0051/2020 - Prevalence of recognition and reporting of child physical abuse by dental surgeons and associated factors. Prevalência de identificação e notificação de abuso físico infantil por dentistas efatores associados.
Estudos que avaliem os fatores associados à subnotificação e às dificuldades dos dentistas para identificar e notificar abuso físico infantil são escassos e necessários. Este estudo objetivou investigar a prevalência de identificação e de notificação de abuso físico infantil (AFI) por dentistas da atenção primária e fatores associados. Trata-se de um estudo transversal com amostra representativa dos dentistas da Estratégia Saúde da Família de Belo Horizonte. Para a coleta de dados, foi utilizado um questionário autoaplicável, validado para uso no Brasil. A análise estatística incluiu análise univariada e múltipla pela Regressão de Poisson. Um total de 181 profissionais participaram do estudo. Destes, 73 (40,3%) já identificaram algum caso de AFI, mas apenas 11 (6,1%) realizaram a notificação. Dentistas com 6 a 19 anos de trabalho no município apresentaram 2,38 vezes [RP = 2,38 (95%CI: 1,29-4,41)] mais probabilidade de identificar casos de AFI do que aqueles com menos de 6 anos. Possuir pós-graduação com foco em crianças [PR=4.50(95%CI:1.08-18.68)] esteve positivamente associado a um maior número de notificações. O tempo de trabalho no município esteve associado com a identificação de casos de AFI. A prevalência de notificação encontrada foi baixa.
Palavras-chave:
Maus-tratos infantis. Notificação. Estratégia Saúde da Família. Violência. Dentistas.
Abstract:
Studiesevaluatingthefactorsassociatedwithunderreportingandwiththerecognitionandreportingofchildphysical abuse are scarceandhighlynecessary. This study aimed to assess the prevalence of recognition and reporting of child physical abuse (CPA) by Brazilian dentistsin primary care and associated factors. A cross-sectional study was carried out with a representative sample of dentistsfrom the Family Health Strategy in Belo Horizonte. A self-administered questionnaire validated to Brazilian Portuguesewas used for data collection.Statistical analysis included univariate and multiple analysesthroughPoisson Regression. A total of 181dentistsparticipated in the study. Among them, 73 (40.3%) had already recognized some cases of CPA, butonly 11 (6.1%) ended up reporting. Dentists with 6 to 19 yearsof experience as a municipal worker presented 2.38times [PR=2.38(95%CI:1.29-4.41)]moreprobability to recognize cases of CPA than the ones with less than 06 years. Having a graduate degree with a majorinchild care[PR=4.50(95%CI:1.08-18.68)]was associated with a larger number of reports. The employment duration as municipal worker was positively associated with the recognition of CPA cases andthe prevalence of reporting was low.
Keywords:
Child Abuse; Mandatory Reporting; Family Health Strategy; Violence; Dentists.
Prevalência de identificação e notificação de abuso físico infantil por dentistas efatores associados.
Resumo (abstract):
Studiesevaluatingthefactorsassociatedwithunderreportingandwiththerecognitionandreportingofchildphysical abuse are scarceandhighlynecessary. This study aimed to assess the prevalence of recognition and reporting of child physical abuse (CPA) by Brazilian dentistsin primary care and associated factors. A cross-sectional study was carried out with a representative sample of dentistsfrom the Family Health Strategy in Belo Horizonte. A self-administered questionnaire validated to Brazilian Portuguesewas used for data collection.Statistical analysis included univariate and multiple analysesthroughPoisson Regression. A total of 181dentistsparticipated in the study. Among them, 73 (40.3%) had already recognized some cases of CPA, butonly 11 (6.1%) ended up reporting. Dentists with 6 to 19 yearsof experience as a municipal worker presented 2.38times [PR=2.38(95%CI:1.29-4.41)]moreprobability to recognize cases of CPA than the ones with less than 06 years. Having a graduate degree with a majorinchild care[PR=4.50(95%CI:1.08-18.68)]was associated with a larger number of reports. The employment duration as municipal worker was positively associated with the recognition of CPA cases andthe prevalence of reporting was low.
Palavras-chave (keywords):
Child Abuse; Mandatory Reporting; Family Health Strategy; Violence; Dentists.
