Evidence map›Paper›PMID 34991547›Full record

ArticleBMC public health2022

Sex education and self-poisoning in Sri Lanka: an explorative analysis.

Grace Crowley, Piumee Bandara, Lalith Senarathna, Ayodhya Malalagama, Sonali Gunasekera, Thilini Rajapakse, Duleeka Knipe

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Grace CrowleyPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. grace.crowley@doctors.org.uk.
Piumee BandaraSouth Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
Lalith SenarathnaDepartment of Health Promotion, Faculty of Applied Sciences, Rajarata University of Sri Lanka, Mihintale, Sri Lanka.
Ayodhya MalalagamaMental Health Unit, Bundaberg Hospital, Bundaberg, Queensland, Australia.
Sonali GunasekeraFamily Planning Association of Sri Lanka, Colombo, Sri Lanka.
Thilini Rajapakse *South Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
Duleeka Knipe *Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Indigenous Wellbeing Centre · AURajarata University of Sri Lanka · LKSouth Asian Clinical Toxicology Research Collaboration · LKUniversity of Bristol · GBUniversity of Peradeniya · LKWestern Sydney University · AU

Funding

Medical Research Council MC_PC_MR/R019622/1Wellcome TrustWellcome Trust 204813/Z/16/Z
6 · The paper itself

Abstract

backgroundSelf-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.

methodsCases (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.

resultsRoughly 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.

conclusionAs 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.

Indexed as

PoisoningPoisonsSelf-Injurious BehaviorSuicideHumansSex EducationSri LankaPoisonsSelf-harmSelf-poisoningSex educationSri-LankaSuicidal behaviour

Identifiers

PMID34991547
PMCPMC8740467
OpenAlexW4205988681

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.