Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Addressing sexual abuse in the primary care setting.

M R Leder1, S J Emans, J P Hafler

  • 1Division of General Pediatrics, Children's Hospital, Boston, Massachusetts, USA. lederr@pediatrics.ohio-state.edu

Pediatrics
|August 3, 1999
PubMed
Summary

Pediatric practitioners inconsistently provide anticipatory guidance and lack training to identify red flags for child sexual abuse. Improved education is crucial for better screening and intervention in suspected cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

CD226 Gly307Ser association with multiple autoimmune diseases.

Genes and immunity·2008
Same author

Controversies in contraception.

Current opinion in pediatrics·2008
Same author

Polycystic ovary syndrome in adolescents.

Journal of pediatric and adolescent gynecology·2008
Same author

Identification of symptoms that indicate a pelvic examination is necessary to exclude PID in adolescent women.

Journal of pediatric and adolescent gynecology·2003
Same author

Development of a Bright Futures curriculum for pediatric residents.

Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association·2002
Same author

Measurement of young women's attitudes about communication with providers regarding Papanicolaou smears.

The Journal of adolescent health : official publication of the Society for Adolescent Medicine·2001

Area of Science:

  • Pediatrics
  • Child Abuse
  • Medical Education

Background:

  • Pediatric practitioners play a critical role in identifying and managing child sexual abuse (CSA).
  • Understanding practitioners' perspectives on CSA suspicion, inquiry barriers, and management is essential for improving care.
  • Existing training gaps may hinder effective CSA identification and intervention.

Purpose of the Study:

  • To explore factors influencing pediatric practitioners' suspicion of child sexual abuse.
  • To identify barriers encountered by practitioners when inquiring about suspected abuse.
  • To describe current approaches to managing suspected child sexual abuse cases.

Main Methods:

  • Qualitative, descriptive, and case-based study design.
  • Six focus group interviews were conducted with 65 pediatric practitioners nationwide.

Related Experiment Videos

  • Data were transcribed and analyzed for emergent themes regarding CSA suspicion, barriers, and management.

    • Main Results:

    • Practitioners reported inconsistent anticipatory guidance and lack of training in recognizing CSA red flags.
    • No consensus existed on the approach to managing suspected abuse, with uncertainty about appropriate questioning techniques.
    • Discomfort with sexual topics and inadequate training were identified as significant barriers to inquiry, leading to missed cases.

    Conclusions:

    • Pediatric practitioners acknowledge the need for better training in recognizing CSA red flags and managing suspected cases.
    • Inconsistent practices and discomfort with sexual topics impede effective screening and intervention.
    • Targeted educational interventions are necessary to enhance pediatricians' skills in identifying and responding to child sexual abuse.