Capacidade de identificação e ação dos cirurgiões-dentistas frente a sinais de violência doméstica contra a mulher

Autores

DOI:

https://doi.org/10.30979/BrazJDentEduc.v25.2450

Palavras-chave:

Violência contra a Mulher, Violência Doméstica, Educação em Odontologia

Resumo

Sabe-se que é de extrema importância o conhecimento acerca dos sinais da ocorrência de violência doméstica - um problema de saúde pública que aumenta a cada dia - pelos profissionais da saúde, principalmente os cirurgiões-dentistas, que lidam com a parte de corpo que tem maior probabilidade de ser traumatizada, a face. Apesar da importância do assunto, muitos profissionais desconhecem seu papel legal. Recentemente, a Lei nº 10.778, de 24 de novembro de 2003, alterada pela Lei nº 13.931, de 10 de dezembro de 2019, discorre sobre a obrigatoriedade da comunicação às autoridades policiais por parte dos profissionais da saúde sobre casos em que houver suspeita ou confirmação de violência doméstica em até 24 horas. Nesse sentido, o objetivo deste trabalho foi avaliar a capacidade de identificação de sinais de violência doméstica por cirurgiões-dentistas e as atitudes tomadas diante de tal ocorrência. Um questionário online contendo 18 questões foi aplicado para cirurgiões-dentistas inscritos no Conselho Regional de Odontologia de São Paulo (CRO-SP), obtendo 131 respostas. Os dados coletados demostraram que 92% dos participantes não conhecem a Lei nº 13.931/2019, 56,5% não tem certeza se sabem identificar sinais de violência e 3% realmente não sabem. Dos 28,8% que disseram ter identificado algum sinal de violência doméstica, 47% não tomaram nenhuma atitude. Dentre os fatores limitantes para a denúncia, destacou-se o medo de confundir os sinais (25,9%) e o desconhecimento sobre o que deve ser feito (15,55%). Conclui-se que os amostrados tiveram dificuldades frente à suspeita de casos de violência contra a mulher. Estratégias de ensino devem ser estruturadas para cursos de graduação e pós-graduação.

Biografia do Autor

Thaís Fantinato Trindade, Faculdade de Odontologia de Ribeirão Preto

Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP-USP), Ribeirão Preto, São Paulo, Brasil.

Mirela Cristina da Silva, Universidade de São Paulo

Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP), Ribeirão Preto, São Paulo, Brasil.  

Julia Gabriela Dietrichkeit Pereira, Universidade de São Paulo

Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP-USP), Ribeirão Preto, São Paulo, Brasil.

Ricardo Henrique Alves da Silva, Universidade de São Paulo

Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (FORP-USP), Ribeirão Preto, São Paulo, Brasil.

Referências

Hegarty K, McKibbin G, Hammed M, Koziol-McLain J, Feder G, Tarzia L, et al. Health practioners’ readiness to adress domestic violence and abuse: a qualitative meta-synthesis. Plos One [Internet]. 2020;15(6):1-26. doi: https://doi.org/10.1371/journal.pone.0234067

Miranda RB, Lange S. Domestic violence and social norms in Norway and Brazil: a preliminary, qualitative study of atitudes and practices of health workers and criminal justice professional. Plos One [Internet]. 2020;15(12):1-21. doi: https://doi.org/10.1371/journal.pone.0243352

Alalyani WS, Alshouibi EM. Dentists awareness and action towards domestic violence patients. A cross-sectional study among dentists in Western Saudi Arabia. Saudi Med J [Internet]. 2017;38(1):82-8. doi: https://doi.org/10.15537/smj.2017.1.16085

Sohal AH, Pathak N, Blake S, Apea V, Berry J, Bailey J, et al. Improving the healthcare response to domestic violence and abuse in sexual health clinics: feasibility study of a training, support and referral intervention. Sex Transm Infect [Internet]. 2018;94(2):83-7. doi: https://doi.org/10.1136/sextrans-2016-052866

Richardson J, Coid J, Petruckevitch A, Chung WS, Moorev S, Feder G. Identifying domestic violence: cross sectional study in primary care. BMJ [Internet]. 2002;324(7332):274. doi: https://doi.org/10.1136/bmj.324.7332.274

