Cited by 154Child Abuse and TraumaSexual Assault and Victimization StudiesMilitary, Security, and Education Studies

Child Sexual Abuse Prevention Opportunities: Parenting, Programs, and the Reduction of Risk

Open access
Rudolph, Julia, Zimmer-Gembeck, Melanie J., Shanley, Dianne C., Hawkins, Russell·2018·Child Maltreatment

Abstract

To date, child sexual abuse (CSA) prevention has relied largely on child-focused education, teaching children how to identify, avoid, and disclose sexual abuse. The purpose of this article is to explore how prevention opportunities can include parents in new and innovative ways. We propose that parents can play a significant role as protectors of their children via two pathways: (i) directly, through the strong external barriers afforded by parent supervision, monitoring, and involvement; and (ii) indirectly, by promoting their children's self-efficacy, competence, well-being, and self-esteem, which the balance of evidence suggests will help them become less likely targets for abuse and more able to respond appropriately and disclose abuse if it occurs. In this article, we first describe why teaching young children about CSA protective behaviors might not be sufficient for prevention. We then narratively review the existing research on parents and prevention and the parenting and family circumstances that may increase a child's risk of experiencing sexual abuse. Finally, we make a number of recommendations for future approaches to prevention that may better inform and involve parents and other adult protectors in preventing CSA.

Integrity signals

Registry

Crossref · 10.1177/1077559517729479

Cites

92 of 93 references verified0 citation errors · 1 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

6 of 42 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Some children may experience fear, anxiety, and confusion about touches after a prevention program.

    “some children may experience fear, anxiety and confusion about touches after a prevention program”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Topping & Barron, 2009 source
    • cites Walsh et al., 2015 source

      The Harm section reports that a small proportion of children experienced mild, short-term anxiety or fear after participating in a programme. It does not report confusion about touches, and the meta-analysis found no overall increase in anxiety or fear. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites Zwi et al., 2008 source
  • Premisecitation

    Research on health behavior modification indicates that behavior can change when knowledge increases.

    “research on health behavior modification suggests that behavior can change through increases in knowledge (Sanders et al., 2000;Wakefield et al., 2010).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Sanders et al., 2000

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Wakefield et al., 2010 source
  • Interpretationcitation

    Parents use various protective practices, such as supervision, monitoring, and involvement, to create external barriers, with direct discussions of abuse prevention only a small part.

    “parents use a variety of protective practices (e.g., supervision, monitoring and involvement) to create the external barriers that may keep their children safe from CSA, of which direct discussions of abuse prevention in the home are only a small part.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Babatsikos & Miles, 2015 source
    • cites Collins, 1996 source

      In “What Protective Strategies Do Parents Employ?” (p. 6), the paper describes supervision, relationships, questioning, and monitoring child care alongside abuse-prevention education. It does not establish that direct discussions were only a small part of parents’ practices: Table 2 (p. 6) lists education for 22 parents (92%), and the discussion on p. 7 says nearly all had talked with their children about safety. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Premisecitation

    Research indicates that media campaigns can change behavior.

    “research suggests that such campaigns can enact behavior change (Sanders, Montgomery, & Brechman-Toussaint, 2000;Wakefield, Loken, & Hornik, 2010).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Sanders, Montgomery, & Brechman-Toussaint, 2000

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Wakefield, Loken, & Hornik, 2010 source
  • Premisecitation

    Parenting programs that strengthen positive parenting skills have been found effective at improving parent-child interactions, child well-being and other family outcomes.

    “Programs that focus on enhancing these parenting skills have been found to be efficacious for improving positive parent-child interactions, child well-being, and a range of other outcomes among families (e.g., Triple P-Positive Parenting Program (PPP) : Prinz, Sanders, Shapiro, Whitaker, & Lutzker, 2009. Parent-Child Interaction Therapy (PCIT) : Chaffin et al., 2004. Circle of Security: Mercer, 20”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Prinz, Sanders, Shapiro, Whitaker, & Lutzker, 2009 source
    • cites Chaffin et al., 2004 source
    • cites Mercer, 2015 source
  • May combine two claims. 17
  • Classified as probably not a substantial claim. 5
  • May combine two claims.

    Premisecitation

    Triple P and Parent-Child Interaction Therapy have both been shown to reduce physical abuse and neglect.

    “Significantly, PPP and PCIT have both been shown to be effective in the reduction of physical abuse and neglect (Chaffin et al., 2004;Prinz et al., 2009),”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Chaffin et al., 2004 source
    • cites Prinz et al., 2009 source

      The Results (Population Outcomes; page unavailable) report that Triple P counties had significantly better outcomes than control counties on substantiated child maltreatment, out-of-home placements, and maltreatment injuries. The paper does not report separate reductions in physical abuse and neglect. PCIT is paired with a separate citation in the citing sentence, so its effectiveness is not attributed to Prinz et al. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Interpretationnone given

    Parents can indirectly protect children by promoting self-efficacy, competence, well-being, and self-esteem, which evidence suggests makes them less likely targets and more able to respond and disclose.

