Ministry of Health, Nutrition & Indigenous Medicine, Suwasiripaya, No 38, Rev. Baddegama Wimalawansa Thero Mawatha, Colombo, 10, Sri Lanka.
Department of Pediatrics, Faculty of Medicine, University of Kelaniya, Sri Lanka.
Child Abuse Negl. 2018 Jul;81:214-224. doi: 10.1016/j.chiabu.2018.05.004. Epub 2018 May 10.
Abuse during childhood is a human tragedy leading to lifelong adverse health, social, and economic consequences for survivors. This descriptive, cross-sectional study aimed to determine the prevalence of childhood physical, sexual and emotional abusive experiences among students (aged 18-19 years) in a Sri Lankan district. Multistage cluster sampling was used to select a sample of 1500 students. Experiences of physical, sexual and emotional abuse and age at abuse, perpetrators, consequences and severity were assessed using a version of ISPCAN Child Abuse Screening Tool-Retrospective Version (ICAST-R) which was culturally adapted and validated by the authors for use amongst Sinhalese students. The prevalence of the various forms of abuse during childhood was as follows: physical: 45.4% (95% CI: 42.9-7.9); sexual: 9.1% (95% CI: 7.6-10.5); emotional: 27.9% (95% CI: 25.7-30.2). The corresponding percentages of individuals categorized as having experienced severe or very severe abuse were as follows, physical: 0.3% (2/672); sexual: 4.05% (3/135); emotional: 8.8% (36/412). Experience of physical abuse was more prevalent amongst male students (54.8% vs. 38.3%) as was emotional abuse (33.9% vs. 23.2%), whereas experience of sexual abuse was more prevalent amongst female students (11.5% vs. 6.4%). Parents and teachers were the commonest perpetrators of physical and emotional abuse. Most of the sexually abusive acts were committed by neighbors or strangers. Some physically abusive acts were more frequent at earlier ages than emotional and sexual abusive acts, which were more common in late adolescence. The results indicate the necessity of targeted interventions to address this public health issue.
童年期虐待是一种人类悲剧，会给幸存者带来终身不良的健康、社会和经济后果。本描述性、横断面研究旨在确定斯里兰卡一个地区 18-19 岁学生中身体、性和情感虐待经历的发生率。采用多阶段聚类抽样方法选择了 1500 名学生的样本。使用经过文化适应性改编并由作者验证可用于僧伽罗学生的 ISPCAN 儿童虐待筛查工具-回顾性版本（ICAST-R）版本评估身体、性和情感虐待以及虐待发生年龄、施虐者、后果和严重程度。童年期各种形式虐待的发生率如下：身体：45.4%（95%可信区间：42.9-7.9）；性：9.1%（95%可信区间：7.6-10.5）；情感：27.9%（95%可信区间：25.7-30.2）。被归类为经历严重或非常严重虐待的个体的相应百分比如下，身体：0.3%（2/672）；性：4.05%（3/135）；情感：8.8%（36/412）。身体虐待在男生中更为普遍（54.8%比 38.3%），情感虐待也是如此（33.9%比 23.2%），而性虐待在女生中更为普遍（11.5%比 6.4%）。父母和教师是身体和情感虐待的常见施虐者。大多数性虐待行为是由邻居或陌生人实施的。一些身体虐待行为比情感和性虐待行为发生的年龄更早，而后者更常见于青少年后期。结果表明，有必要采取有针对性的干预措施来解决这一公共卫生问题。
