Sex education and self-poisoning in Sri Lanka: an explorative analysis.
Sex education and self-poisoning in Sri Lanka: an explorative analysis.
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DOI：
10.1186/s12889-021-12374-4
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发表时间：
2022-01-06
影响因子：
4.5
通讯作者：
Knipe D
中科院分区：
文献类型：
--
作者：
Crowley G;Bandara P;Senarathna L;Malalagama A;Gunasekera S;Rajapakse T;Knipe D
自我伤害和自杀是斯里兰卡发病率和死亡率的重要原因，但我们对这些行为的了解有限。定性研究涉及家庭和社会对性和关系的期望。我们进行了探索性的分析，使用病例对照数据，调查性教育和自我中毒在斯里兰卡之间的关联。病例（N=298）为Peradeniya教学医院毒理学病房的自我中毒住院患者。对照组（N=500）为性别和年龄频率与病例相匹配的门诊患者/同一医院的访客。参与者被问及他们是否接受过性教育，并对接受的任何性教育的质量和有用性进行评价。调整年龄、性别和宗教的逻辑回归模型量化了性教育的接收、质量和有用性与自我中毒之间的关联。我们测试了这种关联是否因性别而异。大约三分之一的病例和五分之一的对照组报告说没有接受过性教育。未接受性教育的个体发生自我中毒的可能性是接受性教育的个体的近两倍（OR 1.68（95%CI 1.11-2.55））。与那些认为性教育有用的人相比，那些认为性教育无用的人更容易自我中毒（OR 1.95（95%CI 1.04-3.65））。我们没有发现自我中毒和自我评价的性教育质量之间存在关联的证据，也没有发现这种关联因参与者的性别而异。由于性教育在人口一级可能是可以改变的，进一步的研究应旨在更深入地探讨这种关联，使用定性方法和有效的测量工具。在线版本包含补充材料，可通过10.1186/s12889-021-12374-4获得。
Self-harm and suicide are important causes of morbidity and mortality in Sri Lanka, but our understanding of these behaviours is limited. Qualitative studies have implicated familial and societal expectations around sex and relationships. We conducted an explorative analysis using case-control data to investigate the association between sex education and self-poisoning in Sri Lanka. Cases (N=298) were self-poisoning inpatients on a toxicology ward, Teaching Hospital Peradeniya. Controls (N=500) were sex and age frequency matched to cases and were outpatients/visitors to the same hospital. Participants were asked whether they had received sex education, and to rate the quality and usefulness of any sex education received. Logistic regression models adjusted for age, sex, and religion quantified the association between receipt, quality and usefulness of sex education and self-poisoning. We tested whether the associations differed by sex. Roughly 1-in-3 cases and 1-in-5 controls reported having not received sex education. Individuals who did not receive sex education were nearly twice as likely to have self-poisoned than those who did (OR 1.68 (95% CI 1.11-2.55)). Those who reported the sex education they received as not useful were more likely to have self-poisoned compared to those who reported it useful (OR 1.95 (95% CI 1.04-3.65)). We found no evidence of an association between self-poisoning and the self-rated quality of sex education, or that associations differed by participant sex. As sex education is potentially modifiable at the population-level, further research should aim to explore this association in more depth, using qualitative methods and validated measurement tools. The online version contains supplementary material available at 10.1186/s12889-021-12374-4.
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影响因子：
2.8
作者：
Agampodi, Suneth B;Agampodi, Thilini C;Ukd, Piyaseeli
通讯作者：
Ukd, Piyaseeli
影响因子：
5.4
作者：
Devries, Karen;Watts, Charlotte;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia
DOI：
10.2471/blt.11.091785
发表时间：
2012-01-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Silva, Varuni A de;Senanayake, SM;Hanwella, R
通讯作者：
Hanwella, R
影响因子：
3.1
作者：
Dalton, Tom Rollo;Knipe, Duleeka;Moran, Paul
通讯作者：
Moran, Paul
影响因子：
3.7
作者：
Pushpakumara PHGJ;Dawson AH;Adikari AMP;Thennakoon SUB;Abeysinghe R;Rajapakse TN
通讯作者：
Rajapakse TN