An analytical study on socio-demographic and medico –legal factors of victims of sexual assault from the Central and Sabaragamuwa Provinces in Sri lanka

Vadysighe, A.N.; Senasinghe, D.P.P.; Attygalle, Udena Ruwindu; Abeysekara, A.M.G.; Gunasena, Mdp; Ratnayake, R.M.U.C.; Banda, Y.M.G. Ilangarathna

doi:10.4038/sljfmsl.v6i1.7758

Cited by 7 publications

(8 citation statements)

References 15 publications

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“…The reason for early presentation in these areas is not clear but it is probably due differences in socioeconomic status and literacy rate. Our findings are similar to that reported by Vadisinghe et al regarding proportion of perpetrators known to victims (94% vs. 96%), situations where the boyfriend was the perpetrator (28.8% vs. 36%) and where a family member was the perpetrator (15.8% vs. 21%) [8]. The place of sexual offence was the assailant's house in 30% and the victim's house in 34%.…”

Section: Discussionsupporting

confidence: 79%

“…Majority of victims (77%) were aged between 12 to 16 years, which is consistent with a similar study done in the Central and Sabaragamuwa Provinces [8]. Although, the above study looked at all victims of sexual abuse, irrespective of their age, 169 (60%) of the victims were aged less than 16 years.…”

Section: Discussionsupporting

confidence: 77%

“…These were not described in other studies carried out in Sri Lanka [5,8,9]. Children were less likely to be willing partners in intra-familial abuse compared to extrafamilial abuse [OR=0.2; 95% CI 0.07, 0.5).…”

Section: Papermentioning

confidence: 58%

“…The rate of delay in reporting to authorities was similar in both studies. Delay of more than seven days was 59.8% in our study and 52% in the other [8]. Delay in reporting resulting in delay in examination may affect the accuracy of medico-legal findings due to rapid healing.…”

Section: Discussionmentioning

confidence: 75%

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Child sexual abuse presenting to District General Hospital, Chilaw

Chandrasiri¹,

Wijewardena²,

Lanerolle³

et al. 2017

Ceylon Med. J.

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Introduction Incidence of child sexual abuse is increasing worldwide. There is little data on child sexual abuse in the North Western Province of Sri Lanka.Objectives To describe the demographic and medico-legal findings of victims of sexual abuse aged less than 16 years and to identify factors associated with positive findings on medical-legal examination.Methods This cross-sectional analytical study, analysed 132 victims, referred by authorities to General Hospital,Chilaw, from 2012 to 2014.Results Mean age of the victims was 13.1years. Main types abuse were penetrative (61.4%), intra-crural (39.4%) and anal sex (10.6%). The perpetrator was known in 94%. Places of offence were offender's habitat (55.3%), victim's home (23.5%) and secluded areas (11.4%). A positive history of penetrative sex (OR =15.3; 95% CI 5.6-42), chronic sexual abuse (OR=4.8; 95% CI 2.2-10.5) and time lapse in reporting to authorities (OR=4.4; 95% CI 2.0-9.4) were significantly associated with presence of conclusive medical examinations findings. Children were less likely to be willing partners in intra-familial abuse compared to extra-familial abuse where the child was sometimes a willing partner, (OR=0.2; 95% CI 0.07-0.5). Adverse psychological outcomes were observed in 16.7% (n=22).Conclusion Most children were victims of statutory rape and knew the perpetrator. In extra-familial abuse, child was sometimes a willing partner. A positive history of penetrative sex, number of abusive incidents and time lapse for presentation were important factors associated with conclusive medical findings.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 77%

Section: Papermentioning

confidence: 58%

Section: Discussionmentioning

confidence: 75%

See 2 more Smart Citations

Child sexual abuse presenting to District General Hospital, Chilaw

Chandrasiri¹,

Wijewardena²,

Lanerolle³

et al. 2017

Ceylon Med. J.

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“…Spermatozoa were found in 18.2% of the cases. Vadysighe et al 11 showed that 43% of the victims were 12 to 16 years of age followed by 16 to 20 years 21%. So, majority (64.0%) of the victims were within 12 to 20 years of age.…”

Section: Discussionmentioning

confidence: 99%

Medicolegal Findings of Rape Victims: A Retrospective Study of 69 cases at a Tertiary Care Hospital in Dhaka City

Bose¹,

Ara

Rahaman³

et al. 2018

J. Natl Inst. Neurosci Bangladesh

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Background: Proof of rape depends not only in the physical findings of the victims but also to the subjective intentions of the assailants. Objective: The purpose of the present study was to find out the medicolegal findings of rape victims in order to point out the visible loopholes of the procedure. Methodology: This was a cross sectional descriptive type of study which was done in the Dept. of Forensic Medicine, Dhaka Medical College, Dhaka, Bangladesh from January to December 2016 with maintaining ethical issues. Rape cases from 23 police stations of Dhaka Metropolitan area were sent for medicolegal examination and victims who ultimately agreed to do medicolegal examinations were examined and opinions were given regarding the issues. Results: A total number of 69 cases from 23 police stations of Dhaka Metropolitan area were studied. In this study, majority (70.0%) of the victims was within 11 to 20 years of age and 65.0% of the victims were unmarried. Almost 68.0% of the victims were examined within 7 days followed by 32.0% of the victims after 7 days to beyond one month after rape; however, 48.0% of the victims showed sign of recent hymeneal tear with bruise and abrasion followed by 52.0% showed sign of old hymeneal tear. Spermatozoa were not found in any of the specimen of high vaginal swab. Conclusion: In conclusion, teenage unmarried girl are the most common victim of rape cases. [Journal of National Institute of Neurosciences Bangladesh, 2017;3(2): [106][107][108][109]

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Child sexual abuse in Sri Lanka: Past, present and the future

Rohanachandra

2020

Asian Journal of Psychiatry

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An analytical study on socio-demographic and medico –legal factors of victims of sexual assault from the Central and Sabaragamuwa Provinces in Sri lanka

Cited by 7 publications

References 15 publications

Child sexual abuse presenting to District General Hospital, Chilaw

Child sexual abuse presenting to District General Hospital, Chilaw

Medicolegal Findings of Rape Victims: A Retrospective Study of 69 cases at a Tertiary Care Hospital in Dhaka City

Child sexual abuse in Sri Lanka: Past, present and the future

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