Systematic review and Metaanalysis of intervention effects and maintenance of school based sexual abuse prevention programs
10.16835/j.cnki.1000-9817.2025294
- VernacularTitle:学校防性侵项目干预效果及维持情况的系统评价与Meta分析
- Author:
DONG Ziyao, MA Yihan, WANG Guoqing, WU Shouyuan, GONG Wenjie
1
Author Information
1. Department of Child and Adolescent Health and Maternal & Child Health, Xiangya School of Public Health, Central South University, Changsha 410013, Hunan Province, China
- Publication Type:Journal Article
- Keywords:
Sex offenses;
Intervention studies;
Meta analysis;
Health promotion;
Students
- From:
Chinese Journal of School Health
2025;46(10):1416-1421
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects and maintenance of school based sexual abuse prevention programs for minors, so as to provide scientific evidences for optimizing intervention design and policy making.
Methods:Six Chinese and English databases were searched, including CNKI, Wanfang Database, Medline (via PubMed), Embase, Cochrane Library and Web of Science, with the time frame set from database inception to December 31, 2024. Studies on school based sexual abuse prevention programs for minors were selected, and data on knowledge, attitudes and skills related to sexual abuse prevention were extracted. Meta analysis was performed using Stata 17.
Results:A total of 26 studies were included. The Meta analysis results showed that school based sexual abuse prevention programs improved participants knowledge ( SMD=1.24, 95%CI =0.96-1.52), attitudes ( SMD=0.62, 95%CI =0.19-1.04) and skills ( SMD=0.66, 95%CI =0.50-0.83) (all P <0.01). During the overall follow up, the maintenance rates for knowledge, attitudes, and skills were 0.97(95% CI =0.95-1.00), 0.99(95% CI =0.95-1.04) and 1.01(95% CI =0.99-1.04), respectively, with no statistically significant differences (all P >0.05). However, knowledge retention declined significantly when follow up exceeded three months ( R=0.91, 95%CI=0.83-0.99, P <0.01), while skills retention ( R=0.94, 95%CI=0.87-1.02, P = 0.23) remained higher than knowledge and attitudes ( R=0.98, 95%CI=0.96-1.00, P =0.13), demonstrating stronger long term effects.
Conclusion:School based sexual abuse prevention programs are effective in enhancing participants knowledge, attitudes and skills, but the intervention effects diminish over time, particularly in knowledge retention.
