Knowledge, Attitude and Practice of Dentists at Military Hospitals Regarding Child Abuse and Neglect.
NCT ID: NCT04209361
Last Updated: 2019-12-24
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
1 participants
OBSERVATIONAL
2020-01-31
2020-09-30
Brief Summary
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Detailed Description
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Child abuse is a meaningful problem that exists among different cultural and socio-economic groups. Child abuse includes several conditions that threaten and harms lives of children. It is considered to be one of the largest causes of pediatric mortality.
The World Health Organization (WHO) defines CAN as 'Every kind of physical, sexual, emotional abuse, neglect or negligent treatment, commercial or other exploitation resulting in actual or potential harm to the child's health, survival, development, or dignity in the context of a relationship of responsibility, trust or power'.
The American Academy of Pediatric Dentistry (AAPD) defined dental neglect, as 'willful failure of a parent or guardian to seek and follow through with whatever treatment is necessary to ensure a level of oral health essential for adequate chewing function and freedom from pain and infection'.
The Child Abuse Committee of the Council on Clinical Affairs developed that definition and it was approved in 1983.
In West and Central Africa, children are susceptible to various hazards since birth including human trafficking, child labor, child marriage, conflict and other emergencies.
Frequently, abusive injuries comprise the face and oral cavity thus, dental providers may be the first to encounter these injuries. Many surveys revealed that 50 -77% of child abuse cases involving head and neck regions, consequently placing oral health care workers in an important position to detect, diagnose, document, and report to convenient authorities.
As approximately 50% of injuries due to child abuse occur in head and neck region, medical and dental professionals are in a good position for early detection and diagnosis of physical child abuse. Almost 15% of child abuse related injuries are confined to the head region Therefore, dentists have a significant role in improving the status of abused children and saving them from their dire situation.
Research has shown that guardians or parents who abuse their children regularly change their child's physicians, but very rarely change their dentists, thus dentists are considered to be in the most ideal position for detection of physical abuse in children. The American Dental Association reported the first documented evidence of dentists failing to report child maltreatment in 1967, declaring that none of 416 reported cases of child abuse was reported by a dentist in New York State.
In Egypt, few studies have discussed the problem of child abuse. Cases in most of these studies were collected from emergency, clinical departments, social welfare, criminal records or autopsies. Child abuse among Egyptian primary-school children was studied in 1994 and 1999. No data were collected regarding the prevalence of abuse among older preparatory-school and secondary school children.
Also few data are available about the knowledge, attitudes and practices of primary health care professionals toward prevention and treatment of childhood unintentional injuries.
Conditions
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Keywords
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Study Design
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ECOLOGIC_OR_COMMUNITY
CROSS_SECTIONAL
Interventions
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Questionnaire
Data will be obtained through a printed questionnaire for assessment of knowledge, attitude and practice of dentists at military hospitals regarding child abuse and neglect. The collected data will be saved and tabulated on a computer and finally will be statistically analyzed.
Eligibility Criteria
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Inclusion Criteria
* Civilian dentists at military hospitals.
Exclusion Criteria
21 Years
70 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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begad hamdy ahmed own
Principal Investigator
Central Contacts
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References
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Afifi ZE, El-Lawindi MI, Ahmed SA, Basily WW. Adolescent abuse in a community sample in Beni Suef, Egypt: prevalence and risk factors. East Mediterr Health J. 2003 Sep-Nov;9(5-6):1003-18.
Badam RK, Sownetha T, Babu DBG, Waghray S, Reddy L, Garlapati K, Chavva S. Virtopsy: Touch-free autopsy. J Forensic Dent Sci. 2017 Jan-Apr;9(1):42. doi: 10.4103/jfo.jfds_7_16.
Bunney PE, Zink AN, Holm AA, Billington CJ, Kotz CM. Orexin activation counteracts decreases in nonexercise activity thermogenesis (NEAT) caused by high-fat diet. Physiol Behav. 2017 Jul 1;176:139-148. doi: 10.1016/j.physbeh.2017.03.040. Epub 2017 Mar 28.
Definition of Dental Neglect. Pediatr Dent. 2017 Sep 15;39(6):13. No abstract available.
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.
Hazar Bodrumlu E, Avsar 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):40-46. doi: 10.1111/eje.12242. Epub 2016 Oct 13.
Jahanimoghadam F, Kalantari M, Horri A, Ahmadipour H, Pourmorteza E. A Survey of Knowledge, Attitude and Practice of Iranian Dentists and Pedodontists in Relation to Child Abuse. J Dent (Shiraz). 2017 Dec;18(4):282-288.
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: 10.1016/j.jobcr.2015.08.002. Epub 2015 Sep 4.
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 Jul-Sep;33(3):177-82. doi: 10.4103/0970-4388.160344.
Other Identifiers
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Dentists and child abuse
Identifier Type: -
Identifier Source: org_study_id