A Study of Injury Patterns and Socio-Demographic Profiles of Victims of Intimate Partner Violence in Sri Lanka

Amal N. Vadysinghe, Deepthi Edussuriya, Mukalanyaya R. Y. Lakma

Abstract


Intimate partner violence (IPV) is a common global health
problem. The injury pattern and socio-demographic profile of IPV
in Sri Lanka may show variations to that seen in a western society
due to socio-cultural differences. The objective of this study was
to identify the injury pattern and the socio-demographic aspects of
IPV in a Sri Lankan context.
All the victims of IPV presented to the Teaching Hospital Peradeniya,
Peradeniya, Sri Lanka from 2006 to 2011 were included in
this study. There were 226 cases of IPV of which 96% were female.
The majority were married and living together. They were less than
30 years of age, unemployed, with more than 2 children, had a poor
education and were in the early phase of marriage.
Seventy-two percent experienced physical violence resulting
in contusions (72%) and abrasions (42%). A significant proportion
(11%) did not have any visible injuries. The commonest area of injury
was upper limbs (63%) with the head and face being involved
in 54% of the cases. The majority (84%) were non grievous injuries
inflicted by bare hands (58%) and feet (13%).
Profiling of such victims would enable social and community
workers to identify this vulnerable group for early intervention and
prevention of such occurrences.


Keywords


Forensic Science, Intimate partner violence (IPV); Injury patterns; socio-demographic profile, Srilanka.

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References


Pan American Health Organization, Regional Office

of the World Health Organization. Understanding

and addressing violence against women. [cited 2017

June 21]. Available from: http://apps.who.int/iris/bitstream/

/77432/1/WHO_RHR_12.36_eng.pdf.

U.S. Department of Justice. Extent, Nature, and Consequences

of Intimate Partner Violence: Findings From

the National Violence Against Women Survey, Washington,

US 2000. [cited 2017 July 20]. Available from:

https://www.ncjrs.gov/pdffiles1/nij/181867.pdf.

World Health Organization. Violence against women:

Intimate partner and sexual violence against women.

[cited 2017 June 10]. Available from: http://www.who.

int/mediacentre/factsheets/fs239/en/.

Devries KM, Mak JY, García-Moreno C, Petzold M,

Child JC, Falder G, Lim S, Bacchus LJ, Engell RE,

Rosenfeld L, Pallitto C. The global prevalence of intimate

partner violence against women. Science.

;340(6140):1527-8. https://doi.org/10.1126/science.

Jayatilleke AC, Poudel KC, Yasuoka J, Jayatilleke AU,

Jimba M. Intimate partner violence in Sri Lanka. Biosci

Trends. 2010;4(3):90-5.

Guruge S, Jayasuriya-Illesinghe V, Gunawardena N,

Perera J. Intimate partner violence in Sri Lanka: A scoping

review. Ceylon Med J. 2015;60(4):133-8. https://

doi.org/10.4038/cmj.v60i4.8100

Jayasuriya V, Wijewardena K, Axemo P. Intimate partner

violence against women in the capital province

of Sri Lanka: prevalence, risk factors, and help seeking.

Violence Against Women. 2011;17(8):1086-102.

https://doi.org/10.1177/1077801211417151

Gayford JJ. Battered wives. Med, Sci and

the Law. 1975;15(4):237-45. https://doi.

o r g / 1 0 . 11 7 7 / 0 0 2 5 8 0 2 4 7 5 0 1 5 0 0 4 0 4

Mason JK. The Pathology of Violent Injury. Am J

Forensic Med Pathol. 1980;1(3):286. https://doi.

org/10.1097/00000433-198009000-00021

Faulk M. Men who assault their wives. Med,

Sci and the Law. 1974;14(3):180-3. https://doi.

org/10.1177/002580247401400307

Lau CL, Ching WM, Tong WL, Chan KL, Tsui KL,

Kam CW. 1700 victims of intimate partner violence:

characteristics and clinical outcomes. Hong Kong Med

J. 2008;14(6):451-7.

Saravanapavanathan N. Medico- legal aspects of injuries.

Jaffna:St.Joseph’s Catholic Press; 1982. p. 120-

Parekh KP, Russ S, Amsalem DA, Rambaran N, Langston

S, Wright SW. Prevalence of intimate partner violence

in patients presenting with traumatic injuries to

a Guyanese emergency department. Int J Emerg Med.

;5(1):23. https://doi.org/10.1186/1865-1380-5-23

Vidanapathirana M. Factors related to wife-battering; a

medico-legal analysis. Galle Medical J. 2014;19(1):6-

https://doi.org/10.4038/gmj.v19i1.6958

Perciaccante VJ, Ochs HA, Dodson TB. Head, neck,

and facial injuries as markers of domestic violence in

women. J Oral Maxillofac Surg. 1999;57(7):760-2.

https://doi.org/10.1016/S0278-2391(99)90808-X

Ochs HA, Neuenschwander MC, Dodson TB. Are

head, neck and facial injuries markers of domestic violence?

J Am Dent Assoc. 1996;127(6):757-61. https://

doi.org/10.14219/jada.archive.1996.0311

Bibi S, Ashfaq S, Shaikh F, Qureshi PM. Prevalence

instigating factors and help seeking behavior of physical

domestic violence among married women of Hyderabad

Sindh. Pak J Med Sci. 2014;30(1):122-5.

Paul S. Intimate partner violence and Women’s helpseeking

behaviour: evidence from India.

