Attitude of pediatricians toward suspected cases of child sexual abuse (CSA) in Saudi Arabia

International Journal of Pediatrics and Adolescent Medicine

Hassan Nazmus Saleheen¹  Razan Hussain Al-Omar²  Rema Alshagary²  Raghad Saleh Allahidan²  Rana Obaid Alharbi²  Dalal Ahmad Aldihan³  Majed Abdualaziz Aleissa⁴  Khizra Sultana⁵ 

[1] Corresponding author. King Abdullah International Medical Research Centre, King Saud bin Abdulaziz University for Health sciences- KSAU-HS, King Abdulaziz Medical City P.O.Box: 22490, Riyadh, 11426, Mailcode: 1515 Saudi Arabia.;Collage of Medicine, King Saud bin Abdulaziz University for Health sciences(KSAU-HS), Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia;Department of National Family Safety Program, Ministry of National Guard Health Affairs (MNGHA), King Saud bin Abdulaziz University for Health sciences (KSAU-HS), King Abdullah International Medical Research (KAIRC), Riyadh, Saudi Arabia;Department of National Family Safety Program, Ministry of National Guard Health Affairs (MNGHA), King Saud bin Abdulaziz University for Health sciences(KSAU-HS), King Abdullah International Medical Research Center(KAIMRC), Riyadh, Saudi Arabia;Research Trial Services, King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health sciences- KSAU-HS, Ministry of National Guard health Affairs (MNGHA), Riyadh, Saudi Arabia;

关键词: Saudi Arabia;    Child sexual abuse;    Knowledge;    Pediatricians;    Attitude;    Adolescent;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective: To assess the attitudes of pediatricians working at the Ministry of National Guard-Health Affairs (MNGHA) to report cases of child sexual abuse (CSA) and to determine the association between the demographic, cultural characteristics, and the attitude toward reporting. Participants and Settings: The participants included all pediatricians, from consultants to residents, employed at the Pediatric Department of the King Abdulaziz Medical City and King Abdullah Specialist Children's Hospital, Riyadh. Additional inclusion criteria were females and males, Saudis and non-Saudis, and age 20–60 years. Methods: A self-administered, hard copy questionnaire was distributed to 277 pediatricians, and the response rate was 58.48%. The sensitivity/specificity emphasis mean score was calculated. Categorical variables were tested against the sensitivity/specificity emphasis mean score using an ANOVA and an independent sample t-test. The reliability of the questionnaire was measured with Cronbach's alpha. Results: In total, 153 completed questionnaires were analyzed. The responses were inclined toward balanced (indecisive toward reporting) and high specificity (favors the decision not to report suspected CSA). No significant difference was found in the sensitivity/specificity mean score between the different levels of professionals, experience, age, gender, and number of prior child abuse-related courses. The skepticism scale showed, for the different professional levels, that the staff physician/resident believed the 3- to 5-year-old girls and boys to be genuine. The consultants/associate consultants believed 6- to 12-year and 13- to 17-year-old girls and boys to be true most of the time. Nearly half of the participants indicated that their reporting decision was affected by the possible consequences of reporting suspected CSA for the children's families and the social perceptions of sexually abused children as adults. Conclusion: The results highlight the low reporting rates of CSA cases. The findings suggest a lack of training and experience of the professionals in this area of assessing, detecting, and reporting CSA cases.

【 授权许可】

Unknown