Awareness and knowledge of child abuse amongst physicians – a descriptive study by a sample of rural Austria

Kraus, Christoph; Jandl-Jager, Elisabeth

doi:10.1007/s00508-011-1579-2

Cited by 17 publications

(22 citation statements)

References 43 publications

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“…Conformingly, bruises/scarring and marks on the body were the most frequently mentioned symptoms, and responses pointing to symptoms of sexual abuse were virtually absent. These findings of health care providers having knowledge predominantly of physical abuse are consistent with those of CM studies in international literature [ 37 , 38 ]. A central challenge in the correct diagnosis of CM is that fact that most pediatric injuries globally (90%) are in fact unintentional and occur without malice [ 39 ].…”

Section: Discussionsupporting

confidence: 88%

“…Accordingly, future interventions to educate health care providers and increase knowledge should focus on individual-level risk factors for CM and encourage consideration of patient history and demographics in the assessment. Moreover, there is a need to better understand and treat negligence and emotional abuse as forms of CM, as well as provide long-term support to victims [ 26 , 37 , 38 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

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A cross-sectional exploratory study of knowledge, attitudes, and practices of emergency health care providers in the assessment of child maltreatment in Maputo, Mozambique

Pinto¹,

Lein

Mahoque³

et al. 2018

BMC Emerg Med

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BackgroundIn Mozambique, and other low-income countries (LICs), there is little information on the burden of child maltreatment (CM). Emergency care services (ECS) play an important role in recognizing, treating, and intervening in situations of CM. We aim to identify knowledge, attitudes, and practices regarding CM among health care providers in ECS at Mavalane General Hospital in Maputo, Mozambique.MethodsThis exploratory cross-sectional study evaluates the knowledge, attitudes, and practices of health care providers to diagnose and treat cases of CM. A 25 min, pilot-tested verbal interview questionnaire was administered to 49 physicians and nurses working in ECS at Mavalane General Hospital. Interviews were completed between October–November 2010. Data were managed and analyzed in SPSS 14.0 and descriptive statistics were generated.ResultsOf 49 health care providers, 83.6% reporting receiving no, or very little CM education or training. Only 61.2% had knowledge of physical abuse as a main form of child maltreatment and 38.8% were able to identify corresponding symptoms of physical abuse. Sexual abuse as a main form of CM was mentioned by 26.5 and 2% cited its symptoms. While 87.7% of health care providers strongly agreed or agreed that they hold an important role in preventing CM, 51.1% also strongly disagreed or disagreed that they feel confident diagnosing and treating CM cases. In regards to follow-up, 14.3% strongly disagreed or disagreed that they know where to refer victims for further follow-up and an additional 14.3% did not know whether they agreed or disagreed.ConclusionThis study revealed knowledge gaps in emergency health care provider knowledge of the main forms of CM and their symptoms. The fact that a majority of health care providers in our sample did not receive information specific to CM in their medical education and training could explain this gap, as well as their unawareness of where to refer victims. Given that health care providers believe they play an important role in identifying and treating CM, future research should focus on raising physician awareness of CM and developing education and training materials grounded in cultural contexts to build response capacity in Mozambique and other LICs.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

A cross-sectional exploratory study of knowledge, attitudes, and practices of emergency health care providers in the assessment of child maltreatment in Maputo, Mozambique

Pinto¹,

Lein

Mahoque³

et al. 2018

BMC Emerg Med

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“…Kraus and Jandl-Jager[18] found that the majority of physicians recognized the most common symptoms of child abuse. Alnasser et al [19] found that the Saudi medical students, pediatrics trainees, and pediatricians have good basic knowledge.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitude regarding child abuse among primary health care physician in Abha, Saudi Arabia, 2018