J Interdiscip Econ. 2016;28(1):53-82. https://doi.

org/10.1177/0260107915609818

Vadysinghe AN, Edussuriya D, Lakma MR, Kaluarachchi

CI, Nanayakkara DN. Sociodemographic Profile:

Nature of Abuse and Help Seeking Behavior of Victims

of Intimate Partner Violence Presenting to Two Tertiary

Care Units in the Central Province of Sri Lanka. Int J

Med Toxicol and Forensic Med. 2018;8:21-8.

Campbell JC. Health consequences of intimate partner

violence. The lancet. 2002;359(9314):1331-6.

https://doi.org/10.1016/S0140-6736(02)08336-8

Vadysinghe AV, DayaratneKMPL.Injury pattern and

socio demographic aspects of intimate partner violence

in the Central Province. Congress of the International

Academy of Legal Medicine, Sri Lanka;2009.

Marriages (General): An Ordinance to consolidate and

amend the law relating to marriages other than the marriages

of Muslims and to provide for the better registration

thereof. [cited 2018 July 25]. Available from:

http://www.hrcsl.lk/PFF/LIbrary_Domestic_Laws/

Legislation_related_to_children/Marriage%20(general).

pdf

UNICEF. Progress for children: a world fit for children

statistical review. 2007. [cited 2018 July 25]. Available

from: https://www.unicef.org/publications/files/Progress_

for_Children_No_6_revised.pdf

UNICEF. Progress for children: A report card on child

protection. 2009; 7. [cited 2018 July 25]. Available from:

http://www.unicef.org/progressforchildren/2007n6/index_

htm.

Nnadi I. Early Marriage: A Gender-Based Violence and

A Violation of Women’s Human Rights in Nigeria. J

Politics Law. 2014;7:35. https://doi.org/10.5539/jpl.

v7n3p35

Rocca CH, Rathod S, Falle T, Pande RP, Krishnan S.

Challenging assumptions about women’s empowerment:

social and economic resources and domestic

violence among young married women in urban South

India. Int J Epidemiol. 2008;38(2):577-85. https://doi.

org/10.1093/ije/dyn226

Ackerson LK, Subramanian SV. Domestic violence and

chronic malnutrition among women and children in India.

Am J Epidemiol. 2008;167(10):1188-96. https://

doi.org/10.1093/aje/kwn049

Belhorma S. ‘Two months of marriage were sufficient

to turn my life upside down’: early marriage as a form

of gender-based violence. Gender & Development.

;24(2):219-30. https://doi.org/10.1080/13552074.

1194558

Heise L, Garcia-Moreno C. Violence by intimate partners.

In: Krug EG, Dahlberg LL, Mercy JA, Zwi AB,

Lozano R, eds. World report on violence and health.

Geneva, World Health Organization, 2002:87– 121.

Kishor S, Johnson K. Profiling domestic violence: a

multi-country study. Calverton, MD, ORC Macro,

Abramsky T, Watts CH, Garcia-Moreno C, Devries K,

Kiss L, Ellsberg M, Jansen HA, Heise L. What factors

are associated with recent intimate partner violence?

Findings from the WHO multi-country study on women’s

health and domestic violence. BMC Public Health.

;11(1):109. https://doi.org/10.1186/1471-2458-11-

Vyas S, Watts C. How does economic empowerment

affect women’s risk of intimate partner violence in low

and middle income countries? A systematic review of

published evidence. J Int Dev. 2009;21(5):577-602.

https://doi.org/10.1002/jid.1500

Straus MA, Gelles RJ, Steinmetz SK. Behind closed

doors: Violence in the American family. Routledge.

South Africa Demographic and Health Survey 1998.

Department of Health, Republic of South Africa. Available

from: https://dhsprogram.com/pubs/pdf/FR131/

FR131.pdf

Women UN. Fourth world conference on women: Beijing

declaration. Available from: http://www.un.org/

womenwatch/daw/beijing/platform/declar.htm

Riger S, Krieglstein M. The impact of welfare reform

on men’s violence against women. Am J Community

Psychol. 2000;28(5):631-47. https://doi.

org/10.1023/A:1005193603532

Kim JC, Watts CH, Hargreaves JR, Ndhlovu LX, Phetla

G, Morison LA, Busza J, Porter JD, Pronyk P. Understanding

the impact of a microfinance-based intervention

on women’s empowerment and the reduction of

intimate partner violence in South Africa. Am J Public

Health. 2007;97(10):1794-802. https://doi.org/10.2105/

AJPH.2006.095521

Waters H, Hyder AA, Rajkotia Y, Basu S, Rehwinkel

JA, Butchart A, World Health Organization. The economic

dimensions of interpersonal violence. 2004.

Census of Population and housing 2001: Number

and percentage of population by district and ethnic

group. Available from: http://www.statistics.gov.lk/PopHouSat/

PDF/Population/p9p8%20Ethnicity.pdf

Subramaniam P, SivayoganS.The prevalence and pattern

of wife beating in the Trincomalee district in

Eastern Sri Lanka.Southeast Asian J Trop Med Public

Health.2001;32(1):186-95.

Alzahrani TA, Abaalkhail BA, Ramadan IK. Prevalence

of intimate partner violence and its associated

risk factors among Saudi female patients attending the

primary healthcare centers in Western Saudi Arabia.

Saudi Med J. 2016;37(1):96. https://doi.org/10.15537/

smj.2016.1.13135




DOI: http://dx.doi.org/10.26735/16586794.2018.029

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