    “indirectly, by promoting their children's self-efficacy, competence, well-being and self-esteem”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationnone given

    Child-focused CSA prevention has three limitations: information effectiveness, children's capacity to understand and enact strategies, and unintended outcomes.

    “there are three limitations to this prevention approach: i) the effectiveness of information in helping children avoid abuse, ii) the capacity of children to understand and enact prevention strategies and iii) the unintended outcomes for children of CSA education.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisenone given

    Research has identified contextual features and parental behaviors - such as drug or alcohol abuse, parental absence, physical or mental ill health, criminality, divorce or separation, conflict and step-families - and parenting practices such as low warmth, insecure attachment, communication difficulties, harsh parenting, and low involvement and supervision, that can raise a child's risk of sexual

    “Research on family demographic status, parenting practices, and offspring CSA exposure has identified certain contextual features and parents' behaviors (e.g., drug and alcohol abuse, parental absence, physical or mental ill health, criminality, divorce/separation, conflict and step-families) and parenting practices (e.g., low parental warmth, insecure attachment, communication difficulties, harsh”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Because sexual abuse is linked to other forms of child maltreatment, these parenting programs may also reduce child sexual abuse.

    “which, due to the link between the incidence of sexual abuse and other forms of child maltreatment, suggests that these parenting programs may also result in a reduction in CSA.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Sexual abuse is linked to other forms of child maltreatment.
  • May combine two claims.

    Interpretationreasoning

    It can be inferred that parents who improve communication, involvement and monitoring may lower their child's risk of sexual abuse, although this has not been directly shown.

    “Due to what is known about risk factors, it can be inferred that parents who display improvements in parenting practices such as communication, involvement and monitoring may decrease their child's CSA risk, but this is yet to be directly demonstrated.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    The prevention field has partly acknowledged that parental protection extends beyond discussing sexual abuse with the child to include parenting styles and practices, but most prevention research and initiatives do not yet reflect this.

    “Despite some acknowledgement in the CSA prevention field that parental protection goes beyond parent-child discussion of sexual abuse, to include parenting styles and practices, this notion is not yet reflected in most prevention research or initiatives (Mendelson & Letourneau 2015;Smallbone et al., 2008;Wurtele, 2009).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Mendelson & Letourneau 2015 source
    • cites Smallbone et al., 2008

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Wurtele, 2009 source
  • Probably not a substantial claim: may not pass S4 (based).

    Premisenone given

    Most practitioners and researchers agree that relying too heavily on child-focused interventions has limited how effective child sexual abuse prevention can be.

    “Most practitioners and researchers agree that the over-reliance on childfocused interventions to date has restricted the potential effectiveness of CSA prevention.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisenone given

    Parents are urged to talk with their children about protection from sexual abuse, yet research on how effective this is remains lacking.

    “however, research into the effectiveness of this approach is lacking.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    A large body of literature treats parenting practices as central to child outcomes, which suggests that involved, caring and communicative parenting and strong family relationships can improve children's well-being and confidence and may make them less likely targets of child sexual abuse.

    “Second, an extensive body of literature has identified parenting practices as central to child outcomes (see Mendelson & Letourneau, 2015) suggesting that involved, caring and communicative parenting, and strong familial relationships, can improve children's well-being and confidence, which may make them less likely targets for CSA (Elliot et al., 1995;Finkelhor, 1984).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Mendelson & Letourneau, 2015 source
    • cites Elliot et al., 1995

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Finkelhor, 1984

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationreasoning

    Working with parents to prevent abuse by non-caregivers, and helping mothers reduce risks from non-biological caregivers, could prevent a substantial majority of child sexual abuse incidents.

    “With this in mind, working with parents in preventing CSA perpetrated by non-caregivers and assisting mothers to reduce the risks presented by non-biological care-givers, could assist in the prevention of a substantial majority of CSA incidents.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisenone given

    Parent involvement has been advocated since sexual abuse prevention began, but it has not been fully achieved.

    “Although advocated from the inception of sexual abuse prevention, the involvement of parents has not been fully realized.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Finkelhor identified four preconditions for CSA: perpetrator motivation, overcoming internal inhibitions, overcoming external barriers, and overcoming the child's resistance.

    “Finkelhor (1984) identified four pre-conditions that must be present for CSA to occur.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Finkelhor (1984)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Mothers who survived child sexual abuse have been reported to use more physical punishment, hold poorer views of themselves as parents, and have particular parenting and relationship difficulties, even after other adverse childhood experiences are controlled.

