ABSTRACT
Sri Lanka demonstrates the most rapid aging process among countries in South Asia. The high prevalence of non-communicable diseases (NCDs) in the meanwhile results in more than 70% of deaths in the population, a factor that would curtail leisure activities of elders significantly. The objective of this study was to investigate the engagement of elders in leisure activities in Sri Lanka, and to examine the relationship between leisure activities and their well-being. The study was conducted in 2018 in a rural district of Sri Lanka adopting a mixed methods approach. Simple random sampling technique was used to select the respondents aged between 55 and 74 years, and face-to-face interviews were conducted with 300 respondents. Qualitative data was also collected from ten key informants while a few observations were also made on selected activities of elders in the study area. The research found that a two-thirds of the surveyed respondents were suffering from NCDs, showing a clear impact on their leisure activities. The presence of leisure activities was much lower among NCD affected elders (48%) compared to NCD free elders (80%). The majority of respondents possess sufficient and accurate knowledge on how to prevent NCDs, but they rarely practiced it. Leisure activities were significantly higher among males (75%) compared to females (43%). Males participated in leisure activities such as, gardening/agriculture etc. (99%), while females were engaged in religious activities such as visiting such places and meditation (98%). Leisure engagement demonstrated a positive impact on their life satisfaction. Although a sizable proportion of elders was engaged in leisure activities, analysis of both qualitative and quantitative data supported the view that the intensity of activities may not be helpful to maintain good health. Life satisfaction and well-being of elders are crucial for rapidly aging Sri Lankan society. Motivating elders and others, including school children, via strengthening of related policies and programs would reduce the NCD burden and enable present and future elders to enjoy a more fulfilling life in old age.
ABSTRACT
BACKGROUND: Youth are at high risk for casual and unprotected sexual activities even before marriage. The objective of the study is to describe the sexual behavior, and contraceptive use among unmarried youth of Sri Lanka and to assess the factors associated with sexual behaviour. METHODS: An observational descriptive cross-sectional study was conducted in three selected districts in Sri Lanka from 1st March 2019 to 31st January 2020 among 1057 never-married youth using a self-administered questionnaire. Both stratified cluster sampling and snowball sampling were used to select the eligible never-married youth. Factors associated with sexual intercourse were assessed using logistic regression. RESULTS: Compared to boys (26%), more girls (35%) were engaged in unprotected sexual intercourse. Among sexually active unmarried youth aged less than 20 years, 10% had sexual intercourse with an unknown person. Unmarried Tamil and estate sector youth displayed significantly lower chances of sexual intercourse compared to Sinhala and urban counterparts (OR = 0.390, CI = 0.213-0.715, p = 0.002 and OR = 0.807, CI = 0.709-0.978, p = 0.020 respectively). Youth in the rural (69.5%) and urban sectors (87.3%) tend to use contraceptives during intercourse compared to the youth in the Estate sector (51.1%). CONCLUSIONS: A significant portion of youth are exposed to sexual risk behavior including unprotected sexual intercourse even before marriage which can contribute to many social and health consequences. Focus interventions are needed to address the issue.
With early puberty and late marriage, Sri Lankan youth are more susceptible to unprotected and casual sex. The physical, psychological, and sociocultural impact of resulting pregnancies and Sexually Transmitted Diseases including HIV could be detrimental. In Sri Lanka, significant variation in sexual intercourse and concurrent use of contraceptive use was observed among different ethnic groups and sectors. Increased popularity for emergency contraceptive pills was observed among never-married female youth. Younger youth (teenagers) tend to engage in more unprotected sexual intercourse compared to older youth in Sri Lanka. Concentrating on reducing barriers to contractive access for younger youth in Sri Lanka is important. To prevent unwanted pregnancies, and Sexually Transmitted Diseases including HIV, targeted interventions are required especially for Tamil ethnic groups and estate sector youth populations in Sri Lanka.
ABSTRACT
The sociodemographic characteristics of abortion seekers and the reasons they give for procuring termination were studied in 356 clients selected from two abortion clinics in the city of Colombo. Nearly 80% were Buddhists and about 10% were Christians. Almost all had some formal education but only 20% were employed outside the home. Over 95% were currently married and at the peak of their childbearing age. More than one-half were aged 30 years or over, while adolescents only constituted about 3%. Fourteen per cent were nulliparous and about two-thirds had one or two living children at the time of obtaining the abortion. A significantly high proportion also had a very young child. In total, the 356 women had had 1130 pregnancies, and the mean rate of abortion was 42 per 100 pregnancies. Over one-quarter had had more than one abortion and about 10% had had three or more. Almost all abortions were performed within the first trimester with a mean gestation period of 6 weeks. About one-third of the clients were using some method of contraception at the time they became pregnant. The most common reasons cited for the present abortion were 'pregnancy too soon after previous delivery', 'no more children desired' or 'curtailment of opportunity for foreign employment'. Unmarried women constitute a special group of abortion seekers who have different needs and behave differently from married women. Their needs are not currently being met by reproductive health programmes in Sri Lanka, and it is important that they should be given special attention in the future. An interesting finding is that a significant minority of the abortion seekers answered negatively to the question regarding providing medical facilities for abortions without difficulty. This underscores the ambivalence many people have to abortion.