Ramsay J, Richardson J, Carter YH, Davidson LL, Feder G. Should health professional screen women for domestic violence? Systematic review. BMJ [Internet]. 2002;325(7359):314. doi: https://doi.org/10.1136/bmj.325.7359.314

Gregory A, Ramsay J, Agnew-Davies R, Baird K, Devine A, Dunne D, et al. Primary care/ identification and referral to improve safety of women experiencing domestic violence (IRIS): protocol for a pragmatic cluster randomised controlled trial. BMC Public Health [Internet]. 2010;10:54. doi: https://doi.org/10.1186/1471-2458-10-54

McLay MM. When “Shelter-in-place” isn’t shelter that’s safe: A rapid analysis of domestic violence case diferences during the COVID-19 pandemic and stay-at-home orders. J Farm Violence [Internet]. 2021;37:861-870. doi: https://doi.org/10.1007/s10896-020-00225-6

Adjah ESO, Agbemafle I. Determinants of domestic violence against women in Ghana. BMC Public Health [Internet]. 2016;16:368. doi: https://doi.org/10.1186/s12889-016-3041-x

Van Dam BAFM, Vam Der Sanden WJM, Bruers JJM. Recognizing and reporting domestic violence: atitudes, experiences and behavior of Dutch dentists. BMC Oral Health [Internet]. 2015;15:159. doi: https://doi.org/10.1186/s12903-015-0141-4

Yohannes K, Abebe L, Kisi T, Demeke W, Yimer S, Feyiso M, et al. The prevalence and predictors of domestic violence among pregnant women in Southeast Oromia, Ethiopia. Reprod Health [Internet]. 2019;16:37. doi: https://doi.org/10.1186/s12978-019-0694-9

Richardson J, Feder G, Eldridge S, Chung WS, Coid J, Moorey S. Women who experience domestic violence and women survivors of childhood sexual abuse: a survery of health professionals’ atitudes and clinical practice. Br J Gen Pract [Internet]. 2001;51(467):468-70. doi: https://doi.org/10.1046/j.1365-2214.2002.t01-7-00271.x

Ramsay J, Rutterford C, Gregory A, Dunne D, Eldridge S, Sharp D, et al. Domestic violence: knowledge, atitudes, and clinical practice of selected UK primary healthcare clinicians. Br J Gen Pract [Internet]. 2012;62(602):e647-55. doi: https://doi.org/10.3399/bjgp12X654623

Silva MRP, Fonseca M, Schifino RS. Formação docente e o enfrentamento da violência doméstica: o programa “quem ama abraça” na rede municipal de Santo André/SP. Edu Rev [Internet]. 2019;20:51-66. doi: https://doi.org/10.36311/2236-5192.2019.v20esp.05.p51

Laudette CL, Melander I, Carreno B, Jones G. Calls to Spain’s gender violence helpline sharply during lockdown [Internet]. 2020 [cited 2021 Jan 12]. Available from: https://uk.news.yahoo.com/calls-spains-gender-violence-helpline-104506182.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAAGERrLpih74NMxAWbKn93Lz82FUW67h_9XS1Y5gHG1emefpeeepi6BHG7Ea82OvNJDwtk8spmTGt5MD4G1x25bP1yYHufRTs54CfLP6FisaAr6X2ij-lHP374M6CREFeb7d6GvTNKisvPeNpZmRbQofyt_LLSzMPdWWjVO5oQqhW

Fórum Brasileiro de Segurança Pública. 18º Anuário Brasileiro de Segurança Pública [Internet]. São Paulo: Fórum Brasileiro de Segurança Pública; 2024 [cited 2025 Jun 19]. Available from: https://publicacoes.forumseguranca.org.br/handle/123456789/253

Vieira PR, Garcia LP, Maciel ELN. Isolamento social e o aumento da violência doméstica: o que isso nos revela? Rev Bras Epidemiol [Internet]. 2020;23:1-5. doi: https://doi.org/10.1590/1980-549720200033

World Health Organization. Violence Against women [Internet] 2024 [cited 2025 Jun 19]. Available from: https://www.who.int/news-room/fact-sheets/detail/violence-against-women

Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world reporto n violence and health. Lancet [Internet]. 2002;360(9339):1083-8. doi: https://doi.org/10.1016/s0140-6736(02)11133-0

Mainey L, Taylor A, Baird K, O’Mullan C. Disclosure of domestic violence and sexual assault within the contexto of abortion: meta-ethnographic synthesis of qualitative studies protocol. Syst Rev [Internet]. 2017;6:257. doi: https://doi.org/10.1186/s13643-017-0637-x

Furtado BA, Martins RJ, Garbin CAS, Saliba TA. Impacto da pandemia de COVID-19 na violência contra a mulher: análise da prevalência das lesões do complexo bucomaxilofacial. Rev Gest Secr [Internet]. 2024;15(4):e3737. doi: https://doi.org/10.7769/gesec.v15i4.3737

Coulthard P, Hutchison I, Bell JÁ, Coulthard ID, Kennedy H. COVID-19, domestic violence and abuse, and urgente dental and oral and maxillofacial surgery care. Br Dent J [Internet]. 2020;228(12):923-26. doi: https://doi.org/10.1038/s41415-020-1709-1

Sohal AH, Feder G, Barbosa E, Beresford L, Dowrick A, El-Shogri F, et al. Improving the healthcare response to domestic violence and abuse in primary care: protocol for a mixed method evaluation of the in primary care: protocol for a mixed method evaluation of the implementation of a complex intervention. BMC Public Health [Internet]. 2018;18:971. doi: https://doi.org/10.1186/s12889-018-5865-z

World Health Organization. Responding to intimate partner violence and sexual violence against women: who clinical and policy guidelines [Internet]. World Health Organization; 2013 [cited 2021 Jan 12]]. Available from: https://apps.who.int/iris/bitstream/handle/10665/85240/9789241548595_eng.pdf;jsessionid=49514193D62536FAB4636647BBDFABF6?sequence=1

National Institute for health and care excellence. Domestic violence and abuse: multi-agency working [Internet]. NICE Guideline. NICE: 2014 [cited 2021 Jan 12]. Available from: https://www.nice.org.uk/guidance/ph50/resources/domestic-violence-and-abuse-multiagency-working-pdf-1996411687621

Mainey L, Taylor A, Baird K, O’Mullan C. Disclosure of domestic violence and sexual assault within the contexto of abortion: meta-ethnographic synthesis of qualitative studies protocol. Syst Rev [Internet]. 2017;6:257. doi: https://doi.org/10.1186/s13643-017-0637-x

Aye WT, Lien L, Stigum H, Schei B, Sundby J, Bjertness E. Domestic violence victimisation and its association with mental distress: a cross-sectional study of the Yangon region, Myanmar. BMJ Open [Internet]. 2020;10(9):e037936. doi: https://doi.org/10.1136/bmjopen-2020-037936

Ferrari G, Agnew-Davies R, Bailey J, Howard L, Howarth E, Peters TJ, et al. Domestic violence and mental health: a cross-sectional survery f women seeking help from domestic violence support services. Glob Health Action [Internet]. 2016;9:29890. doi: https://doi.org/10.3402/gha.v9.29890

Malpass A, Sales K, Johnson M, Howell A, Agnew-Davies R, Feder G. Women’s experiences of referral to a domestic violence advocate in UK primary care settings:a service-use collaborative study. Br J Pract [Internet]. 2014;64(620):e151-e158. doi: https://doi.org/10.3399/bjgp14X677527

Spangaro JM, Zwi AB, Poulos RG, Man WYN. Who tells and what happens: disclosure and health service responses to screening for intimate partner violence. Health Soc Care Community [Internet]. 2010;18(6):671-80. doi: https://doi.org/10.1111/j.1365-2524.2010.00943.x

Lei nº 10.778, de 24 de novembro de 2003 [Internet]. Presidência da República. Casa Civil. 2003 [cited 202 Jun 20]. Available from: http://www.planalto.gov.br/ccivil_03/leis/2003/l10.778.htm

Lei nº 13.931, de 10 de dezembro de 2019 [Internet]. Presidência da República. Secretaria Geral. 2019 [cited 2021 Jun 20]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2019-2022/2019/lei/L13931.htm

