Effectiveness of School-Based Child Sexual Abuse Prevention Programs in China: A Meta-Analysis
Abstract
Purpose: Although the number of school-based education programs for child sexual abuse (CSA) prevention has recently increased in China, little is known about their effectiveness. This meta-analysis aimed to examine the effectiveness of school-based CSA prevention programs on improving children’s knowledge and skills, which can prevent them from being sexually abused. Method: Systematic searches were conducted based on five English-language databases (PubMed, Web of Science, ScienceDirect, MEDLINE, and PsycINFO) and three Chinese databases (CNKI, Wan Fang Data, and CQVIP). Seven studies with 2,593 participants finally met the quality criteria of this review, and the meta-analysis was conducted using a random effect model. Results: The overall effect sizes of school-based CSA prevention education showed a significant improvement in children’s knowledge ( d = 2.53, 95% CI [2.03, 3.04]) and skills ( d = 2.00, 95% CI [1.39, 2.60]). Programs instructed by researchers were more effective than those instructed by teachers, and preschoolers had a larger increase in both knowledge and skills than elementary and middle school students. Discussion: This study provides empirical evidence for further implementation of school-based CSA prevention programs, especially under the guidance of experienced researchers and conducted for students at an early age.
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Evidence that child education reduces CSA risk is limited and mixed.
“However, evidence that this education reduces CSA risk is limited and mixed.”
From Recall of sexual abuse prevention education at school and home: Associations with sexual abuse experience, disclosure, protective parenting, and knowledge (2022) · cites this paper as Zhang et al., 2021
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
A Global Perspective on Child Sexual Abuse: Meta-Analysis of Prevalence Around the World
Stoltenborgh, M., van IJzendoorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011) · Child Maltreatment · doi:10.1177/1077559511403920 · Cited by 2,010 · see citing works
The prevalence of child sexual abuse in community and student samples: a meta-analysis
Pereda, N., Guilera, G., Forns, M., & Gómez-Benito, J. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.02.007 · Cited by 1,068 · see citing works
Exposure to childhood sexual and physical abuse and adjustment in early adulthood
Fergusson, D. M., Boden, J. M., & Horwood, L. J. (2008) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2006.12.018 · Cited by 910 · see citing works
Child sexual abuse prevention: What offenders tell us
Elliott, M., Browne, K. O., & Kilcoyne, J. (1995) · Child Abuse & Neglect · doi:10.1016/0145-2134(95)00017-3 · Cited by 452 · see citing works
Risk factors for child sexual abuse victimization: A meta-analytic review.
Assink, M., van der Put, C. E., Meeuwsen, M. W. C. M., de Jong, N. M., Oort, F. J., Stams, G. J. J. M., & Hoeve, M. (2019) · Psychological bulletin · doi:10.1037/bul0000188 · Cited by 322 · cited 1× · see citing works
“Previous reviews have shown that the past experience of sexual abuse and parental neglect are the strongest predictors of committing CSA (Assink et al., 2019).”
