARCH ARTICLE

Child Abuse and Neglect: Do We know enough? A Cross-sectional Study of Knowledge, Attitude, and Behavior of Dentists regarding Child Abuse and Neglect in Pune, India

Suruchi Malpani, Jatin Arora, Gunjeeta Diwaker, Priyajeet Kaur Kaleka, Aditi Parey, Parinita Bontala

Citation Information : Malpani S, Arora J, Diwaker G, Kaleka PK, Parey A, Bontala P. Child Abuse and Neglect: Do We know enough? A Cross-sectional Study of Knowledge, Attitude, and Behavior of Dentists regarding Child Abuse and Neglect in Pune, India. J Contemp Dent Pract 2017; 18 (2):162-169.

DOI: 10.5005/jp-journals-10024-2009

Published Online: 01-02-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Child abuse and neglect (CAN) is a significant global problem with a serious impact on the victims throughout their lives. Dentists have the unique opportunity to address this problem. However, reporting such cases has become a sensitive issue due to the uncertainty of the diagnosis. The authors are testing the knowledge of the dentists toward CAN and also trying to question the efforts of the educational institutions to improve this knowledge for the better future of the younger generation.

Materials and methods

Questionnaire data were distributed to 1,106 members regarding their knowledge, professional responsibilities, and behavior concerning child abuse.

Results

There were 762 responses to the questionnaire, yielding a response rate of 68.9%. Although dentists consider themselves able to identify suspicious cases, only a small percentage of the participants correctly identified all signs of abuse and 76.8% knew the indicators of child abuse. Most of them were willing to get involved in detecting a case and about 90% believed that it is their ethical duty to report child abuse. Only 7.2% suspected an abuse case in the past. The numbers indicate a lack of awareness about CAN in these participants. No differences were observed between sexes, year of graduation, types of license, frequency at which children were treated, and formal training already received.

Conclusion

A large proportion of child physical abuse cases go undocumented and unreported. The data showed that not all dental care providers and students were prepared to fulfill their legal and professional responsibilities in these situations.

Clinical significance

There should be modifications in the dental school curriculum focusing on educational experiences regarding child abuse to strengthen their capability to care and protect children.

How to cite this article

Malpani S, Arora J, Diwaker G, Kaleka PK, Parey A, Bontala P. Child Abuse and Neglect: Do We know enough? A Cross-sectional Study of Knowledge, Attitude, and Behavior of Dentists regarding Child Abuse and Neglect in Pune, India. J Contemp Dent Pract 2017;18(2):162-169.


