Research Article
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Knowledge Levels of Child Abuse and Neglect Among a Group of Turkish Dentistry Students

Year 2025, , 187 - 194, 15.01.2025
https://doi.org/10.37990/medr.1599726

Abstract

Aim: Dentists play an important role in identifying signs of child abuse and neglect and reporting them to the appropriate authorities. This study aims to evaluate the knowledge of a group of dental students in the Central Black Sea region about child abuse and neglect.
Material and Method: This cross-sectional study includes dental students from the Faculty of Dentistry at Tokat Gaziosmanpaşa University, enrolled during the 2023-2024 academic year. An online survey consisting of 28 questions was administered to dental students who agreed to participate, covering demographic information and assessing their knowledge level regarding child abuse and neglect. The data were analyzed using descriptive statistics and two-way ANOVA.
Results: A total of 266 (70.4%) students aged between 18 and 25 participated in this study. Among the dental students reported that 10.2% suspected child abuse and neglect, while 9.8% stated that they would prefer to report when they suspect such cases. While 58.6% of dental students believed that child abuse and neglect should be reported legally, 60.9% stated that they may not report suspected cases due to the possibility of making a misdiagnosis. While the impact of gender on dental students' knowledge levels regarding child abuse and neglect was not observed, the effect of academic year was significant (p<.05), with the lowest knowledge levels found among 1st grade students.
Conclusion: This study highlights the deficiencies in dental students' knowledge regarding the identifying of child abuse and neglect in dentistry, as well as their legal obligations. Therefore, it is recommended that all dental students receive education on child abuse and neglect.

Ethical Statement

This study was approved by the Tokat Gaziosmapaşa University Clinical Research Local Ethics Committee (Approval No. 23-KAEK-152, dated June 22, 2023).

