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Child maltreatment: knowledge, attitudes and reporting behaviour of physicians in teaching hospitals, Egypt

Nourhan Saeed1, Eman Anwar Sultan2, Naglaa Salama1

  • 1Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|March 31, 2021
PubMed

Insights

Physicians show poor knowledge and reporting of child maltreatment, with only 36% of suspected cases being reported. Enhanced training is crucial for improving diagnosis and reporting of child abuse.

Area of Science:

  • Medical Education
  • Pediatrics
  • Public Health

Background:

  • Child maltreatment diagnosis and reporting remain significant global challenges.
  • Physicians' roles are critical in identifying and reporting suspected cases of child abuse.

Purpose of the Study:

  • To evaluate physicians' knowledge, attitudes, and practices regarding child maltreatment diagnosis and reporting.
  • To identify factors influencing physicians' reporting behaviors in Alexandria University teaching hospitals.

Main Methods:

  • A descriptive, cross-sectional study involving 90 physicians in emergency units.
  • Self-administered questionnaires assessed sociodemographics, training, knowledge, attitudes, and reporting experiences.
  • Analysis focused on knowledge scores and factors associated with reporting behavior.

Main Results:

  • Only 41% of physicians demonstrated good knowledge (≥75%) of child maltreatment signs and indicators.
  • Despite experiencing 249 suspected cases, physicians reported only 36% of them.
  • Formal training and older age were significantly associated with improved reporting behavior.

Conclusions:

  • Physicians' understanding of child maltreatment signs and indicators is inadequate.
  • There is a clear need for enhanced clinical training and education to improve physicians' diagnostic and reporting capabilities.
  • Workplace procedures for suspected child maltreatment require improvement.
Abstract

Keywords:
Egyptchild abuseknowledgephysiciansuniversity hospitals

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