title: Experiences and views of general practitioners concerning sexually-abused children.
abstract: This study aimed to determine the types of clinical experience that general practitioners have had with sexually-abused children, and what practitioners perceive as requirements in the detection and management of sexually-abused children. Subjects were 279 South Australian non-specialist medical practitioners, selected by quasi-random procedures, of whom 76% responded to a postal questionnaire. The number of sexually-abused children ever seen by the 193 doctors who responded averaged 1.2; 54% of the respondents had not seen such cases. In addition to the request for a record of experiences with sexually-abused children, the questionnaire included categories on: sources of the respondents' information on sexually-abused children; the respondents' perceived need for more information; an assessment of the adequacy of current treatment services; their attitudes to the legal obligation to report suspected cases to statutory authorities; and the main sources of their hesitation to report. Considerable concern evidently exists among family doctors about their ability to detect and manage cases of sexually-abused children. The reasons for their low reporting rates are discussed in terms of both medical education and of the operation of local treatment services for sexually-abused children.
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D002648:Child; D002650:Child Abuse, Sexual / Q000331:legislation & jurisprudence; D004282:Documentation / Q000331:legislation & jurisprudence; D005194:Family Practice / Q000193:education; D006801:Humans; D011795:Surveys and Questionnaires