BackgroundSchool-Based Child Sexual Abuse Prevention Programs: A Review of Effectiveness
Topping, K. J., & Barron, I. G. (2009) · Review of Educational Research · doi:10.3102/0034654308325582 · Cited by 258 · see citing works
Child Sexual Abuse Prevention Programs: A Meta-Analysis
Davis, M. K., & Gidycz, C. A. (2000) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp2902_11 · Cited by 255 · see citing works
Wurtele, S. K. (2009) · Journal of Child Sexual Abuse · doi:10.1080/10538710802584650 · Cited by 240 · see citing works
Walsh, K., Zwi, K., Woolfenden, S., & Shlonsky, A. (2018) · Research on Social Work Practice · doi:10.1177/1049731515619705 · Cited by 239 · see citing works
An epidemiological overview of child sexual abuse
Singh, M., Parsekar, S. S., & Nair, S. N. (2014) · Journal of Family Medicine and Primary Care · doi:10.4103/2249-4863.148139 · Cited by 231 · see citing works
Russell, D. H., Higgins, D. J., & Posso, A. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104395 · Cited by 182 · see citing works
Child sexual abuse in China: a study of adolescents in four provinces
Chen, J., Dunne, M. P., & Han, P. (2004) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2004.07.003 · Cited by 175 · see citing works
Attention, Development, and Psychopathology
Merrill, E. C., & Atwell, J. A. (1998) · American Journal on Mental Retardation · doi:10.1352/0895-8017(1998)103 · Cited by 170 · see citing works
Homma, Y., Wang, N., Saewyc, E., & Kishor, N. (2012) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2011.12.032 · Cited by 161 · see citing works
Victimization prevention programs: A national survey of children's exposure and reactions
Finkelhor, D., & Dziuba-Leatherman, J. (1995) · Child Abuse & Neglect · doi:10.1016/0145-2134(94)00111-7 · Cited by 155 · see citing works
Child sexual abuse in China: A meta-analysis of 27 studies
Ji, K., David Finkelhor, B., & Dunne, M. P. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.03.008 · Cited by 140 · see citing works
History of Childhood Sexual Abuse and HIV Risk Behaviors in Homosexual and Bisexual Men
Brennan, D. J., Hellerstedt, W. L., Ross, M. W., & Welles, S. L. (2007) · American Journal of Public Health · doi:10.2105/ajph.2005.071423 · Cited by 118 · see citing works
A population-based study of childhood sexual contact in China: Prevalence and long-term consequences
Luo, Y., Parish, W. L., & Laumann, E. O. (2008) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2007.10.005 · Cited by 111 · see citing works
Childhood Sexual Violence in Indonesia: A Systematic Review
Rumble, L., Febrianto, R. F., Larasati, M. N., Hamilton, C., Mathews, B., & Dunne, M. P. (2018) · Trauma Violence & Abuse · doi:10.1177/1524838018767932 · Cited by 109 · see citing works
Wurtele, S. K., & Owens, J. S. (1997) · Child Abuse & Neglect · doi:10.1016/s0145-2134(97)00040-9 · Cited by 101 · see citing works
Child Sexual Abuse: Demography, Impact, and Interventions
Olafson, E. (2011) · Journal of Child & Adolescent Trauma · doi:10.1080/19361521.2011.545811 · Cited by 94 · see citing works
Preventing Childhood Sexual Abuse: An Ecological Approach
Kenny, M. C., & Wurtele, S. K. (2012) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2012.675567 · Cited by 94 · see citing works
School-Based Childhood Sexual Abuse Prevention Programs
Fryda, C. M., & Hulme, P. A. (2014) · The Journal of School Nursing · doi:10.1177/1059840514544125 · Cited by 84 · see citing works
Pulido, M. L., Dauber, S. E., Tully, B. A., Hamilton, P., Smith, M. J., & Freeman, K. D. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302594 · Cited by 82 · see citing works
Training teachers to safeguard children: developing a consistent approach
Baginsky, M., & Macpherson, P. (2005) · Child Abuse Review · doi:10.1002/car.905 · Cited by 80 · see citing works
Explaining lower rates of sexual abuse in China
