Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Community perceptions on intimate partner violence: A qualitative study from Sri Lanka(SAGE Publications, 2023) Reyal, H.P.; Perera, M.N.; Guruge, D.Although plenty of research is conducted to explore the causes of intimate partner violence (IPV), findings are inadequate about the community members' perceptions on IPV. This qualitative study was conducted in a health administrative area of Sri Lanka to explore IPV as perceived by community members in terms of what is IPV, what causes IPV, and what are the responses to prevent IPV. Five focus group discussions and 11 in-depth interviews were conducted with 34 women and eight men. Data were thematically analyzed, and a model on community perception of IPV was developed. It incorporated the individual, relationship, community, and societal levels of the existing ecological framework on causes of interpersonal violence. Perceived apparent and underlying determinants were operating directly and indirectly with complex interactions for the occurrence and continuation of IPV. Pathways of preventing or responding to IPV were identified. Findings on determinants can be incorporated into IPV interventions.Item Prevalence of intimate partner violence across urban, rural and estate sectors: A preliminary study(College of Community Physicians of Sri Lanka, 2021) Reyal, H.P.; Perera, M.N.; Guruge, D.INTRODUCTION: Intimate partner violence (IPV) against women continues to be a silent health problem in Sri Lanka. Studies on IPV across different socio-demographic divisions are limited, thus uniform approaches are used to address IPV despite the varying prevalence across different study settings. OBJECTIVES: To compare the prevalence of IPV across the urban, rural and estate sectors through a study conducted in Nawalapitiya Medical Officer of Health (MOH) Area. METHODS: A cross-sectional survey was designed to conduct with 701 ever-married women aged 15-49 years using a multistage cluster sampling method. A pre-tested interviewer-administered-questionnaire was used to assess the abuse experienced by the participants during lifetime and past twelve months in the form of physical, psychological, sexual acts and controlling behaviours. Bivariate analysis was performed to compare the prevalence of IPV among the three sectors. RESULTS: The response rate was 85.6% (n=600). Lifetime prevalence of physical (n=237; 39.5%), psychological abuse (n=234; 39.0%) and controlling behaviours (n=188; 31.3%) were high among everpartnered women. Estate women reported more abuse (n=143; 79.4%), physical (n=110; 61.1%), psychological (n=99; 55%), sexual abuse (n=29; 16.1%) and controlling behaviours (n=62; 34.4%) compared to urban and rural women. CONCLUSIONS & RECOMMENDATIONS: IPV prevalence significantly differed across sectors. IPV was highest in the estate sector followed by urban and rural sectors. Designing of IPV intervention should focus on different sectors. The contributory factors within the sectors should be explored and addressed. KEYWORDS: Physical abuse, Psychological abuse, Sexual abuse, Women, Sri Lanka