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A comparative descriptive study on adolescents presented to Ragama and Anuradhapura Teaching Hospitals for medico-legal examination with a history of 'sexual activity'

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dc.contributor.author Edirisinghe, P.A.S.
dc.contributor.author Perera, W.N.S.
dc.contributor.author Paranithran, P.
dc.contributor.author Perera, B.P.P.
dc.contributor.author Samarasekera, A.
dc.contributor.author Waidarathna, M.D.
dc.contributor.author Jayasena, A.S.
dc.date.accessioned 2016-02-12T06:44:18Z
dc.date.available 2016-02-12T06:44:18Z
dc.date.issued 2008
dc.identifier.citation Edirisinghe, P.A.S.; Perera, W.N.S.; Paranithran, P.; Perera, B.P.P.; Samarasekera, A.; Waidarathna, M.D.; Jayasena, A.S. A comparative descriptive study on adolescents presented to Ragama and Anuradhapura Teaching Hospitals for medico-legal examination with history of 'sexual activity'. In: Wickremasinghe, A.R., Pathmeswaran, A., editors. A Collection of research papers on adolescent sexual and reproductive health. Ragama: Faculty of Medicine, University of Kelaniya & Plan International; 2008. p. 9-36. en_US
dc.identifier.isbn 978-955-1214-23-4
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/11723
dc.description.abstract INTRODUCTION: Adolescents engaged in sexual activity are brought for medico-legal examination as they are minors. Though some have consented for sexual activity, it is not legally acceptable. The perpetrators include boyfriends, relatives, known persons and strangers. The 'boyfriend' group is unique as the consent is not obtained by illegal means. OBJECTIVE: To find out potential predisposing factors that contribute to 'consensual' or 'non consensual' sexual activity of adolescents and to find out how 'consensual' and 'non consensual' sexual activity affects sexual health of adolescents. METHODS: A retrospective descriptive study was done using records maintained at the offices of the Judicial Medical Officers of Ragarna and Anuradhapura. The data was analyzed using SPSS statistical package. RESULTS: 202 and 154 victims examined between 2000 to 2006 at Ragama and Anuradhapura were analyzed. Male to female ratio was 1:10 in Ragama and 1:24 in Anuradhapura. The most vulnerable age group for sexual activity was 14-15 years. The majority of cases were from the low socio-economic strata. Vaginal intercourse was the most preferred sexual activity; the likelihood of an adolescent from Anuradhapura to have penetrative sex was 2.47 times more as compared to an adolescent from Ragama. Boyfriend was the assailant in 39% and 37% of cases in Ragama and Anuradhapura respectively. 63 % of victims from Ragama had eloped as compared to 19% from Anuradhapura. In both groups, nearly half of the cases had a relationship less than 6 months. An adolescent having sexual activity with a relative was 2.31 (95% CI 1.36-3.93) times greater in Anuradhapura as compared to Ragama. There were 18 and 16 pregnancies in Ragama and in Anuradapura, respectivly. 61 cases from Ragama had psychological symptoms and signs after the incident. CONCLUSIONS: Adolescents are more susceptible to engage in sexual acts around 14 years. Consented sexual activity with a boy friend resulting in legal action is a significant social problem. The high incidence of sexual activity with relatives and known persons indicate the vulnerability of adolescents to engage in sexual activity in their own environments. en_US
dc.language.iso en_US en_US
dc.publisher Faculty of Medicine, University of Kelaniya & Plan International en_US
dc.subject Reproductive Health en_US
dc.subject Sexual Behavior en
dc.subject Adolescent en
dc.subject Forensic Medicine en
dc.subject Referral and Consultation en
dc.title A comparative descriptive study on adolescents presented to Ragama and Anuradhapura Teaching Hospitals for medico-legal examination with a history of 'sexual activity' en_US
dc.type Book chapter en_US


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