PDF(Pubmed)
Abstract：
BACKGROUND: The aptitude, knowledge, and competence of dental health personnel on child abuse and neglect (CAN) is not optimal for deciding when to file a report of concern to child welfare services (CWS).
OBJECTIVE: The aim of this study was, firstly, to assess the association of the public dental health personnel \'s (PDHP) training on CAN received in the last three work years, i.e., in 2016 through 2018 with filing reports to the CWS in the same period and secondly to assess the association of expressed need of training on CAN with filing reports to the CWS.
METHODS: This cross-sectional study uses data from an electronic survey census of PDHP from Norway (n = 1791) conducted in 2019. The Pearson chi-square test, non-parametric tests, logistic, and negative binomial regression were used for unadjusted and adjusted analysis. Data was reported with proportions, odds ratios (OR), incidence rate ratios and 95% confidence intervals (CIs).
RESULTS: From 2016 to 2018, the prevalence estimate of filing reports to CWS was 50%, with a mean (standard deviation) of 1.39 (2.11) reports sent. The logistic regression analysis showed an association between filing reports of concern and CAN training in the last three years. Compared to those that had not received CAN training during the three previous years, the ORs (95% CI) for filing reports to the CWS during the same period was 2.5 (1.6-4.0) for one day CAN work training, 3.2 (2.0-5.1) for 2-4 days CAN training and 4.9 (2.6-9.4) for five or more days CAN training. Compared to workers who did not need training in reporting (routines of CAN), those who expressed the need for a little more and more training were less likely to file a report. The corresponding OR were 0.6 (0.4-0.9) and 0.6 (0.3-0.9), respectively.
CONCLUSIONS: CAN training during the last three years is associated with filing reports of concern to CWS in the same period among PDHP in Norway. The likelihood of filing CAN reports increased with the number of days of CAN training received. Secondly, the PDHP with an expressed need for training on CAN routines were less likely to report suspicions to CWS.
OBJECTIVE: The aim of this study was, firstly, to assess the association of the public dental health personnel \'s (PDHP) training on CAN received in the last three work years, i.e., in 2016 through 2018 with filing reports to the CWS in the same period and secondly to assess the association of expressed need of training on CAN with filing reports to the CWS.
METHODS: This cross-sectional study uses data from an electronic survey census of PDHP from Norway (n = 1791) conducted in 2019. The Pearson chi-square test, non-parametric tests, logistic, and negative binomial regression were used for unadjusted and adjusted analysis. Data was reported with proportions, odds ratios (OR), incidence rate ratios and 95% confidence intervals (CIs).
RESULTS: From 2016 to 2018, the prevalence estimate of filing reports to CWS was 50%, with a mean (standard deviation) of 1.39 (2.11) reports sent. The logistic regression analysis showed an association between filing reports of concern and CAN training in the last three years. Compared to those that had not received CAN training during the three previous years, the ORs (95% CI) for filing reports to the CWS during the same period was 2.5 (1.6-4.0) for one day CAN work training, 3.2 (2.0-5.1) for 2-4 days CAN training and 4.9 (2.6-9.4) for five or more days CAN training. Compared to workers who did not need training in reporting (routines of CAN), those who expressed the need for a little more and more training were less likely to file a report. The corresponding OR were 0.6 (0.4-0.9) and 0.6 (0.3-0.9), respectively.
CONCLUSIONS: CAN training during the last three years is associated with filing reports of concern to CWS in the same period among PDHP in Norway. The likelihood of filing CAN reports increased with the number of days of CAN training received. Secondly, the PDHP with an expressed need for training on CAN routines were less likely to report suspicions to CWS.
摘要：
背景：能力，知识,牙科保健人员对儿童虐待和忽视（CAN）的能力并不是决定何时向儿童福利服务（CWS）提交关注报告的最佳选择。
目的：本研究的目的是,首先,评估在过去三个工作年中接受的公共牙科卫生人员（PDHP）的CAN培训协会，即，在2016年至2018年期间，向CWS提交了同期的备案报告，其次评估了对CAN培训的明确需求与向CWS提交的备案报告之间的关联。
方法：这项横断面研究使用了2019年进行的来自挪威的PDHP电子调查普查（n=1791）的数据。皮尔逊卡方检验,非参数检验，logistic,和负二项回归用于未调整和调整的分析。数据按比例报告，赔率比(OR)，发病率比和95%置信区间(CI)。
结果：从2016年到2018年，向CWS提交报告的患病率估计为50％，发送的平均(标准偏差)为1.39(2.11)份报告。逻辑回归分析显示，在过去三年中，关注的归档报告与CAN培训之间存在关联。与前三年没有接受过CAN培训的人相比，同一时期向CWS提交报告的OR(95%CI)为一天CAN工作培训的2.5(1.6-4.0)，3.2（2.0-5.1）进行2-4天的CAN培训，4.9（2.6-9.4）进行5天或更长时间的CAN培训。与不需要报告培训的工人相比（CAN的例行程序），那些表示需要越来越多的培训的人不太可能提交报告。相应的OR分别为0.6(0.4-0.9)和0.6(0.3-0.9)，分别。
结论：过去三年的CAN培训与挪威PDHP同期提交CWS关注的报告有关。提交CAN报告的可能性随着接受CAN培训的天数而增加。其次,有明确需要进行CAN例程培训的PDHP不太可能向CWS报告怀疑.
目的：本研究的目的是,首先,评估在过去三个工作年中接受的公共牙科卫生人员（PDHP）的CAN培训协会，即，在2016年至2018年期间，向CWS提交了同期的备案报告，其次评估了对CAN培训的明确需求与向CWS提交的备案报告之间的关联。
方法：这项横断面研究使用了2019年进行的来自挪威的PDHP电子调查普查（n=1791）的数据。皮尔逊卡方检验,非参数检验，logistic,和负二项回归用于未调整和调整的分析。数据按比例报告，赔率比(OR)，发病率比和95%置信区间(CI)。
结果：从2016年到2018年，向CWS提交报告的患病率估计为50％，发送的平均(标准偏差)为1.39(2.11)份报告。逻辑回归分析显示，在过去三年中，关注的归档报告与CAN培训之间存在关联。与前三年没有接受过CAN培训的人相比，同一时期向CWS提交报告的OR(95%CI)为一天CAN工作培训的2.5(1.6-4.0)，3.2（2.0-5.1）进行2-4天的CAN培训，4.9（2.6-9.4）进行5天或更长时间的CAN培训。与不需要报告培训的工人相比（CAN的例行程序），那些表示需要越来越多的培训的人不太可能提交报告。相应的OR分别为0.6(0.4-0.9)和0.6(0.3-0.9)，分别。
结论：过去三年的CAN培训与挪威PDHP同期提交CWS关注的报告有关。提交CAN报告的可能性随着接受CAN培训的天数而增加。其次,有明确需要进行CAN例程培训的PDHP不太可能向CWS报告怀疑.
