Conference Papers
Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/6561
This collection contains abstracts of conference papers, presented at local and international conferences by the staff of the Faculty of Medicine
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Item Prevalence and severity of abusive experiences during childhood among a group of young adults from Gampaha District(Sri Lanka Medical Association, 2016) Chandraratne, N.K.; Fernando, A.D.; Gunawardena, N.S.INTRODUCTION: Abuse during childhood is a public health problem leading to adverse health, social and economic consequences. OBJECTIVES: The study aims to determine the prevalence and severity of physical, sexual and emotional abuse during childhood among young adults aged 18-20 years schooling in the Gampaha District. METHOD: A descriptive cross-sectional study was conducted among 1500 schooling young adults selected by multistage cluster sampling. The prevalence of physical, sexual and emotional abuse was ascertained using the validated version of ICAST-R (ISPCAN Child Abuse Screening Tool-Retrospective Version). The severity of abusive experiences was assessed using a tool developed by the researchers based on modified Delphi technique. RESULTS: Prevalence of physical abusive experiences during childhood was 45.4% (95%CI = 42.9–47.9) (males- 54.8%, 95%CI = 51.1–58.8, females- 38.3%, 95%CI = 35.0–41.3), prevalence of severe physical abuse was 0.1%.. Being 'beaten by an object' was the commonest experience among both males (45.9%, 95% CI = 42.8–49.8) and females (32.0%, 95% CI = 28.7-35.6). Prevalence of sexual abuse during childhood was 9.1% (95% CI=7.6-10.5) (males: 6.4%, 95%CI=4.6–8.3, females: 11.5%,95%CI = 9.4–13.7), prevalence of severe sexual abuse was 0.2%. ‘Someone exposing their genitals’ was the commonest act (9.1%, 95%CI = 7.1-11.1) experienced by females and ‘Someone touching the genitals’ was the commonest act (4.0%, 95%CI = 2.5-5.7) experienced by males. Prevalence of emotional abuse during childhood was 27.9% (95%CI = 25.7–30.2) (males: 33.9%, 95%CI = 30.4–37.3, females: 23.2%,95% CI = 20.3–26.1) severe emotional abuse was seen among 2.4%. Insulting or criticizing was the most common abusive act among both males (29.5%, 95%CI = 26.2-33.1) and females (20.1%, 95%CI = 17.2-22.9). CONCLUSIONS: Prevalence of physical, sexual and emotional abusive experiences during childhood were high among schooling young adults in the Gampaha District. This calls for targeted interventions.Item Association of attachment with parents and abusive experiences during childhood(Sri Lanka Medical Association, 2016) Chandraratne, N.K.; Fernando, A.D.; Gunawardena, N.S.INTRODUCTION: Improving parent-child attachment is considered to be an effective intervention in preventing child abuse. OBJECTIVES: This study is aimed at determining the association between parent-child attachment and experience of abuse during childhood. METHOD: A cross sectional analytical study was conducted among a representative sample of 1479 schooling young adults aged 18-20 years in Gampaha District, selected using a multi-stage cluster sampling method. Experience of abuse during childhood were determined using the self-administered locally validated tool SICAST-R. Parent-child attachment was determined using Inventory of Parent and Peer Attachment (IPPA), a self-administered tool, which measures the attachment to parents during childhood in the dimensions of communication, trust and alienation. RESULTS: The prevalence rates for abusive experience during childhood were 45.4% (95% CI=42.9–47.9), 9.1% (95% CI=7.6-10.5) and 27.9% (95% CI=25.7–30.2) for physical, sexual and emotional abuse respectively. All three dimensions that describe the attachment with the mother were significantly associated with being physically (poor trust:OR=3.71, 95% CI=1.52-9.05; poor communication: OR=1.72, 95%CI=0.89-3.35; presence of alienation: OR=2.63, 95%CI=1.72-4.00), sexually (poor trust: OR=3.62, 95%CI=1.07-12.25; poor communication :OR=2.44, 95% CI=1.01-5.92; presence of alienation: OR=3.89, 95% CI=2.22-6.81) and emotionally (poor trust: OR=6.56, 95% CI=2.88-14.91; poor communication: OR=3.19, 95% CI=1.78-5.71; presence of alienation: OR=3.32, 95% CI=2.21-4.98) abused during childhood. Similarly, aall three dimensions that describe the attachment with the father were significantly associated with being physically (poor trust: OR =3.16, 95%CI = 1.92-5.19; poor communication: OR=2.72, 95%CI=1.57-4.72; presence of alienation: OR=2.53, 95%CI=1.80-3.56), sexually (poor trust: OR=2.49, 95%CI = 1.18-5.29; poor communication: OR = 3.28, 95%CI = 2.27-4.74; presence of alienation: OR = 2.55, 95%CI = 1.54-4.22) and emotionally (poor trust: OR = 3.29, 95%C I= 2.00-5.39; poor communication:OR = 4.47, 95%CI = 2.05-9.73; presence of alienation: OR=3.21, 95%CI = 2.30-4.48) abused during childhood. CONCLUSIONS: Poor attachment with parents is associated with abusive experience during childhood. Public Health Programmes should focus on improving parent-child attachment.