Formation et état des connaissances des médecins généralistes de la Normandie occidentale vis à vis du repérage de l'inceste chez les mineurs

Abstract : Incest is a public health’s challenge. The goal was to evaluate the training and the state of knowledge of the General practitioners (GP) of western Normandy (WN) on incest. To do so, an observational investigation was made with the help of an online questionnaire from the Regional Union of doctors who have their own practice to 1092 GP of WN. The answering rate as 6.3% with 68 persons answering. This investigation has shown that Incest was little tackled during their initial and continuous medical training. The definition of incest is well-known by these GP. However, some don’t seen to know perfectly the legal sexual majority age, as well as the juridical aims of legal majority age. Despite the lack of training showed in this investigation, these GP know the main clinical signs useful to notice incest. The recommendation of hospitalization in case of suspicion of sexual aggression on a minor is well-known at 72.2% guarantors. But some still have a few lacks as far as required administrative and legal procedures are concerned. The majority of these GP badly know traumatic memory (67.6%) and « traumatic dissociation » (33%) as well as their mechanisms. The number of cases of revelation and suspicion of incest which would have appeared to theses GP seems low with regard to the national figures estimated on incest and to the number of potential patients followed by these GP. The strengthening of the training of the GP could improve their location and allow an adapted care.
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Master Thesis
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Adeline Giot. Formation et état des connaissances des médecins généralistes de la Normandie occidentale vis à vis du repérage de l'inceste chez les mineurs. Médecine humaine et pathologie. 2018. ⟨dumas-02114254⟩

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