Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs

DONG Ziyao; MA Yihan; WANG Guoqing; WU Shouyuan; GONG Wenjie

doi:10.16835/j.cnki.1000-9817.2025294

Volume 46 Issue 10

Oct. 2025

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DONG Ziyao, MA Yihan, WANG Guoqing, WU Shouyuan, GONG Wenjie. Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(10): 1416-1421. doi: 10.16835/j.cnki.1000-9817.2025294

Citation:

DONG Ziyao, MA Yihan, WANG Guoqing, WU Shouyuan, GONG Wenjie. Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(10): 1416-1421. doi: 10.16835/j.cnki.1000-9817.2025294

Citation:

DONG Ziyao, MA Yihan, WANG Guoqing, WU Shouyuan, GONG Wenjie. Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(10): 1416-1421. doi: 10.16835/j.cnki.1000-9817.2025294

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Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs

doi: 10.16835/j.cnki.1000-9817.2025294

DONG Ziyao¹,
MA Yihan¹,
WANG Guoqing¹,
WU Shouyuan¹,
GONG Wenjie^{1, 2, 3, 4
,
,}

1.
Department of Child and Adolescent Health and Maternal & Child Health, Xiangya School of Public Health, Central South University, Changsha 410013, Hunan Province, China

Received Date: 2025-04-08
Rev Recd Date: 2025-06-10
Publish Date: 2025-10-25

Abstract

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.
- Sex offenses,
- Intervention studies,
- Meta-analysis,
- Health promotion,
- Students

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References(42)

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