Supporting Institution

None

Thanks

None

References

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  • World Health Organization: Violence against children. https://www.who.int/health-topics/violence-against-children#tab=tab_2 access date 01.12.2024.
  • Pietrantonio AM, Wright E, Gibson KN, et al. Mandatory reporting of child abuse and neglect: crafting a positive process for health professionals and caregivers. Child Abuse Negl. 2013;37:102-9.
  • NSPCC Learning: Child protection plan and register statistics. https://learning.nspcc.org.uk/research-resources/child-protection-plan-register-statistics access date 01.12.2024.
  • Al-Eissa MA, AlBuhairan FS, Qayad M, et al. Determining child maltreatment incidence in Saudi Arabia using the ICAST-CH: A pilot study. Child Abuse Negl. 2015;42:174-82.
  • UNICEF. Child abuse and family violence research in Turkey. https://www.unicef.org/turkiye/raporlar/t%C3%BCrkiyede-%C3%A7ocuk-istismari-ve-aile-i%C3%A7i-%C5%9Fiddet-ara%C5%9Ftirmasi-%C3%B6zet-raporu-2010 access date 30.11.2024.
  • Needleman HL. Orofacial trauma in child abuse: types, prevalence, management, and the dental profession’s involvement. Pediatr Dent. 1986;8:71-80.
  • Lee JJ, Gonzalez-Izquierdo A, Gilbert R. Risk of maltreatment-related injury: a cross-sectional study of children under five years old admitted to hospital with a head or neck injury or fracture. PloS One. 2012;7:e46522.
  • Kassebaum DK, Dove SB, Cottone JA. Recognition and reporting of child abuse: a survey of dentists. Gen Dent. 1991;39:159-62.
  • Hazar Bodrumlu E, Avşar A, Arslan S. Assessment of knowledge and attitudes of dental students in regard to child abuse in Turkey. Eur J Dent Educ. 2018;22:40-6.
  • Özgür N, Ballıkaya E, Güngör HC, et al. Turkish paediatric dentists’ knowledge, experiences and attitudes regarding child physical abuse. Int Dent J. 2020:70;145-51.
  • Oral and dental aspects of child abuse and neglect. American Academy of Pediatrics. Committee on Child Abuse and Neglect. American Academy of Pediatric Dentistry. Ad Hoc Work Group on Child Abuse and Neglect. Pediatrics. 1999;104:348-50.
  • Türk Ceza Kanunu. https://www.mevzuat.gov.tr/mevzuatmetin/1.5.5237.pdf access date 30.11.2024.
  • Arısoy S. Çocuk istismarının intraoral-ekstraoral bulgularına yönelik tıp fakültesi öğrencilerinin bilgi düzeyinin değerlendirilmesi. Ph.D. thesis, Ondokuz Mayıs University, Samsun, 2022.
  • Karaagac Eskibaglar B. Diş hekimlerinin çocuk istismarı ve ihmali konusundaki bilgi ve tutumlarının değerlendirilmesi ve farkındalık yaratılması. Ph.D. thesis, Dicle University, Diyarbakır, 2021.
  • Kural D. Çocuk istismarı ve ihmaline yönelik diş hekimlerinin farkındalık düzeyleri. Ph.D. thesis, Marmara University, İstanbul, 2014.
  • Eija P, Mika H, Aune F, et al. How public health nurses identify and intervene in child maltreatment based on the National Clinical Guideline. Nurs Res Pract. 2014;2014:425460.
  • Valente LA, Dalledone M, Pizzatto E, et al. Domestic violence against children and adolescents: prevalence of physical injuries in a southern Brazilian metropolis. Braz Dent J. 2015;26:55-60.
  • Rimsza ME, Schackner RA, Bowen KA, et al. Can child deaths be prevented? The Arizona child fatality review program experience. Pediatrics. 2002;110:e11.
  • Kaur H, Vinod K, SinghH, et al. Child maltreatment: cross-sectional survey of general dentists. J Forensic Dent Sci. 2017;9:24-30.
  • Harris JC, Elcock C, Sidebotham P, et al. Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect?. Br Dent J. 2009;206:465-70.
  • Jordan A, Welbury RR, Tiljak MK, et al. Croatian dental students’ educational experiences and knowledge in regard to child abuse and neglect. J Dent Educ. 2012;76:1512-9.
  • Buldur B, Büyükkök Ç, Cavalcanti AL. Knowledge, attitudes, and perceptions regarding child abuse and neglect among dentists in Turkey. Braz Oral Res. 2022;36:e001.
  • 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.
  • 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.
  • Uldum B, Christensen HN, Welbury R, et al. How Danish dentists and dental hygienists handle their role in child abuse and neglect matters. Acta Odontol Scand. 2017;75:332-7.
  • Bhatia SK, Maguire SA, Chadwick BL, et al. Characteristics of child dental neglect: a systematic review. J Dent. 2014;42:229-39.
Year 2025, , 187 - 194, 15.01.2025
https://doi.org/10.37990/medr.1599726