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  1. Child abuse and neglect in India: time to act. Jpn Med Assoc J 2013 Sep-Oct;56(5):302-309.
  2. Forensic odontology, part 5. Child abuse issues. Br Dent J 2011 May;210(9):423-428.
  3. World report on violence and health – exploring Australian responses. Aust N Z J Public Health 2002 Oct;26(5):405-408.
  4. Individual, family, and culture level contributions to child physical abuse and neglect: a longitudinal study in nine countries. Dev Psychopathol 2015 Nov;27(4 Pt 2):1417-1428.
  5. Child, neglect and oral health. BMC Pediatr 2013 Nov;13(1):188.
  6. Child abuse in India. Asian Soc Sci 2011 Mar;7(3):150-153.
  7. Reluctant to report: the mandated reporting practices of child care providers [Dissertations]. Paper 437; 2011.
  8. Physical child abuse in America: past, present, and future. Child maltreatment: theory and research on the causes and consequences of child abuse and neglect. Vol. 30. New York: Cambridge University Press; 1989. p. 38-75.
  9. “The bones tell a story the child is too young or too frightened to tell”: the Battered Child Syndrome in Post-war Britain and America. Soc Hist Med 2015 Nov;28(4):767-788.
  10. Longitudinal study on the effects of child abuse and children's exposure to domestic violence, parent-child attachments, and antisocial behavior in adolescence. J Interpers Violence 2011 Jan;26(1):111-136.
  11. Child abuse. Delhi Psy J 2012;15(2):416-419.
  12. Promoting research to prevent child maltreatment. Conference Material; Report (Summary); 2013. p. 1-13.
  13. Reports of child abuse in India from scientific journals and newspapers: an exploratory study. Online J Health Allied Sci 2013 Oct-Dec;12(4):8.
  14. Medical professional perception, attitude, knowledge, and experience about child abuse and neglect in Bagalkot district of north Karnataka: a survey report. J Indian Soc Pedod Prev Dent 2011 Oct;29(3):193-197.
  15. Child Protection and Juvenile Justice System. Mumbai: CHILDLINE India Foundation; 2008.
  16. Child abuse: our role! J Ahmedabad Dent Coll Hosp (JADCH) 2014 Sep;5(2):63-67.
  17. Trafficking in women and children in India: nature, dimensions and strategies for prevention. Int J Hum Rights 2009 Dec;13(5):716-738.
  18. Sexual abuse in women with special reference to children: Barriers, boundaries and beyond. Indian J Psychiatry 2013 Oct;55(4):316-319.
  19. Sharp rise in child sexual abuse cases. Newspaper on the Internet [cited 2014 Nov 18]. Available from: http://www.googleweblight.com/?lite_url=http://www.m.timesofindia.com/city/pune/sharp-rise-in-child-sexual-abuse-cases/articleshow/45183423.cms&ei=dcnh0_2u&lc=en-in&s=1&m=157&host=www.google.co.in&ts=1472797941&sig=akovd64gmkwbzfvwzipe4whdigyr9us-lw.
  20. Child abuse: a classic case report with literature review. Contemp Clin Dent 2014 Apr-Jun;5(2):256-259.
  21. Dentist attitudes and responsibilities concerning child sexual abuse. A review and a case report. J Clin Exp Dent 2015 Jul;7(3):e428-e434.
  22. 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 Jul-Sep;33(3):177-182.
  23. Domestic violence in children-what lies behind the door?. Santosh Univ J Health Sci 2015;1(1):41-44.
  24. Dental perspective: recognition and response to child abuse and neglect in Indian setting. J Indian Acad Oral Med Radiol 2011 Jan-Mar;23(1):57-60.
  25. Mandated reporting of child abuse: answers for dentists. J Calif Dent Assoc 2004 Apr;32(4):307-312.
  26. The dental team's role in identifying and preventing family violence. American Dental Assistants Association; 2013. p. 1-19.
  27. Oral and dental aspects of child abuse and neglect. Pediatrics 2005 Dec;116(6):1565-1568.
  28. Guideline on oral and dental aspects of child abuse and neglect. Pediatr Dent 2008-2009;30(Suppl 7):86-89.
  29. Nutritional child neglect: a review. IJFS Internet J Forensic Sci 2009;4(1):1-7.
  30. Child dental neglect: a short review. Int J High Risk Behav Addict 2014 Dec;3(4):1-62.
  31. Doctor arrested for failing to report child abuse case. Newspaper on the Internet [cited 2015 Apr 02]. Available from: http://www.googleweblight.com/?lite_url=http://m.timesofindia.com/city/pune/doctor-arrested-for-failing-to-report-child-abuse-case/articleshow/46776418.cms&ei=lktdc8m6&lc=en-in&s=1&m=157&host=www.google.co.in&ts=1472797623&sig=akovd67dp3_t2w_ymnyd-kynzno6cneb6a.
  32. Is dental neglect a child abuse? A review. Int J Adv Res 2013;1(5):273-275.
  33. Detecting child abuse and neglect – are dentists doing enough? J Can Dent Assoc 1999 Jul-Aug;65(7):387-391.
  34. Child abuse and neglect: role of dentist in detection and reporting. J Educ Ethics Dent 2013 Jan;3(1):2-5.
  35. Knowledge, attitudes, and experience of dentists living in Saudi Arabia toward child abuse and neglect. Saudi Dent J 2014 Jul;26(3):79-87.
  36. Recognizing when a child's injury or illness is caused by abuse. Washington, DC: US Department of Justice, Office of Juvenile Justice and Delinquency Prevention; 2006. p. 1-24.
  37. Fighting Malnutrition through Nutrition Rehabilitation Centres; 2013. Available from: https://www.savethechildren.in/news/fighting-malnutrition.
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