David Finkelhor, B., Ji, K., Mikton, C. R., & Dunne, M. P. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.07.006 · Cited by 78 · see citing works
Madu, S. N., & Peltzer, K. (2001) · Archives of Sexual Behavior · doi:10.1023/a:1002704331364 · Cited by 77 · see citing works
Evaluation of a Sexual Abuse Prevention Education for Chinese Preschoolers
Zhang, W., Chen, J., Feng, Y., Li, J., Liu, C., & Zhao, X. (2013) · Research on Social Work Practice · doi:10.1177/1049731513510409 · Cited by 72 · see citing works
Lin, D., Li, X., Fan, X., & Fang, X. (2011) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2011.05.006 · Cited by 72 · see citing works
Child sexual abuse prevention: research review and recommendations
Berrick, J. D., & Barth, R. P. (1992) · Social Work Research and Abstracts · doi:10.1093/swra/28.4.6 · Cited by 71 · see citing works
Tutty, L. M. (2000) · Research on Social Work Practice · doi:10.1177/104973150001000301 · Cited by 70 · see citing works
An Examination of the Reliability of the “What If” Situations Test: A Brief Report
Wurtele, S. K., Hughes, J. W., & Owens, J. S. (1998) · Journal of Child Sexual Abuse · doi:10.1300/j070v07n01_03 · Cited by 69 · see citing works
Prevalence of Childhood Sexual Abuse in China: A Meta-Analysis
Ma, Y. (2018) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2018.1425944 · Cited by 63 · see citing works
Zhang, W., Chen, J., Feng, Y., Li, J., Zhao, X., & Luo, X. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.04.018 · Cited by 54 · see citing works
Gushwa, M., Bernier, J., & Robinson, D. (2019) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2018.1477000 · Cited by 51 · see citing works
Evaluation of a Sexual Abuse Prevention Workshop in a Multicultural, Impoverished Urban Area
Daigneault, I., Hébert, M., McDuff, P., & Frappier, J. (2012) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2012.703291 · Cited by 46 · see citing works
Knowledge and Skills of Sexual Abuse Prevention: A Study on School-Aged Children in Beijing, China
Jin, Y., Chen, J., & Yu, B. (2016) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2016.1199079 · Cited by 36 · see citing works
Nickerson, A. B., Tulledge, J., Manges, M. E., Kesselring, S., Parks, T. W., Livingston, J. A., & Dudley, M. J. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104101 · Cited by 34 · see citing works
Dake, J. A., Price, J. H., & Murnan, J. (2003) · Journal of School Health · doi:10.1111/j.1746-1561.2003.tb03576.x · Cited by 31 · see citing works
The History of Child Sexual Abuse Prevention: A Practitioner's Perspective
Plummer, C. A. (1999) · Journal of Child Sexual Abuse · doi:10.1300/j070v07n04_06 · Cited by 21 · see citing works
Cochrane review: School‐based education programmes for the prevention of child sexual abuse
Zwi, K., Woolfenden, Sr., Wheeler, D., O'Brien, T., Tait, P., & Williams, K. (2008) · Evidence-Based Child Health: A Cochrane Review Journal · doi:10.1002/ebch.264 · Cited by 16 · see citing works
Lu, M., Barlow, J., Meinck, F., & Wu, Y. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260520959630 · Cited by 14 · see citing works
With the Best of Intentions: The Child Sexual Abuse Prevention Movement.
Schetky, D. H. (1992) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199211000-00041 · Cited by 11 · see citing works
Systematic review of sexuality education intervention in the 21st century
Wang, X., & Zhang, L. (2021) · Chinese Journal of School Health · doi:10.16835/j.cnki.1000-9817.2021.01.036 · Cited by 2 · see citing works
Flagged first, then by citations
1 of the 47 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Yusof, R. C., Norhayati, M. N., & Azman, M. Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.909254 · Cited by 31 · see citing works
Fabris, M. A., Longobardi, C., Settanni, M., & Mastrokoukou, S. (2024) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2023.106631 · Cited by 25 · see citing works