Alsaleem

Asiri

et al. 2019

J Family Med Prim Care

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Backgrounds:Child abuse or child maltreatment is physical, sexual, or psychological maltreatment or neglect of a child or children, especially by a parent or other caregiver. Child abuse may include any act or failure to act by a parent or other caregiver that results in actual or potential harm to a child, and can occur in a child's home or in the organizations, schools, or communities the child interacts with. This study was conducted to assess the primary health care (PHC) centers’ physicians’ knowledge and attitude toward child abuse including its types, and child neglect with their behavior regarding reporting of abuse cases.Methods:A cross-sectional study was conducted in Abha which is the capital of Aseer Province, including all PHC physicians (about 475) working in PHC centers. Data regarding physicians’ demographic characteristics, perception, and awareness regarding child abuse and neglect were collected by self-administrative questionnaire in the PHC center during their time between patients’ consultation.Results:The study included 300 PHC physicians whose ages ranged from 25 to 50 years old with mean age of 28 years. About 65% of the physicians were males and 69% of them were married with about 73% having at least one child. Overall, 96.3% of the physicians recorded good awareness level regarding types of child abuse and 97.3% recorded good awareness level regarding child neglect patterns. Underreporting of child abuse cases was recorded by about 64% of physicians.Conclusion:Regarding child abuse and neglect, PHC physicians have good knowledge, optimal attitude, and positive perception. There was also the problem of underreporting of suspected child abuse cases among PHC physicians in Saudi Arabia, with many barriers to report, such as community traditions; unclear reporting strategy was identified.

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“…Our study states that 65.8% of the responders were not satisfied with their knowledge and 93% of them indicated they wanted some form of CME on abuse. It is reported that physicians in rural regions of Austria possessed basic knowledge on child abuse but were not aware of the referral system [ 24 ]. To improve diagnosis, reporting, strengthening the interaction with experts and to reduce fears in handling child abuse victim, better training is needed.…”

Section: Discussionmentioning

confidence: 99%

Child abuse and neglect in the Jaffna district of Sri Lanka – a study on knowledge attitude practices and behavior of health care professionals

2018

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BackgroundVictims and perpetrators of child abuse do not typically self-report to child protection services, therefore responsibility of detection and reporting falls on the others. Knowledge on child protection is essential for the first contact person and such information is sparse in research literature originally coming from Sri Lanka. Anecdotally, several cases of child abuse have been missed out at the first contact level. Therefore we undertook this survey to assess the knowledge, attitudes towards child protection and the experiences of medical officers, nursing officers and social workers on child protection.MethodThis was a descriptive analytical study carried out in hospitals and the community during March–October 2016. An anonymous content validated self-administered questionnaire was used as the study instrument. Knowledge, Attitude, Practices and Behaviour were assessed via multiple choice questions and responses according to Likert score. Three anonymised case records were given as case vignettes to be studied by the participants and their responses were also recorded on the questionnaire.ResultsAmong the 246 responders 156 (63.4%) were doctors. All groups of professionals identified the forms of child abuse correctly and the social indicators of child abuse was correctly identified in 152 (61.7%). Majority failed to identify the features of the perpetrator. Majority of the professionals showed a favourable response in attitude when dealing with child maltreatment. 153 (62%) had suspected child abuse in their career and 64% of them had reported it to the authority. Fifty two (21%) had attended a training workshop on child abuse and 65.8% of the responders were not satisfied with their knowledge. 229(93%) of them indicated that they wanted some form of education on child maltreatment. The Knowledge, Attitude and Behaviour towards child abuse were significantly good on people with experience in the field of Paediatrics and Judicial Medical work, when compared to those who did not have the experience in these two fields. (p value< 0.01).ConclusionAlthough the knowledge among health professionals regarding child abuse and care was satisfactory, further areas need reinforcement. The attitude was more positive, the behavior and practices on child maltreatment needed reinforcement via workshops and continuing medical education.

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Awareness and knowledge of child abuse amongst physicians – a descriptive study by a sample of rural Austria

Cited by 17 publications

References 43 publications

A cross-sectional exploratory study of knowledge, attitudes, and practices of emergency health care providers in the assessment of child maltreatment in Maputo, Mozambique

A cross-sectional exploratory study of knowledge, attitudes, and practices of emergency health care providers in the assessment of child maltreatment in Maputo, Mozambique

Knowledge and attitude regarding child abuse among primary health care physician in Abha, Saudi Arabia, 2018

Child abuse and neglect in the Jaffna district of Sri Lanka – a study on knowledge attitude practices and behavior of health care professionals

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