Pediatricians' knowledge, attitudes and experience regarding child maltreatment in Kuwait.
OBJECTIVE
This cross-sectional survey was conducted to evaluate the awareness and actual professional experience of pediatricians in Kuwait regarding child maltreatment, a topic rarely explored in this part of the world.


METHODS
Data were obtained from all pediatricians in public hospitals with pediatric emergency services using a structured detailed self-completed questionnaire.


RESULTS
The experience of child neglect was more common than that of child abuse in the clinical practice of surveyed pediatricians. Fifty percent of 117 pediatricians (69% of all eligible) reported having encountered at least 1 case of abuse and up to 3 cases of neglect in the past year. Women and younger doctors more commonly recognized hypothetical situations as maltreatment, and believed child abuse and neglect as being common or very common in Kuwait. Other demographic or professional variables did not affect recognition of maltreatment. Participants would most likely alert social workers about suspected maltreatment cases. More than 80% did not know whether there is a legal obligation to report or which legal authorities should receive reports of suspected cases.


CONCLUSIONS
National ethical guidelines regarding reporting suspected cases of maltreatment must be established. Laws protecting maltreated children and reporting physicians must be immediately enacted. Additional training is required to help pediatricians, especially expatriates from other cultures, to diagnose with certainty cases of child maltreatment in their practice in Kuwait.
Department of Community Medicine, Health Sciences Center, Kuwait University, Kuwait.
Ashraf
A
Al-Moosa
Jassem
J
Al-Shaiji
Ammar
A
Al-Fadhli
Khalid
K
Al-Bayed
Salim M
SM
Adib
D000328:Adult; D001291:Attitude of Health Personnel; D002056:Burns / Q000150:complications / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000175:diagnosis* / Q000331:legislation & jurisprudence / Q000523:psychology; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007730:Kuwait; D008297:Male; D019221:Mandatory Reporting; D008875:Middle Aged; D010372:Pediatrics / Q000193:education / Q000592:standards; D010821:Physicians, Family / Q000523:psychology* / Q000592:standards; D012307:Risk Factors; D012737:Sex Factors; D011795:Surveys and Questionnaires