Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Dentists' Recognition of Child Abuse and Neglect and Mandatory Attitude to Report

치과의사의 아동 학대 및 방임에 대한 인식과 신고 의무 태도

  • Da Hyeo Jang (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Yong Kwon Chae (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Ko Eun Lee (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Ok Hyung Nam (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Hyoseol Lee (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Sung Chul Choi (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Mi Sun Kim (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong)
  • 장다혜 (강동경희대학교병원 치과병원 소아치과) ;
  • 채용권 (경희대학교 치과병원 소아치과) ;
  • 이고은 (경희대학교 치과병원 소아치과) ;
  • 남옥형 (경희대학교 치과병원 소아치과) ;
  • 이효설 (경희대학교 치과병원 소아치과) ;
  • 최성철 (경희대학교 치과병원 소아치과) ;
  • 김미선 (강동경희대학교병원 치과병원 소아치과)
  • Received : 2022.10.24
  • Accepted : 2022.11.22
  • Published : 2023.02.28
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Abstract

In this study, the recognition of child abuse and neglect (CAN) and reporting attitudes of general dentists and pediatric dentists in Korea were estimated. A survey was conducted among dentists working at clinics or university hospitals, including interns and residents at dental hospital training institutions. The questionnaire, consisting of 32 questions and detailed questions, subdivided into 'general characteristics of respondents', 'CAN', 'CAN report', 'laws to CAN', 'countermeasures against CAN'. The survey was conducted using a messenger, and 176 respondents' answers were analyzed. The recognition of CAN showed high scores in the order of physical abuse, neglect, and emotional abuse. The positive attitude toward reporting CAN had a higher score than the negative attitude. Of the total respondents, 19 said they reported child abuse, and 18 said they were suspected of child abuse but hesitated to report it. Among the laws related to CAN, the protection measures for CAN reporters and the protocol for CAN showed low awareness. Since then, they have wanted to know how to find abused children and how to deal with them in education. This study is expected to be used as data to improve dentists' awareness and consciousness of CAN in the future.

이 연구의 목적은 우리나라의 치과의사 및 소아치과 의사들의 아동학대에 대한 인식과 신고 의무 태도를 조사하는 것이다. 치과병원 수련기관의 인턴 및 전공의를 포함하여 개인의원 또는 대학병원에서 근무 중인 치과의사를 대상으로 설문조사를 실시하였다. 총 문항 수는 32문항과 세부 문항으로 구성되어 있으며, '설문 응답자의 일반적인 특성', '아동학대', '아동학대 신고', '아동학대 관련법', '아동학대 대처방안'에 대한 인식의 내용을 포함한다. 설문은 메신저를 이용하여 전송하였고 이에 응답한 176명의 답변 기록을 분석 대상으로 하였다. 아동학대의 인식은 신체적 학대, 방임, 정서적 학대 순으로 높은 응답을 나타냈다. 전체 응답자 중 19명이 아동학대를 의심하여 신고했던 경험이 있다고 응답했고, 18명은 아동학대 의심 정황이 있었으나 신고를 망설였다고 하였다. 아동학대 관련법 중에서 아동학대 신고자 보호조치와 아동학대 신고 프로토콜에 대해 낮은 인식도를 보였다. 이후 아동학대 관련 교육에서 학대 아동의 발견 방법과 이에 대한 대처방안을 가장 알고 싶어 했다. 이 연구는 향후, 아동학대에 대한 치과의사의 인식 및 의식향상을 위한 자료로 활용될 수 있을 것이라고 사료된다.

