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REVIEW ARTICLE
Year : 2021  |  Volume : 18  |  Issue : 1  |  Page : 41

A systematic review and meta-analysis of failure to take history as a barrier of reporting child abuse by dentists in private and state clinics


1 Department of Oral Public Health, Dental Materials Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Epidemiology and Biostatistics, School of Public Health, Dental Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
3 Dentist, Faculty of Dentistry, Isfahan University of Medical Science, Isfahan, Iran

Correspondence Address:
Dr. Firoozeh Nilchian
Department of Oral Public Health, Dental Materials Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1735-3327.318936

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Background: Since the symptoms of child abuse and neglect often manifest in the orofacial region, the dental team has a key role in identifying children subjected to abuse. This study was aimed to explore the prevalence of failure to take history as a barrier to reporting child abuse by dentist around the world. Materials and Methods: In this systematic review and meta-analysis, PubMed, Embase, Scopus, Google Scholar, ProQuest, Cochrane, and ISI databases were searched for the cross-sectional articles in English languages on barriers to reporting child abuse and lack of knowledge about referral procedures by dentists since 1985 using Medical Subject Headings (MeSH). The full-texts of all included articles were obtained and assessed for quality according to Newcastle–Ottawa Scale adapted for cross-sectional studies. The qualified articles were then studied thoroughly and results were extracted. Data were analyzed by Comprehensive Meta-Analysis software using meta-analysis and random effects model. Heterogeneity was determined by Q-test and I-square index. Results: A total of 17 articles were included in the meta-analysis. The prevalence of lack of knowledge about referral procedures as a barrier was determined according to the meta-analysis of the number of relevant articles and was (55%, confidence interval: 0.48, 0.62). Conclusion: The analysis of various studies revealed lack of information about referral procedures as an important barrier to report child abuse by dentists.


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