Domestic violence and its relation to dentistry: a call for change in Canadian dental practice.

Tracey J Hendler

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Intimate Partner and Family Violence Child Abuse and Related Trauma Elder Abuse and Neglect

Abstract

Domestic violence (DV), now a national health concern, has pervasive effects at both the individual and societal levels. Women are the primary victims of DV; their lifetime prevalence has been reported to be 20%-53.8%. The sequelae of violence include increased acute and chronic health care utilization, psychological harm and a wide range of physical injuries. Head and neck injuries are the most common result of violence, and many women seek dental treatment following abuse. Dentists are in a unique position to identify abused victims and intervene. However, they are not well trained to identify victims of DV, and they lack appropriate resources to manage identified victims. Moreover, of the many health professionals surveyed, dentists feel the least responsible for intervening in cases of DV, and interventions by dentists are minimal. Barriers to screening for DV occur at the patient, provider and system levels, but they can be overcome with increased education. DV education, assessment and management should be a priority, so that dentists can help improve the lives of the many women faced with abuse.

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References

2000Physical Health Consequences of Physical and Psychological Intimate Partner Violence 2002Intimate Partner Violence and Physical Health Consequences 1998Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the National Violence Against Women Survey.1995The “Battering Syndrome”: Prevalence and Clinical Characteristics of Domestic Violence in Primary Care Internal Medicine Practices 1992Primary care physicians' response to domestic violence. Opening Pandora's box 1995Domestic violence against women. Incidence and prevalence in an emergency department population 2002Identifying domestic violence: cross sectional study in primary care 1989A study of battered women presenting in an emergency department.

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2011Dental Students and Intimate Partner Violence: Measuring Knowledge and Experience to Institute Curricular Change 2022Dentists’ Competence and Knowledge on Domestic Violence and How to Improve It—A Review 2013Violence and Abuse 2015Enhancing the Dental Professional’s Responsiveness Towards Domestic Violence; A Cross-Sectional Study

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