Avaliação da conduta dos odontopediatras de Recife com relação ao abuso infantil
Abstract
Introdução: O abuso infantil constitui um problema de saúde pública, devido à sua magnitude e aos danos físicos e psicológicos que causa. A intervenção precoce nestes casos é de fundamental importância, sendo o diagnóstico o primeiro passo. O cirurgião-dentista, em particular o odontopediatra, encontra-se em posição privilegiada na identificação de casos suspeitos de abuso, pois, na maioria dos casos, as lesões localizam-se na região de cabeça e pescoço. Objetivo: Avaliação da conduta dos Odontopediatras do Recife (PE) diante do abuso infantil. Materiais e método: Os dados foram coletados através de entrevistas por telefone com 70 Odontopediatras inscritos no Conselho Regional de Odontologia de Pernambuco. De acordo com critérios pré-estabelecidos, foram excluídos 19 profissionais: 11 não residentes no Recife; 06 que não estavam atuando como Odontopediatras; 2 que faleceram. Dos 91 profissionais potencialmente participantes desse estudo, 17 não foram encontrados e 04 se recusaram a participar desse estudo. Resultados: A maioria dos Cirurgiões-dentistas entrevistados (72,9%) nunca suspeitou de abuso infantil; e dos que suspeitaram de abuso infantil (27,1%), apenas um (5%) reportou o caso à Justiça. Quanto às razões atribuídas ao não encaminhamento dos casos suspeitos, a incerteza no diagnóstico (55,5%) foi a mais citado. A maioria dos Odontopediatras pesquisados (95,71%) considerou o tema abuso infantil importante para a atuação clínica, porém enfatizaram que as informações obtidas na formação acadêmica foram insuficientes. Conclusões: O tema abuso infantil é considerado importante para a maioria dos odontopediatras, contudo a falta de informações a respeito deste é responsável pela não notificação dos casos suspeitos.
UNITERMOS: violência; violência doméstica; maus-tratos infantis.
SUMMARY
Introduction: The child abuse is a public health problem, because it’s magnitude, physical and psychological prejudices. The quickly intervention is very important, then the diagnostic is the first step. The dentist, in particular case the pediatric dentist, is advantage position because, in the majority cases, the physical injuries are located in the head and neck. Objective: To evaluate the Recife Pediatric dentist’s attitude of child dentists towards child abuse. Data were collected through telephone interviews with 70 child dentists registered with the Regional Dental Council. According to pre-established criteria, 19 were initially excluded from the study: 11 didn’t live in Recife, 6 weren’t involved with pediatric dentistry and 2 were dead. Of the remaining 91 dentists, 17 could not be found and 4 didn’t wish participate. Results: The majority (72.9%) of the 70 pediatric dentists interviewed never suspected of child abuse; of the 27.1% that did, only one (or 5% of those) reported a case. The uncertainty concerning diagnosis was the most often mentioned reason (55.5%) for not reporting child abuse cases. Most pediatric dentists (95.71%) found child abuse important for clinical performance, but have emphasised that information provided in college was not sufficient to deal with it. Conclusion: The subject child abuse is considered important to the most of dentists; although the lack of information about this is responsible by not reporting of suspected cases.
UNITERMS: violence; domestic violence; child abuse.
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