Prevalence of reported violence in children and adolescents in the clinical work of health professionals: a systematic review and meta-analysis

Jampersa, Lucas; Paisca, Adriele Barbosa; Taveira, Karinna Veríssimo Meira; Araújo, Cristiano Miranda de; Massi, Giselle Aparecida de Athayde

doi:10.1590/1413-81232024298.19192022

Lucas Jampersa

main author, he acted in all the realization of the work

Submission in PROSPERO

Selection of eligible studies for the review, in both phases

Collection of information from included studies and risk of bias assessment

Assessment of reporting bias, assessment of certainty of cumulative evidence, construction of figures, tables and appendices

Writing of results and discussion

Universidade Tuiuti do Paraná. R. Luiz Gurgel do Amaral Valente 104. 81925-230 Curitiba PR Brasil. ljampersa@gmail.com

https://orcid.org/0000-0002-2016-9749

Adriele Barbosa Paisca

selection of eligible studies for the review, in both phases

Collection of information from included studies and risk of bias assessment

Universidade Tuiuti do Paraná. R. Luiz Gurgel do Amaral Valente 104. 81925-230 Curitiba PR Brasil. ljampersa@gmail.com

https://orcid.org/0000-0003-1966-7705

Karinna Veríssimo Meira Taveira

selection of descriptors, assessment of certainty of cumulative evidence, and final review

Universidade Federal do Rio Grande do Norte. Natal RN Brasil.

https://orcid.org/0000-0001-6978-4083

Cristiano Miranda de Araújo

guidance of the review, database search

gray literature search and allocation in EndNote (EndNote X7 Thomson Reuters, Philadelphia, 12 PA)

Calculation of global prevalence for reporting and reporting of intrafamily violence against children and adolescents (meta- analysis), assessment of reporting bias, assessment of certainty of cumulative evidence, and construction of figures

Universidade Tuiuti do Paraná. R. Luiz Gurgel do Amaral Valente 104. 81925-230 Curitiba PR Brasil. ljampersa@gmail.com

https://orcid.org/0000-0003-1325-4248

Giselle Aparecida de Athayde Massi

guidance and support on the theme, selection of descriptors, organization of data, elaboration of the discussion and final revision

Universidade Tuiuti do Paraná. R. Luiz Gurgel do Amaral Valente 104. 81925-230 Curitiba PR Brasil. ljampersa@gmail.com

https://orcid.org/0000-0002-3017-3688

Chief editors:

Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva

Authors, year, country	Sample size and professionals included	Instrument used	Prevalence of professionals who suspected/identified cases of violence	Prevalence of professionals who reported
Acioli et al., 2011, Brazil	89 speech therapists	Questionnaire not validated	43.8% (39)	2.9% (2)
Azevedo et al., 2012, Brazil	187 dentists	Questionnaire not validated	14.3% (25)	24% (6)
Badger e Tuscaloosa 1989, Alabama	276 physicians	Questionnaire not validated	324 cases of physical violence, 70% reported by pediatricians and 26% by family doctors. 226 cases of sexual violence were detected, 76% by pediatricians and 20% by family physicians	89% of cases of physical violence were reported and 94% of cases of sexual violence
Buldur et al., 2022, Turkey	229 physicians and dentists	Questionnaire developed and validated by the study authors themselves	21.8% (50)	39.6%
Brattabo et al., 2016, Norway	1.200 dentists and dental hygienists	Questionnaire not validated	NR	60% (720)
Brattabo et al., 2018, Norway	1.200 dentists and dental hygienists	Questionnaire not validated	67.4% (818)	60% (720)
Campos, 2010, Brazil	123 pediatric dentists	Questionnaire not validated	36.4% (43)	78.9% (15)
Carvalho et al., 2010, Brazil	96 pediatricians	Questionnaire not validated	55% (53)	NR
Carvalho et al., 2013, Brazil	40 dentists from the public service and 40 from the private service	Questionnaire not validated	16% in the public network and only 3% in the private network.	60% of dentists in the public network and 50% in the private network
Cavalcanti et al., 2002, Brazil	84 dentists	Questionnaire not validated	11% (9)	NR
Cavalcanti e Martins, 2009, Brazil	28 pediatricians and 35 dentists	Questionnaire not validated	78.6% (22) of pediatricians and 34.3% (12) of dentists suspected cases.	95% (19) of pediatricians and 5% (1) of dentists
Cukovic-Bagic et al., 2015, Croatia	510 dentists	Questionnaire not validated	26.27% (134)	7.20%
Dalledone et al., 2015, Brazil	146 dentists and 77 oral health technicians	Questionnaire on Childhood Trauma (QUESI) by Marengo et al., 2013	52.73% (77) of dentists and 46.75% (36) of technicians	35.67% (66) of dentists and 22.08% (17) of technicians
De Lima e Pieri, 2021, Brazil	45 dentists	Questionnaire not validated	24.44% (11)	36.36% triggered the Guardianship Council
Denny et al., 2001, New Zealand	148 pediatricians	Questionnaire not validated	18	61% (11)
El Tantawi et al., 2022, Egypt	821 dentists	Questionnaire not validated	43.1% (354)	4.3%
Francon et al., 2011, Brazil	19 dentists	Questionnaire not validated	26.31% (5)	0% (There was no notification)
Garcia et al., 2008, Brazil	54 dentists	Questionnaire not validated	33%	89%
Gunn et al., 2005, USA	195 pediatricians	Questionnaire not validated	96%	NR
Gurgel et al., 2001, Brazil	199 dentists	Questionnaire not validated	32.70%	64.8%
James et al., 1978, USA	96 physicians	Questionnaire not validated	53% (51)	42%
Kugananthan et al., 2021, Australia	228 DHPs, dentists, hygienists and dental therapists	Questionnaire not validated	55%	20
Laud et al., 2012, Greece	368 dentists	Questionnaire not validated	13% suspected physical and psychological violence and 35% of neglect	6 dentists notified
Lima et al., 2005, Brazil	70 pediatric dentists	Non-validated questionnaire applied via phone call	27.1% (19)	5% (1)
Lima et al., 2011, Brazil	506 professionals, 188 from the Basic Health Units and 318 from the Family Health Team	Questionnaire not validated	34.8% (54) of the workers of the Basic Health Units and 42.3% (121) of the Family Health Team identified some case of violence	50%
Losso et al., 2012, Brazil	56 dentists	Questionnaire not validated	18% (10)	3.5% (2)
Luna et al., 2010, Brazil	77 physicians and 130 dentists	Questionnaire not validated	25.4% (43) of physicians and 26.1% (44) of dentists	30% (21) of physicians and 25.8% (18) of dentists
Martins Júnior et al., 2019, Brazil	27 dentists and 10 physicians	Questionnaire not validated	40.7% (11) dentists. 100% (10) physicians	7.4 (2) dentists and 90% (9) physicians
Merwass et al., 2021, Saudi Arabia	371 health professionals	Questionnaire not validated	NR	102% of participants a case of abuse and child abuse
Moreira et al., 2013, Brazil	9 physicians, 26 nurses and 16 dentists	Questionnaire not validated	37.20%	60%
Moreira et al., 2014, Brazil	207 nurses, 91 doctors and 83 dentists	Questionnaire not validated	40.7%	34.8%
Moreira et al., 2015, Brazil	212 dentists	Questionnaire not validated	28.3% (60)	16.9%
Nigri et al., 2021, 22 European countries	1083 European pediatricians	Questionnaire validated by the information technology department of EPA-UNEPSA, Berlin, Germany	80% of respondents found at least one case of child emotional or psychological abuse and 76.3% at least one case of physical or sexual abuse	47.80% - Sexual; 22.30% - Emotional.
Noguchi et al., 2005, Brazil	224 speech therapists	Questionnaire not validated	24.1% (54)	4 professionals
Noguchi et al., 2006, Brazil	224 speech therapists	Questionnaire not validated	24.1% (54)	NR
Nunes et al., 2021, Brazil	181 dentists	Questionnaire on Childhood Trauma (QUESI) by Marengo et al., 2013	40.3% (73) had already recognized some cases of physical violence	6.1% (11)
Pires et al., 2005, Brazil	92 pediatricians	Questionnaire not validated	86.96% (80)	78.75% (63)
Russel et al., 2004, Northern Ireland	431 health professionals	Questionnaire not validated	58% (251)	47% (201)
Saleem et al., 2021, Pakistan	330 dentists	Questionnaire not validated	20% suspected physical violence	30%
Saulsbury et al., 1985, USA	252 physicians	Questionnaire not validated	90%	NR
Schweitzer et al., 2006, Australia	91 physicians	Questionnaire not validated	74%	21% (19)
Silva et al., 2019, Brazil	238 dentists	Questionnaire not validated	12.8% (28)	39% notified the Guardianship Council and 5% dialed 100
Silva Júnior et al., 2017, Brazil	227 physicians	Questionnaire not validated	53.1%	52.6%
Silva-Oliveira et al., 2017, Brazil	35 dentists, 46 nurses, 63 physicians	Questionnaire on Childhood Trauma (QUESI) by Marengo et al., 2013	59.7% (86)	26.4% (38)
Silva-Oliveira et al., 2019, Brazil	715 health professionals	Questionnaire on Childhood Trauma (QUESI) by Marengo et al., 2013	57.9% (414)	NR
Silva-Oliveira et al., 2020, Brazil	715 health professionals	Questionnaire on Childhood Trauma (QUESI) by Marengo et al., 2013	57.9% (414)	41.3% (171)
Sunitha et al., 2021, India	109 dentists	Questionnaire validated by the research authors	13.7%	19
Talsma et al., 2015, Sweden	77 physicians	Questionnaire not validated	37	46% (17)
Tilden et al., 1994, USA	1521 health professionals	Questionnaire not validated	9.3% of psychologists suspected psychological violence and 7.7% sexual, 24.8% of dentists suspected psychological and 30.9% sexual violence, 40.0a% of physicians suspected psychological and 13.2% sexual violence.	NR
Tornavoi et al., 2011, Brazil	180 dentists	Questionnaire not validated	34%	45%
Van Dam et al., 2015, Netherlands	264 dentists	Questionnaire not validated	24% (58)	18%
Vergara et al., 2017, Colombia	149 dentists	Questionnaire not validated	34.4% (51)	NR

Certainty assessment							№ of patients	Effect	Certainty	Importance
№ of studies	Study design	Risk of bias	Inconsistency	Indirectness	Imprecision	Other considerations		Relative (95% CI)
Prevalence of reporting of notifications
39	observational studies	very serious^a	very serious^b	not serious	not serious	None	8640	41% [34% - 48%]	⨁◯◯◯ Very low	Important
Prevalence of reported violence
42	observational studies	very serious^a	very serious^c	not serious	not serious	None	8430	30% [21% - 38%]	⨁◯◯◯ Very low	Important

[1] Chief editors:

Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva

Brasil

Brasil

Prevalence of reported violence in children and adolescents in the clinical work of health professionals: a systematic review and meta-analysis

Prevalência de relato de violência em crianças e adolescentes no trabalho clínico de profissionais da saúde: uma revisão sistemática e meta-análise

Abstract