Malamsha, M. P., Sauli, E., & Luhanga, E. T. (2021) · JMIR Serious Games · doi:10.2196/30350 · Cited by 22 · see citing works
Rudolph, J. I., Zimmer-Gembeck, M. J., & Walsh, K. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105680 · Cited by 19 · see citing works
Ortega, D. P., Walsh, K., Bődi, C. B., Hawkins, L. B., & Bright, M. A. (2023) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2023.106397 · Cited by 15 · see citing works
Gaps between Supply and Utilization of Social Work Evidence in Mainland of China
Duan, W., Sun, X., & Wang, Z. (2024) · Research on Social Work Practice · doi:10.1177/10497315231225151 · Cited by 4 · see citing works
Moving school-based CSA prevention education online: Advantages and challenges of the “new normal”
Bright, M. A., Ortega, D. C., David Finkelhor, B., & Walsh, K. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105807 · Cited by 7 · see citing works
Zych, I., & Marín‐López, I. (2024) · Campbell Systematic Reviews · doi:10.1002/cl2.70000 · Cited by 3 · see citing works
Cho, M., Ombayo, B. K., Lightfoot, E., & Ihm, J. (2024) · Journal of Family Violence · doi:10.1007/s10896-024-00771-3 · Cited by 3 · see citing works
Tips and tricks: teaching scholars how to publish articles in English language social work journals
Thyer, B. A. (2021) · China Journal of Social Work · doi:10.1080/17525098.2021.1979686 · Cited by 2 · see citing works
Pan, Y., Chan, M. M., Yuan, Y., Li, S., He, L., & Zeng, L. (2024) · Trauma Violence & Abuse · doi:10.1177/15248380241306036 · Cited by 2 · see citing works
School-Based Prevention Programmes for Sexual Abuse: A Meta-Analysis Study
Erk, M. A., & Sanberk, İ. (2025) · Journal of Prevention · doi:10.1007/s10935-025-00885-4 · Cited by 2 · see citing works
Subaşı, D. Ö., Sümengen, A. A., Semerci, R., & Çakır, G. N. (2024) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2024.06.024 · Cited by 1 · see citing works
Bődi, C. B., Ortega, D. P., Walsh, K., & Bright, M. A. (2025) · Child Maltreatment · doi:10.1177/10775595251345432 · Cited by 1 · see citing works
The get personal application to improve personal safety skills in children
Ekawati, Y. N., Annisa, V., & Saputra, N. E. (2023) · Humanitas Indonesian Psychological Journal · doi:10.26555/humanitas.v20i1.47
Mukhlis, A., Husen, W., Fitriah, N., Elvira, M., Santoso, S. T. P., Rahmanto, K. D., & Rochmah, A. (2024) · Golden Age Jurnal Ilmiah Tumbuh Kembang Anak Usia Dini · doi:10.14421/jga.2024.94-06
Çocuk Cinsel İstismarına Karşı Hazırlanan Kamu Spotlarının İletişim İşlevleri Üzerinden Analizi
Gazi, M. A. (2025) · Erciyes İletişim Dergisi · doi:10.17680/erciyesiletisim.1532727
CHILDREN’S RIGHTS IN THE LEGAL SYSTEM: PROTECTION AGAINST ABUSE, EXPLOITATION, AND TRAFFICKING
Kumar, S., & Gupta, P. (2026) · ShodhKosh Journal of Visual and Performing Arts · doi:10.29121/shodhkosh.v7.i15s.2026.8580
Genç, M., İzciler, F., & Aslan, N. (2026) · Healthcare · doi:10.3390/healthcare14162607
Wang, X. (2026) · Research Square · doi:10.21203/rs.3.rs-10454091/v1
- Authors
- Zhang, H., Shi, R., Li, Y., & Wang, Y.
- Affiliations
- Renmin University of China (CN)
- Corresponding author
- Wang, Yang
- Venue
- Research on Social Work Practice
- Publisher
- SAGE Publications
- Published
- 2021-07-08
- Volume
- 31
- Issue
- 7
- Pages
- 693-705
- ISSN
- 1049-7315 (ISSN-L)
- 1552-7581
- OpenAlex
- W3182581752
- Cited by
- 20
- References
- 47
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 7 · 2023: 2 · 2022: 3 · 2021: 2
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research on Social Work Practice (publishedVersion)
- Funders
- Fundamental Research Funds for the Central Universities and the Research Funds of Renmin University of China (20XNL014)
- Topics
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Keywords
- child sexual abuse prevention, school-based prevention, program effectiveness, preschool children, primary and secondary school students, China
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