Miranda MCSM, Batista RM. A contribuição do cirurgião dentista em casos de violência contra a mulher: relato de caso. Cad Odontol UNIFESO [Internet]. 2024;6(2):109-122. doi: https://doi.org/10.29327/2442440.6.2-10

Levin L, Bhatti C. The role of dental professionals in identifying, reporting, and supporting domestic violence victims. Dent Traumatol [Internet]. 2024;40:3-9. doi: https://doi.org/10.1111/edt.12897

Szilassy E, Drinkwater J, Hester M, Larkins C, Stanley N, Turner W, et al. Making the links between domestic violence and child safeguarding: na evidence-based pilot training for general practice. Health Soc Care Community [Internet]. 2017;25(6):1722-32. doi: https://doi.org/10.1111/hsc.12401

Brasil. Conselho Federal de Odontologia. Código de Ética Odontológica [Internet]. 2012 [cited 2025 Jun 19]. Available from: https://website.cfo.org.br/wp-content/uploads/2018/03/codigo_etica.pdf

Dheensa S, Halliwell G, Daw J, Jones SK, Feder G. “From taboo to routine”: a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse. BMC Health Serv Res [Internet]. 2020;20(129):1-13. doi: https://doi.org/10.1186/s12913-020-4924-1

Lewis NV, Feder GS, Howarth E, Lassy ES, McTavish JR, MacMillan HL, et al. Identification and initial response to children’s exposure to intimate partner violence: a qualitative synthesis of the perspectives of children, mothers and professional. BMJ Open [Internet]. 2018;8(4):e019761. doi: https://doi.org/10.1136/bmjopen-2017-019761

Mythri H, Kashinath KR, Raju AS, Suresh KV, Bharateesh JV. Enhancing the Dental Professional’s responsiviness towards domestic violence; a cross-sectional study. J Clin Diagn Res [Internet]. 2015;9(6):ZC51-ZC53. doi: https://doi.org/10.7860/JCDR/2015/12258.6117

Tantawi ME, Gaffar B, Arheiam A, Aziz WB, Al-Batayneh OB, Alhoti MF, et al. Dentists’ intention to report suspected violence: a cross-sectional study in eight Arab countries. BMJ Open [Internet]. 2018;8(3):e019786. doi: https://doi.org/10.1136/bmjopen-2017-019786

Lino-Júnior HL, Gabriel M, Daruge-Júnior E, Silva RHA. Ensino de Odontologia Legal no Brasil: um convite à reflexão. Rev Abeno [Internet]. 2015;15(2):38-46. doi: https://doi.org/10.30979/rev.abeno.v15i2.161

Pereira JGD, Recalde TSF, Costa PB, Magalhães LV, Silva RHA. Forensic odontology education: from undergraduate to PhD – a Brazilian experience. J Forensic Odontostomatol. 2017;35(2):149-56.

Nascimento CTJS, Oliveira MN, Vidigal MTC, Inocêncio GSG, Vieira WA, Franco A, et al. Domestic violence against women detected and managed in dental practice: a systematic review. J Fam Violence [Internet]. 2023;6:149-160. doi: https://doi.org/10.1007/s10896-021-00351-9

Cantão ABCS, Lima TCLS, Fernandes MIAP, Nagendrababu V, Bastos JV, Levin L. Prevalence of dental, oral, and maxillofacial traumatic injuries among domestic violence victims: a systematic review and meta‐analysis. Dent Traumatol [Internet]. 2024;40:33-42. doi: https://doi.org/10.1111/edt.12922

Meseli SE, Yildiz H. Dentists’ knowledge about domestic violence against women: A questionnaire-based study. Dent Med Probl [Internet]. 2024;61(4):563–575. doi: https://doi.org/10.17219/dmp/171540

Publicado

2025-08-07

Como Citar

Trindade, T. F., Silva, M. C. da, Pereira, J. G. D., & Silva, R. H. A. da. (2025). Capacidade de identificação e ação dos cirurgiões-dentistas frente a sinais de violência doméstica contra a mulher . Brazilian Journal of Dental Education, 25, 2450. https://doi.org/10.30979/BrazJDentEduc.v25.2450

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