    “However, CSA surviving mothers have been found to use more physical punishment and have low views of themselves as parents (Banyard, 1997) and experience certain parenting and relationship difficulties (Roberts et al., 2004) even when controlling for other adverse childhood experiences,”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Banyard, 1997 source
    • cites Roberts et al., 2004 source
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Education for young children about child sexual abuse and protective behaviors assumes that children can recognize the nuances of an abusive or exploitative encounter, resist an abuser's manipulations or threats, defy an adult's authority, give up affection, attention or material rewards the abuser offers, and report abuse by someone they may like.

    “Education for young children about CSA and protective behaviors is based on the assumptions that children are able to: (a) identify the nuances of an abusive or exploitative encounter, touch, relationship, or situation; (b) psychologically counter the manipulations or threats of an abuser; (c) challenge the authority of an adult;”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Parents can protect children indirectly by fostering the child's competence, well-being and self-esteem, which may make the child a less likely target and better able to respond to abuse and disclose it.

    “ii) indirectly, by promoting their child's competence, well-being and self-esteem which may make them less likely targets for abuse and more able to respond appropriately to abuse and disclose when it occurs.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Trust is a public good, crucial for human social interaction and for developing tolerance, fairness, and other-oriented care.

    “trust is a public good, a crucial ingredient in human social interaction and an essential basis for the development of tolerance, fairness and other-oriented care and acceptance”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Nishikawa & Stolle, 2012 source
    • cites Rotter, 1980 source
  • May combine two claims.

    Premisecitation

    In a study comparing four groups of mothers and children, negative parenting practices were associated with child sexual abuse, whereas a maternal history of sexual abuse itself did not appear to account for it.

    “In a compelling study comparing four groups of mothers and their children (non-sexually abused mothers with non-sexually abused children, non-sexually abused mothers with sexually abused children, sexually abused mothers with non-sexually abused children and sexually abused mothers with sexually abused children), negative parenting practices were linked to CSA, but sexual abuse history per se did”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Leifer et al., 2004 source
  • May combine two claims.

    Interpretationreasoning

    Parenting practices may be the most effective target for intervention to prevent child sexual abuse, even though other familial and parental circumstances are significant risk factors.

    “Although certain familial features and parental circumstances are significant risk factors for CSA, parenting practices may be the most effective target of intervention efforts for several reasons.”
    Quote in the paperSubstantial claim
19 of 19
  • The paper relies on this without support.

    The family and parenting factors associated with CSA risk are modifiable through parent-focused interventions.

    “Knowledge of these risk factors can guide and inform the development of parent-focused CSA prevention education programs.”
  • The paper relies on this without support.

    Sexual abuse is linked to other forms of child maltreatment.

    “which, due to the link between the incidence of sexual abuse and other forms of child maltreatment, suggests that these parenting programs may also result in a reduction in CSA.”
2 of 2

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Erikson E. H., 1963, Childhood and society
  2. Prescott D., Plummer C., Davis G. (2010). Recognition, response, and resolution: Historical responses to rape and child molestation. In Kaufman K. L. (Ed.), The prevention of sexual violence: A practitioner’s sourcebook (pp. 1–18). Holyoke, MA: New England Adolescent Research Institute.

Cited by

Sorted by citations

Authors
Rudolph, J., Zimmer-Gembeck, M. J., Shanley, D. C., & Hawkins, R.
Affiliations
  • Griffith University (AU)
  • School of Applied Psychology, Griffith University, Southport, Queensland, Australia
  • James Cook University (AU)
Corresponding author
Rudolph, Julia
Venue
Child Maltreatment
Published
2017-09-18
Volume
23
Issue
1
Pages
96-106
ISSN
  • 1077-5595 (ISSN-L)
  • 1552-6119
OpenAlex
W2755158923
Cited by
154
References
89
Citations by year
2026: 11 · 2025: 23 · 2024: 17 · 2023: 22 · 2022: 32 · 2021: 22 · 2020: 14 · 2019: 7 · 2018: 5 · 2017: 1
FWCI
9.14
Type
journal article
Language
en
Open access
Locations
  • Child Maltreatment (publishedVersion)
  • PubMed (publishedVersion)
  • Greenwich Academic Literature Archive (University of Greenwich) (acceptedVersion)
  • ResearchOnline - JCU (James Cook University) (submittedVersion)
  • Griffith Research Online (submittedVersion)
Funders
Australian Research Council (LP13010030)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
  • Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
Keywords
child sexual abuse prevention, parental involvement, parenting, child self-efficacy, child well-being, children's self-esteem, child disclosure, family situation, protective behavior
MeSH terms
Adult, Child, Child Abuse, Child Abuse, Sexual, Education, Nonprofessional, Female, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Parent-Child Relations, Parents, Parenting

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