Keywords

References

  1. Baby Times. Report child abuse, "Obligation without protection is difficult." Available from URL: http://www.babytimes.co.kr/news/articleView.html?idxno=59907 (Accessed on October 12, 2022).
  2. Association KCAPA. Problems of education for the prevention of child abuse and education for persons obligated to report. Available from URL: http://kcapa.kr/web/board.php?bo_table=sub6_7 (Accessed on November 4, 2022).
  3. Ministry of Health and Welfare. Major statistics on child abuse in 2021. Available from URL: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=372765 (Accessed on November 4, 2022).
  4. Schwartz S, Woolridge E, Stege D : Oral manifestations and legal aspects of child abuse. J Am Dent Assoc, 95:586-591, 1977. https://doi.org/10.14219/jada.archive.1977.0120
  5. Cameron JM, Johnson HR, Camps FE : The battered child syndrome. Med Sci Law, 6:2-21, 1966. https://doi.org/10.1177/002580246600600102
  6. Becker DB, Needleman HL, Kotelchuck M : Child abuse and dentistry: orofacial trauma and its recognition by dentists. J Am Dent Assoc, 97:24-28, 1978. https://doi.org/10.14219/jada.archive.1978.0447
  7. Sperber N : The dual responsibility of dentistry in child abuse. J Calif Dent Assoc, 8:31-38, 1980.
  8. Costacurta M, Benavoli D, Arcudi G, Docimo R : Oral and dental signs of child abuse and neglect. Oral implantol, 8:68-73, 2016. https://doi.org/10.11138/orl/2015.8.2.068
  9. Cairns A, Mok JY, Welbury RR : Injuries to the head, face, mouth and neck in physically abused children in a community setting. Int J Pediatr Dent, 15:310-318, 2005. https://doi.org/10.1111/j.1365-263X.2005.00661.x
  10. Kural D, Abbasoglu Z, Tanboga I : Awareness and experience regarding child abuse and neglect among dentists in Turkey. J Clin Pediatr Dent, 44:100-106, 2020. https://doi.org/10.17796/1053-4625-44.2.6
  11. John V, Messer LB, Arora R, Fung S, Hatzis E, Nguyen T, San A, Thomas K : Child abuse and dentistry: a study of knowledge and attitudes among dentists in Victoria, Australia. Aust Dent J, 44:259-267, 1999. https://doi.org/10.1111/j.1834-7819.1999.tb00230.x
  12. Sonbol HN, Abu-Ghazaleh S, Rajab LD, Baqain ZH, Saman R, Al-Bitar ZB : Knowledge, educational experiences and attitudes towards child abuse amongst Jordanian dentists. Eur J Dent Educ, 16:E158-E165, 2012. https://doi.org/10.1111/j.1600-0579.2011.00691.x
  13. Al-Amad SH, Awad MA, Al-Farsi LH, Elkhaled RH : Reporting child abuse cases by dentists working in the United Arab Emirates (UAE). J Forensic Leg Med, 40:12-15, 2016. https://doi.org/10.1016/j.jflm.2016.01.033
  14. Laud A, Gizani S, Maragkou S, Welbury R, Papagiannoulis L : Child protection training, experience, and personal views of dentists in the prefecture of Attica, Greece. Int J Paediatr Dent, 23:64-71, 2013. https://doi.org/10.1111/j.1365-263X.2012.01225.x
  15. Bsoul SA, Flint DJ, Dove SB, Senn DR, Alder ME : Reporting of child abuse: a follow-up survey of Texas dentists. Pediatr Dent, 25:541-545, 2003.
  16. Cukovic-Bagic I, Dumancic J, Tiljak MK, Drvaric I, Boric B, Kopic V, Krupic I, Bakarcic D, Budimir M, Welvury RR : Croatian dentists' knowledge, experience, and attitudes in regard to child abuse and neglect. Int J Paediatr Dent, 25:444-450, 2015. https://doi.org/10.1111/ipd.12151
  17. Manea S, Favero GA, Stellini E, Romoli L, Mazzucato M, Facchin P : Dentists' perceptions, attitudes, knowledge, and experience about child abuse and neglect in northeast Italy. J Clin Pediatr Dent, 32:19-25, 2007. https://doi.org/10.17796/jcpd.32.1.f920721252jx3614
  18. Kim J : A study on teacher's perception on abused young children in now socioeconomic status areas. Unpublished master's thesis, Ewha Womans Univ, 1987.
  19. Kim TH, Cho KJ : Perception of child abuse and attitudes towards mandatory reporting among 119 emergency medical technicians. Korean J Emerg Med Serv, 23:43-59, 2019.
  20. An J : Influencing factors on attitude toward child abuse reporting among parents of student in Seoul. Unpublished master's thesis, Seoul National Univ, 2002.
  21. Park SS, Kim DS : A Project of Prevention and Measures on Child Abuse Crimes. Hanyang Law Review, 34:165-190, 2017. https://doi.org/10.18018/HYLR.2017.34.3.165
  22. Jeong T, Kim J : A Review on Child Abuse in Pediatric Dentistry. J Korean Acad Pediatr Dent, 43:334-339, 2016. https://doi.org/10.5933/JKAPD.2016.43.3.334
  23. Yang MJ : A Study on the Effects of Child-Care Teachers' Child Abuse Cognition on Their Attitudes Toward Mandatory Reporting. Child Protection Research, 1:21-49, 2016.
  24. Kim SY : Perception of child abuse and attitudes towards mandatory reporting among dental hygienist. J Korean Soc Dent Hyg, 21:667-674, 2021. https://doi.org/10.13065/jksdh.20210065
  25. Kim Y, Lee N, Yun E : A survey on perception of child abuse among nurses in a general hospital. J Korean Soc Matern Child Health, 10:189-197, 2006. https://doi.org/10.1007/s10995-006-0092-0
  26. Naughton AM, Maguire SA, Mann MK, Lumb RC, Tempest V, Gracias S, Kemp AM : Emotional, behavioral, and developmental features indicative of neglect or emotional abuse in preschool children: a systematic review. JAMA Pediatr, 167:769-775, 2013. https://doi.org/10.1001/jamapediatrics.2013.192
  27. Singh V, Lehl G : Child abuse and the role of a dentist in its identification, prevention and protection: A literature review. Dent Res J, 17:167-173, 2020. https://doi.org/10.4103/1735-3327.284735
  28. Kim DS : A Study on the Prevention of Child Abuse Crimes and the Protection of Victims. J Legal Studies, 26:25-49, 2018. https://doi.org/10.35223/GNULAW.26.2.2
  29. Jeju District Court : 2019no868 Judgement. Available from URL: https://lbox.kr/case/%EC%A0%9C%EC%A3%BC%EC%A7%80%EB%B0%A9%EB%B2%95%EC%9B%90/2019%EB%85%B8868 (Accessed on October 12, 2022).
  30. Yunhap News. 'The protection plan for child abuse reporters is'...There's a debate at the National Assembly. Available from URL: https://www.yna.co.kr/view/AKR20220824026600371 (Accessed on October 12, 2022).
  31. Herendeen PA, Blevins R, Anson E, Smith J : Barriers to and consequences of mandated reporting child abuse by nurse practitioners. J Pediatr Health Care, 28:E1-E7, 2014. https://doi.org/10.1016/j.pedhc.2013.06.004
  32. Berkowitz CD : Child abuse recognition and reporting supports and resources for changing the paradigm. Pediatrics, 122(Suppl 1):S10-S12, 2008. https://doi.org/10.1542/peds.2008-0715e