Abstract

References

  • Zeanah CH, Humphreys KL. Child abuse and neglect. J Am Acad Child Adolesc Psychiatry. 2018;57:637-44.
  • World Health Organization: Violence against children. https://www.who.int/health-topics/violence-against-children#tab=tab_2 access date 01.12.2024.
  • Pietrantonio AM, Wright E, Gibson KN, et al. Mandatory reporting of child abuse and neglect: crafting a positive process for health professionals and caregivers. Child Abuse Negl. 2013;37:102-9.
  • NSPCC Learning: Child protection plan and register statistics. https://learning.nspcc.org.uk/research-resources/child-protection-plan-register-statistics access date 01.12.2024.
  • Al-Eissa MA, AlBuhairan FS, Qayad M, et al. Determining child maltreatment incidence in Saudi Arabia using the ICAST-CH: A pilot study. Child Abuse Negl. 2015;42:174-82.
  • UNICEF. Child abuse and family violence research in Turkey. https://www.unicef.org/turkiye/raporlar/t%C3%BCrkiyede-%C3%A7ocuk-istismari-ve-aile-i%C3%A7i-%C5%9Fiddet-ara%C5%9Ftirmasi-%C3%B6zet-raporu-2010 access date 30.11.2024.
  • Needleman HL. Orofacial trauma in child abuse: types, prevalence, management, and the dental profession’s involvement. Pediatr Dent. 1986;8:71-80.
  • Lee JJ, Gonzalez-Izquierdo A, Gilbert R. Risk of maltreatment-related injury: a cross-sectional study of children under five years old admitted to hospital with a head or neck injury or fracture. PloS One. 2012;7:e46522.
  • Kassebaum DK, Dove SB, Cottone JA. Recognition and reporting of child abuse: a survey of dentists. Gen Dent. 1991;39:159-62.
  • Hazar Bodrumlu E, Avşar A, Arslan S. Assessment of knowledge and attitudes of dental students in regard to child abuse in Turkey. Eur J Dent Educ. 2018;22:40-6.
  • Özgür N, Ballıkaya E, Güngör HC, et al. Turkish paediatric dentists’ knowledge, experiences and attitudes regarding child physical abuse. Int Dent J. 2020:70;145-51.
  • Oral and dental aspects of child abuse and neglect. American Academy of Pediatrics. Committee on Child Abuse and Neglect. American Academy of Pediatric Dentistry. Ad Hoc Work Group on Child Abuse and Neglect. Pediatrics. 1999;104:348-50.
  • Türk Ceza Kanunu. https://www.mevzuat.gov.tr/mevzuatmetin/1.5.5237.pdf access date 30.11.2024.
  • Arısoy S. Çocuk istismarının intraoral-ekstraoral bulgularına yönelik tıp fakültesi öğrencilerinin bilgi düzeyinin değerlendirilmesi. Ph.D. thesis, Ondokuz Mayıs University, Samsun, 2022.
  • Karaagac Eskibaglar B. Diş hekimlerinin çocuk istismarı ve ihmali konusundaki bilgi ve tutumlarının değerlendirilmesi ve farkındalık yaratılması. Ph.D. thesis, Dicle University, Diyarbakır, 2021.
  • Kural D. Çocuk istismarı ve ihmaline yönelik diş hekimlerinin farkındalık düzeyleri. Ph.D. thesis, Marmara University, İstanbul, 2014.
  • Eija P, Mika H, Aune F, et al. How public health nurses identify and intervene in child maltreatment based on the National Clinical Guideline. Nurs Res Pract. 2014;2014:425460.
  • Valente LA, Dalledone M, Pizzatto E, et al. Domestic violence against children and adolescents: prevalence of physical injuries in a southern Brazilian metropolis. Braz Dent J. 2015;26:55-60.
  • Rimsza ME, Schackner RA, Bowen KA, et al. Can child deaths be prevented? The Arizona child fatality review program experience. Pediatrics. 2002;110:e11.
  • Kaur H, Vinod K, SinghH, et al. Child maltreatment: cross-sectional survey of general dentists. J Forensic Dent Sci. 2017;9:24-30.
  • Harris JC, Elcock C, Sidebotham P, et al. Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect?. Br Dent J. 2009;206:465-70.
  • Jordan A, Welbury RR, Tiljak MK, et al. Croatian dental students’ educational experiences and knowledge in regard to child abuse and neglect. J Dent Educ. 2012;76:1512-9.
  • Buldur B, Büyükkök Ç, Cavalcanti AL. Knowledge, attitudes, and perceptions regarding child abuse and neglect among dentists in Turkey. Braz Oral Res. 2022;36:e001.
  • 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.
  • 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.
  • Uldum B, Christensen HN, Welbury R, et al. How Danish dentists and dental hygienists handle their role in child abuse and neglect matters. Acta Odontol Scand. 2017;75:332-7.
  • Bhatia SK, Maguire SA, Chadwick BL, et al. Characteristics of child dental neglect: a systematic review. J Dent. 2014;42:229-39.
There are 27 citations in total.

Details

Primary Language English
Subjects Paedodontics
Journal Section Original Articles
Authors

Canan Bayraktar Nahir 0000-0003-1388-1778

Seda Göllü 0009-0002-2946-5293

Necibe Damla Şahin 0000-0003-0609-1612

Publication Date January 15, 2025
Submission Date December 11, 2024
Acceptance Date January 2, 2025
Published in Issue Year 2025

Cite

AMA Bayraktar Nahir C, Göllü S, Şahin ND. Knowledge Levels of Child Abuse and Neglect Among a Group of Turkish Dentistry Students. Med Records. January 2025;7(1):187-194. doi:10.37990/medr.1599726

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

Editors
Assoc. Prof. Serkan Öner
İzmir Bakırçay University, Department of Radiology, İzmir, Türkiye

E-mail: medrecsjournal@gmail.com

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